Gerardo Escobedo, DO

Key facts

NPI

1790770402

Entity type

Individual (NPI type 1)

Primary specialty

Ophthalmology Physician 207W00000X

License

L4925 (TX)

Practice address

10100 Loop 40 West
Midland, TX 79706

Phone

(432) 617-0181

Fax

(432) 563-0656

NPI assigned

Sep 19, 2005

Sex

Male

Sole proprietor

No

Organizations & group practices 3

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.

• Richard B Culbert MD PA Retina Specialist (Ophthalmology) Physician · Midland, TX · NPI 1962450668
  Medicare reassignment Care Compare group NPD OPHTHALMOLOGY · TX
• South Texas Retina Consultants, LLP Retina Specialist (Ophthalmology) Physician · Corpus Christi, TX · NPI 1548217433
  NPD (past) OPHTHALMOLOGY
• Talley Medical-Surgical Eye Care Associates PC Ophthalmology Physician · Evansville, IN · NPI 1154319143
  NPD (past) OPHTHALMOLOGY

Medicare Care Compare profile

Specialty

Ophthalmology

Education

New York College of Osteo Medicine of New York Institute of Technology, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Richard B Culbert MD PA (3 clinicians)

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

86.78 of 100 (group)

Quality

73.55

Improvement activities

40

Procedures performed for Medicare patients

Medicare participation

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Osteopathy

Practice roles

Locations

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 10, 2017.

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486684800000",
    "number": "1790770402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 61880",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797111880",
            "telephone_number": "432-617-0181",
            "fax_number": "432-563-0656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10100 LOOP 40 WEST",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "79706",
            "telephone_number": "432-617-0181",
            "fax_number": "432-563-0656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCOBEDO",
        "first_name": "GERARDO",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-19",
        "last_updated": "2017-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IN",
            "license": "02002829",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036113187",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "L4925",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "157744702",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64092257",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200498170",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, TX

• Erickson Facial and Oral Surgery
• Ernesto P Rhodes, M.D., PLLC
• Talen Erwin
• Esc IV, LP
• Cristela Escobedo, MA, LPC
• Adenike Titilayo Esho, M.D. , M.P.H
• Jamil Espinal, PA
• Joshue Espinoza
• Diane Esquibel
• Elizabeth Esquivel

All providers in Midland, TX · Ophthalmology Physician in Texas