Individual provider Active NPI

Brettly Joel Teague, M.D.

  • Ophthalmology Physician
  • Abilene, TX
National Provider Identifier
1952389967
Registry record updated Mar 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
J0305 Issued in TX
Practice address
4342 Treanor Dr
Abilene, TX 79602-7012
Phone
(325) 673-0900
NPI assigned
Jan 9, 2006
Last updated
Mar 4, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2010

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 J0305 TX Primary

Addresses

Primary practice location

4342 Treanor Dr
Abilene, TX 79602-7012

Mailing address

4342 Treanor Dr
Abilene, TX 79602-7012
Phone (325) 673-0900

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
I20080814000350 TX Practitioner - Ophthalmology 6709951494 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Texas Tech University Health Science Center School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr. Brettly J. Teague, LLCGroup PAC ID 1153496849, 4 clinicians

Practice addresses (Care Compare)

4342 Treanor Dr
Abilene, TX 79602-7012
Phone (325) 673-0900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.11 of 100Reported as group
Quality
94.31
Improvement activities
40
Cost
74.6

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery257

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Brettly J. Teague, LLC Ophthalmology CurrentSince Aug 14, 2008 Accepting new patients
Big Country Optical, PLLC PastSince Jun 21, 2010 Accepting new patients

Locations

1750 Pine St
Abilene, TX 79601
Phone (325) 670-0500

4342 Treanor Dr
Abilene, TX 79602
Phone (325) 673-0900

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267660800000",
    "number": "1952389967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4342 TREANOR DR",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796027012",
            "telephone_number": "325-673-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4342 TREANOR DR",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796027012",
            "telephone_number": "325-673-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEAGUE",
        "first_name": "BRETTLY",
        "middle_name": "JOEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-09",
        "last_updated": "2010-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "J0305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

Verify at the official NPI Registry.