Individual provider Active NPI

Ronald C Evans, M.D.

  • Ophthalmology Physician
  • Placerville, CA
National Provider Identifier
1891701744
Registry record updated Oct 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G51003 Issued in CA
Practice address
4300 Golden Center Dr
Ste a
Placerville, CA 95667-6278
Phone
(530) 344-2020
Fax
(530) 622-9613
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X G51003 CA Primary

Addresses

Primary practice location

4300 Golden Center Dr
Ste a
Placerville, CA 95667-6278

Mailing address

4300 Golden Center Dr
Ste a
Placerville, CA 95667-6278
Phone (530) 344-2020

Other identifiers 2

IdentifierTypeStateIssuer
GR0065830MedicaidCA
G51003OtherCACA STATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20090902000275 CA Practitioner - OphthalmologyPractitioner - Plastic and Reconstructive Surgery 4082769799 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
OphthalmologyAlso: Plastic and Reconstructive Surgery
Education
Loma Linda University School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cedar Eye Center Medical GroupGroup PAC ID 2466409123, 3 clinicians

Practice addresses (Care Compare)

4300 Golden Ctr Dr a
Placerville, CA 95667-6278
Phone (530) 344-2020

Merit-based Incentive Payment System (MIPS)

Final score
89.34 of 100Reported as group
Quality
90.43
Improvement activities
40
Cost
77.22

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery312
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cedar Eye Center Medical Group Single Specialty CurrentSince May 31, 1983 Accepting new patients
Marshall Medical Center Past Accepting new patients

Locations

4300 Golden Center Dr
Ste A
Placerville, CA 95667
Phone (530) 344-2020

4300 Golden Center Dr
Placerville, CA 95667
Phone (530) 344-2020

Interoperability endpoints

  • Direct secure messaging: revans@cedar.intellechartdirect.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317945600000",
    "number": "1891701744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 GOLDEN CENTER DR",
            "address_2": "STE A",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956676278",
            "telephone_number": "530-344-2020",
            "fax_number": "530-622-9613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 GOLDEN CENTER DR",
            "address_2": "STE A",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956676278",
            "telephone_number": "530-344-2020",
            "fax_number": "530-622-9613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "RONALD",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2011-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G51003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0065830",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA STATE LICENSE",
            "identifier": "G51003",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Placerville, CA

Sources for this page

Verify at the official NPI Registry.