NPIMap

Individual provider Active NPI

Ernest Robert Puckett

  • Ophthalmology Physician
  • Eugene, OR
National Provider Identifier
1811429236
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD209014 Issued in OR
Practice address
1550 Oak St Ste 7
Eugene, OR 97401-7701
Phone
(541) 687-1927
Fax
(541) 683-8779
NPI assigned
Apr 3, 2017
Last updated
Aug 2, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Ophthalmology Physician 207W00000X MD209014 OR Primary

Addresses

Primary practice location

1550 Oak St Ste 7
Eugene, OR 97401-7701

Mailing address

1550 Oak St Ste 7
Eugene, OR 97401-7701
Phone (541) 687-1927

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220628003134 OR Practitioner - Ophthalmology 5597175984 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Baylor College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oregon Eye Consultants LLCGroup PAC ID 9638142904, 8 clinicians

Practice addresses (Care Compare)

1550 Oak St
Suite 7
Eugene, OR 97401-7701
Phone (541) 687-1927

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.65 of 100Reported as group
Quality
86.8
Promoting interoperability
100
Improvement activities
40
Cost
86.36

Merit-based Incentive Payment System (MIPS)

Final score
91.43 of 100Reported as group
Quality
96.26
Improvement activities
40
Cost
76.43

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery358

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD209014ORMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oregon Eye Consultants LLC Ophthalmology CurrentSince Aug 1, 2022 Accepting new patients

Locations

2500 NW Century Dr
Corvallis, OR 97330
Phone (541) 754-0600

1550 Oak St
Ste 7
Eugene, OR 97401
Phone (801) 233-4407

2002 Highway 101
Florence, OR 97439
Phone (541) 683-2020

904 SW Bay St
Newport, OR 97365
Phone (541) 574-4677

341 NW Medical Loop
Ste 120
Roseburg, OR 97471
Phone (541) 440-6388

341 NW Medical Loop
Roseburg, OR 97471

3783 International Ct
Ste 290
Springfield, OR 97477

3783 International Ct
#290
Springfield, OR 97477

Interoperability endpoints

  • Direct secure messaging: epuckett@oec.intellechartdirect.net

Organizations & group practices 1

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 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1491177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1811429236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 OAK ST STE 7",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974017701",
            "telephone_number": "541-687-1927",
            "fax_number": "541-683-8779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 OAK ST STE 7",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974017701",
            "telephone_number": "541-687-1927",
            "fax_number": "541-683-8779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUCKETT",
        "first_name": "ERNEST",
        "middle_name": "ROBERT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-03",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OR",
            "license": "MD209014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.