Individual provider Active NPI

Scott A Buck, MD

  • Ophthalmology Physician
  • Valparaiso, IN
National Provider Identifier
1801856943
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
01048897A Issued in IN
Practice address
851 Eastport Centre Dr
Valparaiso, IN 46383-2909
Phone
(219) 464-8223
Fax
(219) 531-2356
NPI assigned
Mar 24, 2006
Last updated
Nov 27, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2024

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 01048897A IN Primary

Addresses

Primary practice location

851 Eastport Centre Dr
Valparaiso, IN 46383-2909

Mailing address

851 Eastport Centre Dr
Valparaiso, IN 46383-2909
Phone (219) 464-8223

Other practice location 1

1003 S Edgewood Dr
Knox, IN 46534-8226
Phone (574) 772-2012

Other identifiers 1

IdentifierTypeStateIssuer
200311720MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20080429000368 IN Practitioner - OphthalmologyPractitioner - Optometry 4789660937 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Indiana University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Indiana Eye and Laser Center PCGroup PAC ID 5193701340, 6 clinicians

Practice addresses (Care Compare)

851 Eastport Centre Dr
Valparaiso, IN 46383-2909
Phone (219) 464-8223

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.2 of 100Reported as individual
Quality
74.2
Improvement activities
40
Cost
71.73

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery411

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01048897AINMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Indiana Eye & Laser Center PC Ophthalmology CurrentSince Jul 1, 2001 Accepting new patients
Vision Surgery and Laser Center of Indiana LLC CurrentSince Nov 21, 2021 Accepting new patients

Locations

1003 S Edgewood Dr
Knox, IN 46534
Phone (574) 722-4040

102 E Culver Rd
Knox, IN 46534
Phone (574) 772-1580

502 Marquette St
Valparaiso, IN 46383
Phone (219) 464-8223

851 Eastport Centre Dr
Valparaiso, IN 46383
Phone (219) 464-8223

Interoperability endpoints

  • Direct secure messaging: drbuck@nwieyeandlasercenter.eyefinity-direct.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732665600000",
    "number": "1801856943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 EASTPORT CENTRE DR",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463832909",
            "telephone_number": "219-464-8223",
            "fax_number": "219-531-2356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 EASTPORT CENTRE DR",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463832909",
            "telephone_number": "219-464-8223",
            "fax_number": "219-531-2356"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1003 S Edgewood Dr",
            "address_purpose": "LOCATION",
            "city": "Knox",
            "state": "IN",
            "postal_code": "465348226",
            "country_code": "US",
            "telephone_number": "574-772-2012",
            "fax_number": "574-772-2221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUCK",
        "first_name": "SCOTT",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IN",
            "license": "01048897A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200311720",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valparaiso, IN

Sources for this page

Verify at the official NPI Registry.