Individual provider Active NPI

Shad Stephen Saunders, M.D.

  • Ophthalmology Physician
  • Montrose, CO
National Provider Identifier
1760680581
Registry record updated Mar 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
47931 Issued in CO
Practice address
1800 E Pavilion PL
Suite B
Montrose, CO 81401-5499
Phone
(970) 249-1210
Fax
(970) 249-3057
NPI assigned
Jul 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 47931 CO Primary

Addresses

Primary practice location

1800 E Pavilion PL
Suite B
Montrose, CO 81401-5499

Mailing address

1800 E Pavilion PL
Suite B
Montrose, CO 81401-5499
Phone (970) 249-1210

Other identifiers 3

IdentifierTypeStateIssuer
CJ7703OtherRR MEDICARE
10723862MedicaidCO
840851676010OtherROCKY MOUNTAIN HEALTH PLAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090709000207 CO Practitioner - Ophthalmology 7810049665 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colorado West Ophthalmology Assoc. PCGroup PAC ID 2961304217, 5 clinicians

Practice addresses (Care Compare)

1800 E Pavilion PL
Unit B
Montrose, CO 81401-5499
Phone (970) 249-1210

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.58 of 100Reported as group
Quality
100
Improvement activities
40
Cost
75.26

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery186
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
47931COMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado West Ophthalmology Assoc. PC Ophthalmology CurrentSince Jul 13, 2009 Accepting new patients
Alpine Optical of Western Colorado LLC PastSince Jan 1, 2012 Accepting new patients

Locations

1426 Mesa View Dr
Delta, CO 81416
Phone (970) 874-8821

1800 E Pavilion Pl
Unit B
Montrose, CO 81401
Phone (970) 249-1210

Interoperability endpoints

  • Direct secure messaging: ssaunders@cwoa.direct.eyemdemr.com

Organizations & group practices 2

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 1

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": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332374400000",
    "number": "1760680581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 E PAVILION PL",
            "address_2": "SUITE B",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814015499",
            "telephone_number": "970-249-1210",
            "fax_number": "970-249-3057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 E PAVILION PL",
            "address_2": "SUITE B",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814015499",
            "telephone_number": "970-249-1210",
            "fax_number": "970-249-3057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUNDERS",
        "first_name": "SHAD",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-03",
        "last_updated": "2012-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CO",
            "license": "47931",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CJ7703",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10723862",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ROCKY MOUNTAIN HEALTH PLAN",
            "identifier": "840851676010",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montrose, CO

Sources for this page

Verify at the official NPI Registry.