Individual provider Active NPI

Tracy Don Carter, D.O.

  • Ophthalmology Physician
  • Grand Junction, CO
National Provider Identifier
1922235258
Registry record updated Oct 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
O-0706 Issued in ID
Practice address
2460 Patterson Rd Unit 2
Grand Junction, CO 81505-1027
Phone
(970) 243-9000
Fax
(970) 245-4936
NPI assigned
Jun 12, 2009
Last updated
Oct 25, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 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 O-0706 ID Primary

Addresses

Primary practice location

2460 Patterson Rd Unit 2
Grand Junction, CO 81505-1027

Mailing address

2460 Patterson Rd Unit 2
Grand Junction, CO 81505-1027
Phone (970) 243-9000

Other practice location 1

5680 W Gage St
Boise, ID 83706-1326
Phone (208) 377-3937

Other identifiers 1

IdentifierTypeStateIssuer
1922235258MedicaidID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20160512000589 CO Practitioner - Ophthalmology 0042459216 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Western Rockies Eye Center PCGroup PAC ID 4183513757, 3 clinicians

Practice addresses (Care Compare)

2460 Patterson Rd
Unit 2
Grand Junction, CO 81505-1027
Phone (970) 243-9000

Merit-based Incentive Payment System (MIPS)

Final score
91.49 of 100Reported as individual
Quality
96.1
Improvement activities
40
Cost
76.83

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery302

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Western Rockies Eye Center PC Ophthalmology CurrentSince Jul 1, 2016 Accepting new patients

Locations

2460 Patterson Rd
Unit 2
Grand Junction, CO 81505
Phone (970) 243-9000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1244764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508889600000",
    "number": "1922235258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2460 PATTERSON RD UNIT 2",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815051027",
            "telephone_number": "970-243-9000",
            "fax_number": "970-245-4936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 PATTERSON RD UNIT 2",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815051027",
            "telephone_number": "970-243-9000",
            "fax_number": "970-245-4936"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5680 W GAGE ST",
            "address_purpose": "LOCATION",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837061326",
            "country_code": "US",
            "telephone_number": "208-377-3937",
            "fax_number": "208-377-9455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARTER",
        "first_name": "TRACY",
        "middle_name": "DON",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-12",
        "last_updated": "2017-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "ID",
            "license": "O-0706",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1922235258",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

Verify at the official NPI Registry.