Active NPI
Scott Bauer, OD
- Optometrist
- Boalsburg, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OEG003889
- Practice address
- 104 W Main St
Boalsburg, PA 16827-1347 - Phone
- (814) 466-2020
- NPI assigned
- Jun 3, 2022
- Last updated
- Jun 3, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OEG003889 | PA | Primary |
Addresses
Primary practice location
104 W Main St
Boalsburg, PA 16827-1347
Mailing address
104 W Main St
Boalsburg, PA 16827-1347
Phone (814) 466-2020
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | N/A |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Ohio State University - College of Optometry, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
104 W Main St
Boalsburg, PA 16827-1347
Phone (814) 466-2020
111 Fairview St
Everett, PA 15537-6337
Phone (814) 623-2020
2 Frederick St
Cumberland, MD 21502-2652
Phone (301) 777-7777
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.36 of 100
- Quality
- 76.73
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 11 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifetime Vision Care | Optometrist | Current | Accepting new patients |
| Brande Saad Group-Bedford | Optometrist | Current | Accepting new patients |
| Dr. Hanlen and Associates, LLC | Optometrist | Current | Accepting new patients |
Locations
2 Frederick St
Cumberland, MD 21502
Phone (301) 722-4000
104 W Main St
Boalsburg, PA 16827
Phone (814) 466-2020
111 Fairview St
Everett, PA 15537
Phone (814) 623-2020
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.
-
- Optometrist
- Everett, PA
- NPI 1891831079
-
- Optometrist
- Boalsburg, PA
- NPI 1922332485
-
- Optometrist
- Cumberland, MD
- NPI 1689449159
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654214400000",
"number": "1841939113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 W MAIN ST",
"city": "BOALSBURG",
"state": "PA",
"postal_code": "168271347",
"telephone_number": "814-466-2020",
"fax_number": "814-808-6165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 W MAIN ST",
"city": "BOALSBURG",
"state": "PA",
"postal_code": "168271347",
"telephone_number": "814-466-2020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUER",
"first_name": "SCOTT",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-03",
"last_updated": "2022-06-03",
"certification_date": "2022-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OEG003889",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "N/A",
"affiliation": "N",
"address_1": "104 W Main St",
"city": "Boalsburg",
"state": "PA",
"country_code": "US",
"postal_code": "168271347",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Boalsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; 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.