Walter Lovell Bogart III, M.D.
Individual provider Active NPI Ophthalmology Physician · Fayetteville, NC
NPI 1922084151 · NPPES record last updated Sep 9, 2024
Key facts
- NPI
- 1922084151
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Ophthalmology Physician 207W00000X
- License
- 9500839 (NC)
- Practice address
- 1726 Metromedical Dr
Fayetteville, NC 28304-3861 - Phone
- (910) 484-2284
- NPI assigned
- Dec 20, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Ophthalmology
- Education
- Baylor College of Medicine, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cape Fear Eye Associates PA
Practice addresses (Care Compare)
1726 Metromedical Dr
Fayetteville, NC 28304-3861
Phone 9104842284236
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.4 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 84.66
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240718003923 | NC | Practitioner - Ophthalmology | 1254485899 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9500839 | NC | MD | Ophthalmology Physician |
| 000000 | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cape Fear Eye Associates | Current |
Accepting new patients | |
| Cape Fear Eye Associates PA | Ophthalmology | Current |
Accepting new patients |
| Jeffrey R Geer OD PC | Past | Accepting new patients |
Locations
1726 Metromedical Dr
Fayetteville, NC 28304
Phone (910) 484-2284
1629 Owen Dr
Fayetteville, NC 28304
Phone (910) 484-2284
Interoperability endpoints
- wbogart@carolinaeyecenter.intellechartdirect.net
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- walter.bogart.p1@direct.cfea.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 9500839 | NC | Yes |
Addresses
Primary practice location
1726 Metromedical Dr
Fayetteville, NC 28304-3861
Mailing address
603 Bimini Twist Cir Ste C
Lexington, SC 29072-6725
Other providers in Fayetteville, NC
- Gouthami Boddu
- Venkata Gangadhar Bodduluri
- Kathryn Everhart Boden
- Myranda-Lynn Marie Body
- Morgan Boehmer
- Paige Patrick Bohart
- Angela Kelley Boivin
- Emily C. Bolan
- Yalonda Marie Boler
- Victoria Kahealani Boles
All providers in Fayetteville, NC · Ophthalmology Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 9, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.