Robert Ross Peabody Jr., MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

G63473 Issued in CA

Practice address

1700 Alhambra Blvd
Ste 202
Sacramento, CA 95816

Phone

(916) 731-8040

Fax

(916) 454-4152

NPI assigned

Jul 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Ophthalmology

Education

George Washington University School of Medicine, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medical Vision Technology Ophthalmology Medical Group IncGroup PAC ID 2668455031, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sutter Medical Center, Sacramento Hospital, Sacramento, CA, CCN 050108

Merit-based Incentive Payment System (MIPS)

Final score

87.7 of 100Reported as group

Quality

80.43

Promoting interoperability

100

Improvement activities

40

Cost

78.55

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: peabody.robert.001.0050356@wwwic.meditab.direct-ci.com

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.

• Medical Vision Technology Ophthalmology Medical Group Inc.

  • Ophthalmology Physician
  • Sacramento, CA
  • NPI 1013940519
  Medicare reassignment Care Compare group NPD
• Medical Vision Technology Ophthalmology Medical Group Inc.

  • Ophthalmology Physician
  • Roseville, CA
  • NPI 1609809144
  NPD
• Medical Vision Technology Ophthalmology Medical GRP, Inc.

  • Ophthalmology Physician
  • Davis, CA
  • NPI 1396778718
  NPD
• Dignity Health

  dba Mercy General Hospital

  • General Acute Care Hospital
  • Sacramento, CA
  • NPI 1487694857
  NPD (past)
• Sutter North Medical Foundation

  dba Sutter North Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Yuba City, CA
  • NPI 1144251521
  NPD (past)
• Sutter Valley Hospitals

  • General Acute Care Hospital
  • Sacramento, CA
  • NPI 1811946734
  NPD (past)

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

• Sutter Valley Hospitals

  • General Acute Care Hospital
  • Sacramento, CA
  • NPI 1811946734
  Care Compare affiliation

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352073600000",
    "number": "1801802095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 ALHAMBRA BLVD",
            "address_2": "STE 202",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95816",
            "telephone_number": "916-731-8040",
            "fax_number": "916-454-4152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 ALHAMBRA BLVD",
            "address_2": "STE 202",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95816",
            "telephone_number": "916-731-8040",
            "fax_number": "916-454-4152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEABODY",
        "first_name": "ROBERT",
        "middle_name": "ROSS",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2012-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G63473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0042240",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carmen Cristina Paz
• Ernesto Paz
• Jessica Paz
• Marybelle Pe
• Melissa Ann Allison Peabody
• Peace Chinese Medicine Wellness Center
• Dashalay S Peace
• Frank Lee Peace Jr.
• Robyn Peace, LCSW
• Peaceful Heart Family Counseling, a Professional Corporation

• Ophthalmology Physician in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2012; 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.