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Individual provider Active NPI

Bryant Paul Carruth, MD

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • North Syracuse, NY
National Provider Identifier
1760645790
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X
License
260147 Issued in NY
Practice address
3400 Vickery Rd
Suite a
North Syracuse, NY 13212-4540
Phone
(315) 422-3937
Fax
(315) 422-4432
NPI assigned
Jul 9, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 260147 NY
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X 260147 NY Primary

Addresses

Primary practice location

3400 Vickery Rd
Suite a
North Syracuse, NY 13212-4540

Mailing address

3400 Vickery Rd
Suite a
North Syracuse, NY 13212-4540
Phone (315) 422-3937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110428000254 NY Practitioner - Ophthalmology 3072798438 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Plastic and Reconstructive Surgery of Cny PCGroup PAC ID 4486705852, 4 clinicians
Ophthalmology Medical Service Group IncGroup PAC ID 0446248033, 30 clinicians

Practice addresses (Care Compare)

3400 Vickery Rd
Suite a
North Syracuse, NY 13212-4530
Phone (315) 422-3937

550 Harrison St L
Syracuse, NY 13202-3188
Phone (315) 464-5230

610 French Rd
New Hartford, NY 13413-1054
Phone (315) 422-3937

Hospital & facility affiliations

  • Guthrie Cortland Regional Medical Center Hospital, Cortland, NY, CCN 330175
  • Wynn Hospital Hospital, Utica, NY, CCN 330044
  • Oswego Hospital Hospital, Oswego, NY, CCN 330218

Merit-based Incentive Payment System (MIPS)

Final score
90.64 of 100Reported as group
Quality
95.16
Promoting interoperability
100
Improvement activities
40
Cost
56.96

Merit-based Incentive Payment System (MIPS)

Final score
75.63 of 100Reported as individual
Quality
51.27
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Plastic and Reconstructive Surgery of Cny PC Ophthalmology CurrentSince Jun 1, 2013 Accepting new patients
Syracuse Surgery Center, LLC Current Accepting new patients
Ophthalmology Medical Service Group Inc Ophthalmology CurrentSince Aug 1, 2013 Accepting new patients
Thrive Health Medical Services PC Past Accepting new patients
Albany Eye Physicians and Surgeons PC Ophthalmology PastSince Jul 1, 1996 Accepting new patients
Glaucoma Consultants of the Capital Region,PLLC Ophthalmology Past Accepting new patients

Locations

3400 Vickery Rd
Ste A
Syracuse, NY 13212
Phone (315) 422-3937

Interoperability endpoints

  • Direct secure messaging: bcarruth@eyeplasticcny.emadirect.md
  • Direct secure messaging: bcarruth18650@direct.upstate.edu

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1760645790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 VICKERY RD",
            "address_2": "SUITE A",
            "city": "NORTH SYRACUSE",
            "state": "NY",
            "postal_code": "132124540",
            "telephone_number": "315-422-3937",
            "fax_number": "315-422-4432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 VICKERY RD",
            "address_2": "SUITE A",
            "city": "NORTH SYRACUSE",
            "state": "NY",
            "postal_code": "132124540",
            "telephone_number": "315-422-3937",
            "fax_number": "315-422-4432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRUTH",
        "first_name": "BRYANT",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-09",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "260147",
            "primary": false
        },
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "NY",
            "license": "260147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Syracuse, NY

Sources for this page

Verify at the official NPI Registry.