Individual provider Active NPI

Karl Coblenz Bentley, M.D.

  • Ophthalmology Physician
  • Weslaco, TX
National Provider Identifier
1912192816
Registry record updated Apr 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
N3491 Issued in TX
Practice address
1519 E 6TH St
Weslaco, TX 78596-6605
Phone
(956) 968-3171
Fax
(956) 968-5783
NPI assigned
Sep 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X N3491 TX Primary

Addresses

Primary practice location

1519 E 6TH St
Weslaco, TX 78596-6605

Mailing address

1519 E 6TH St
Weslaco, TX 78596-6605
Phone (956) 968-3171

Other identifiers 2

IdentifierTypeStateIssuer
288357101MedicaidTX
P01004892OtherTXRAILROAD MEDICARE

Other names 1

  • Dr. KC Bentley Other name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20111026000858 TX Practitioner - Ophthalmology 6800069410 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Texas Tech University Health Science Center School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thurmond Eye Associates PLLCGroup PAC ID 8921097221, 11 clinicians

Practice addresses (Care Compare)

1519 E 6TH St
Weslaco, TX 78596-6605
Phone (956) 968-3171

222 E Ridge Rd
Suite 110
McAllen, TX 78503-1251
Phone (956) 630-3061

2224 Camelot Plaza Cir
Harlingen, TX 78550-8402
Phone (956) 507-4500

4143 Crosspoint Blvd
Edinburg, TX 78539-1803
Phone (956) 777-7200

Merit-based Incentive Payment System (MIPS)

Final score
92.93 of 100Reported as group
Quality
90.1
Improvement activities
40
Cost
78.43

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery402

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Thurmond Eye Associates, PLLC CurrentSince Sep 4, 2011 Accepting new patients

Locations

4143 Crosspoint Blvd
Edinburg, TX 78539
Phone (956) 630-2424

2224 Camelot Plaza Cir
Harlingen, TX 78550
Phone (956) 507-4500

222 E Ridge Rd
Ste 110
McAllen, TX 78503
Phone (956) 630-3061

1301 S Bryan Rd
Mission, TX 78572
Phone (956) 777-7200

1519 E 6th St
Weslaco, TX 78596
Phone (956) 968-3171

Interoperability endpoints

  • Direct secure messaging: karlb@thurmondeye.updoxdirect.com

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": "1189641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491436800000",
    "number": "1912192816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1519 E 6TH ST",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785966605",
            "telephone_number": "956-968-3171",
            "fax_number": "956-968-5783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1519 E 6TH ST",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785966605",
            "telephone_number": "956-968-3171",
            "fax_number": "956-968-5783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENTLEY",
        "first_name": "KARL",
        "middle_name": "COBLENZ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-13",
        "last_updated": "2017-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "N3491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "288357101",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01004892",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KC",
            "last_name": "BENTLEY",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Weslaco, TX

Sources for this page

Verify at the official NPI Registry.