Individual provider Active NPI

Jeremy R Cuthbertson, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • El Paso, TX
National Provider Identifier
1902809247
Registry record updated Jun 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
L6852 Issued in TX
Practice address
1700 Curie Dr
Ste 3800
El Paso, TX 79902-2985
Phone
(915) 532-3912
Fax
(915) 542-3436
NPI assigned
May 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X L6852 TX
Retina Specialist (Ophthalmology) Physician 207WX0107X MD2005-0400 NM
Retina Specialist (Ophthalmology) Physician 207WX0107X L6852 TX Primary

Addresses

Primary practice location

1700 Curie Dr
Ste 3800
El Paso, TX 79902-2985

Mailing address

1700 Curie Dr
Ste 3800
El Paso, TX 79902-2985
Phone (915) 532-3912

Other identifiers 1

IdentifierTypeStateIssuer
159154705MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jculbertson@swretina.intellechartdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050317000409 TX Practitioner - Ophthalmology 9133174618 Reassigns benefits to 1 organization
I20050826000501 NM Practitioner - Ophthalmology 9133174618 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Texas Southwestern Medical School at Dallas, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Retina Consultants PAGroup PAC ID 6305891896, 7 clinicians

Practice addresses (Care Compare)

1700 Curie Dr
Suite 3800
El Paso, TX 79902-2985
Phone (915) 532-3912

3900 E Lohman Ave
Suite a
Las Cruces, NM 88011-8268
Phone (505) 522-4774

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L6852TXMDOphthalmology Physician
MD2005-0400NMMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Retina Consultants, P.a. CurrentSince Jul 1, 2005 Accepting new patients

Locations

3900 E Lohman Ave
Ste A
Las Cruces, NM 88011
Phone (505) 522-4774

11331 James Watt Dr
Ste 400
El Paso, TX 79936
Phone (915) 532-3912

1700 Curie Dr
Ste 3800
El Paso, TX 79902
Phone (915) 532-2912

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592352000000",
    "number": "1902809247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 CURIE DR",
            "address_2": "STE 3800",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799022985",
            "telephone_number": "915-532-3912",
            "fax_number": "915-542-3436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 CURIE DR",
            "address_2": "STE 3800",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799022985",
            "telephone_number": "915-532-3912",
            "fax_number": "915-542-3436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUTHBERTSON",
        "first_name": "JEREMY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "L6852",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "NM",
            "license": "MD2005-0400",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "TX",
            "license": "L6852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159154705",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jculbertson@swretina.intellechartdirect.net",
            "affiliation": "N",
            "address_1": "1700 Curie Dr",
            "address_2": "Ste 3800",
            "city": "El Paso",
            "state": "TX",
            "country_code": "US",
            "postal_code": "799022985",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.