Curtis Jeffrey Pennell, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

J4964 Issued in TX

Practice address

2440 E 5TH St
Tyler, TX 75701-3592

Phone

(903) 595-0500

Fax

(903) 595-2153

NPI assigned

Jan 30, 2006

Last updated

Jul 16, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in TX

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

Louisiana State University School of Medicine in Shreveport, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

East Texas Eye Care Associates PLLCGroup PAC ID 2567454085, 12 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

91.79 of 100Reported as group

Quality

96.27

Promoting interoperability

100

Improvement activities

40

Cost

76.36

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• East Texas Eye Care Associates PLLC

  dba Eye Care Associates of East Texas

  • Ophthalmology Physician
  • Tyler, TX
  • NPI 1427029024
  Medicare reassignment Care Compare group NPD
• Eye Surgery Center of East Texas LLC

  • Ambulatory Surgical Clinic/Center
  • Tyler, TX
  • NPI 1396266441
  NPD (past) Authorized official
• East Texas Eye Care Associates PLLC

  dba The Optical Shop

  • Optician
  • Bullard, TX
  • NPI 1548567969
  NPD
• Novamed Surgery Center of Tyler, LP

  dba Cataract Center of East Texas

  • Certified Registered Nurse Anesthetist
  • Tyler, TX
  • NPI 1902898323
  NPD (past)

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184544000000",
    "number": "1831160548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 E 5TH ST",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757013592",
            "telephone_number": "903-595-0500",
            "fax_number": "903-595-2153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 E 5TH ST",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757013592",
            "telephone_number": "903-595-0500",
            "fax_number": "903-595-2153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNELL",
        "first_name": "CURTIS",
        "middle_name": "JEFFREY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2007-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "J4964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Pemberton, RBT
• Leandro G Pena, MD
• Peter William Pendergrass Sr., M.D., M.P.H.
• Colton Pendley, PA-C
• Brittany Penister
• Meghan Marie Penney, COTA
• Marvin Dean Pennington, PA
• Donna Penny
• Paige Penny
• Jennifer Peoples, LPC

• Ophthalmology Physician in Tyler, TX
• Providers in Tyler, TX by specialty
• Ophthalmology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; 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.