Individual provider Active NPI

Adam Nusgart, OD

  • Optometrist
  • Perry Point, MD
National Provider Identifier
1821578170
Registry record updated Jun 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.006677 Issued in OH
Practice address
Perry Point VA Medical Center
Optometry Clinic (11Ci)
Perry Point, MD 21902
Phone
(410) 642-2411
Fax
(410) 642-1048
NPI assigned
Aug 16, 2018
Last updated
Jun 19, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT.006677 OH Primary

Addresses

Primary practice location

Perry Point VA Medical Center
Optometry Clinic (11Ci)
Perry Point, MD 21902

Mailing address

855 W Market St
Ste a
Lima, OH 45805-2764
Phone (419) 228-7432

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190729001538 OH Practitioner - Optometry 5294068870 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tri-State Centers for Sight IncGroup PAC ID 7113812090, 37 clinicians

Practice addresses (Care Compare)

1060 Nimitzview Dr
Suite 105
Cincinnati, OH 45230-4351
Phone (513) 232-2500

7730 Montgomery Rd
Suite 120
Cincinnati, OH 45236-4284

Merit-based Incentive Payment System (MIPS)

Final score
93.01 of 100Reported as apm
Quality
86.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Aeg Ohio Professional PC Optometrist CurrentSince Aug 28, 2024 Accepting new patients
Tri-State Centers for Sight, Inc. Optometrist Current Accepting new patients
Tri-State Centers for Sight Inc CurrentSince Nov 1, 2024 Accepting new patients
Tri-State Centers for Sight, Inc. Current Accepting new patients
Aeg Ohio Professional PC Optometrist CurrentSince Aug 28, 2024 Accepting new patients
Tri-State Centers for Sight Inc Optometrist CurrentSince Nov 1, 2024 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Tri-State Centers for Sight, Inc Past Accepting new patients

Locations

111 E 4th St
Ste 440
Alton, IL 62002

2865 Chancellor Dr
Ste 215
Crestview Hills, KY 41017
Phone (606) 341-6660

1060 Nimitzview Dr
Ste 105
Cincinnati, OH 45230
Phone (513) 232-2500

1577 Goodman Ave
Ste B
Cincinnati, OH 45224
Phone (513) 729-1321

2055 Reading Rd
Ste 330
Cincinnati, OH 45202
Phone (513) 381-1900

2135 Dana Ave
Ste 310
Cincinnati, OH 45207
Phone (513) 221-7788

5520 Cheviot Rd
Cincinnati, OH 45247
Phone (513) 389-9911

7730 Montgomery Rd
Ste 120
Cincinnati, OH 45236
Phone (513) 791-5999

8040 Hosbrook Rd
Ste 100
Cincinnati, OH 45236
Phone (513) 891-0473

8044 Montgomery Rd
Ste 155
Cincinnati, OH 45236
Phone (513) 731-7967

8270 Pine Rd
Cincinnati, OH 45236
Phone (513) 791-5999

1017 Main St
Hamilton, OH 45013
Phone (513) 868-2181

1275 N High St
Hillsboro, OH 45133
Phone (937) 393-5503

5141 Morning Sun Rd
Oxford, OH 45056
Phone (513) 523-2123

33541 Aurora Rd
Solon, OH 44139
Phone (440) 248-2020

12124 Sheraton Ln
Springdale, OH 45246
Phone (513) 381-1900

500 Ross St
Pittsburgh, PA 15262
Phone (844) 362-6808

Interoperability endpoints

  • Direct secure messaging: anusgart@tristatesight.intellechartdirect.net

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1534377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560902400000",
    "number": "1821578170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 W MARKET ST",
            "address_2": "STE A",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458052764",
            "telephone_number": "419-228-7432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PERRY POINT VA MEDICAL CENTER",
            "address_2": "OPTOMETRY CLINIC (11CI)",
            "city": "PERRY POINT",
            "state": "MD",
            "postal_code": "21902",
            "telephone_number": "410-642-2411",
            "fax_number": "410-642-1048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUSGART",
        "first_name": "ADAM",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-16",
        "last_updated": "2019-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.006677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perry Point, MD

Sources for this page

Verify at the official NPI Registry.