Beau Froebel, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MD472023 Issued in PA

Practice address

2 Farm Colony Dr
Warren, PA 16365-5203

Phone

(716) 484-6700

Fax

(716) 487-0166

NPI assigned

Mar 23, 2017

Last updated

Sep 28, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA, NY2 enrollments

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 2

Specialty

Ophthalmology

Education

State University of New York at Buffalo School of Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Eye Care Specialists P CGroup PAC ID 8527956788, 8 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

78 of 100Reported as group

Quality

91.57

Improvement activities

40

Cost

21.23

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bfroebel@cecs.intellechartdirect.net

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

• Community Eye Care Specialists, P.C.

  • Ophthalmology Physician
  • Warren, PA
  • NPI 1528114311

  NY

  Medicare reassignment Care Compare group NPD
• Community Surgery & Laser Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Warren, PA
  • NPI 1205859550
  Medicare reassignment NPD
• Community Eye Care Specialists P C

  dba Gateway Ophthalmology

  • Ophthalmology Physician
  • Jamestown, NY
  • NPI 1659187177
  NPD

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

{
    "created_epoch": "1490227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1780115493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "989 SUMNER RD",
            "city": "DARIEN CENTER",
            "state": "NY",
            "postal_code": "140409711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 FARM COLONY DR",
            "city": "WARREN",
            "state": "PA",
            "postal_code": "163655203",
            "telephone_number": "716-484-6700",
            "fax_number": "716-487-0166"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2605 W State St",
            "address_purpose": "LOCATION",
            "city": "Olean",
            "state": "NY",
            "postal_code": "147601824",
            "country_code": "US",
            "telephone_number": "716-484-6700",
            "fax_number": "716-487-0166",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2A Park Way",
            "address_purpose": "LOCATION",
            "city": "Seneca",
            "state": "PA",
            "postal_code": "16346",
            "country_code": "US",
            "telephone_number": "716-484-6700",
            "fax_number": "716-487-0166",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1136 Central Ave",
            "address_purpose": "LOCATION",
            "city": "Dunkirk",
            "state": "NY",
            "postal_code": "140483423",
            "country_code": "US",
            "telephone_number": "716-484-6700",
            "fax_number": "716-487-0166",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "462 Fairmount Ave",
            "address_purpose": "LOCATION",
            "city": "Jamestown",
            "state": "NY",
            "postal_code": "147012721",
            "country_code": "US",
            "telephone_number": "716-484-6700",
            "fax_number": "716-487-0166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FROEBEL",
        "first_name": "BEAU",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-23",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD472023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103854010",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06362867",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bfroebel@cecs.intellechartdirect.net",
            "affiliation": "N",
            "address_1": "2 Farm Colony Dr",
            "city": "Warren",
            "state": "PA",
            "country_code": "US",
            "postal_code": "163655203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Floorwise Pelvic Therapy & Wellness LLC
• Robert William Follett, D.D.S.
• Forest Warren Mental Wellness Association
• Ryan Dean Fralick, D.C
• Kelli France
• Jenna Frye
• Robert G Gabreski, MD
• Gahring Optical
• Nicole Garland, LPC
• Gaughns Drug Store

• Ophthalmology Physician in Warren, PA
• Providers in Warren, PA by specialty
• Ophthalmology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.