Individual provider Active NPI

Robert Scott McPheron, O.D.

  • Optometrist
  • New London, IA
National Provider Identifier
1972589505
Registry record updated Nov 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
IA1880 Issued in IA
Practice address
103 W Main St
New London, IA 52645-1335
Phone
(319) 367-5313
Fax
(319) 367-5313
NPI assigned
Dec 15, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X IA1880 IA Primary

Addresses

Primary practice location

103 W Main St
New London, IA 52645-1335

Mailing address

103 W Main St
New London, IA 52645-1335
Phone (319) 367-5313

Other identifiers 1

IdentifierTypeStateIssuer
1280313MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041130000973 IA Practitioner - Optometry 4981669041 Receives reassigned benefits from 1 practitioner
Practice locations: New London, IA
O20100930059034 IA DME Supplier - Physician - Optometrist 3476673229 Practice locations: New London, IA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

107 W Main St
New London, IA 52645-1335
Phone (319) 367-5313

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
IA1880IAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Helmerson Chiropractic, LLC Past Accepting new patients

Locations

107 W Main St
New London, IA 52645
Phone (319) 367-5313

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196121600000",
    "number": "1972589505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 W MAIN ST",
            "city": "NEW LONDON",
            "state": "IA",
            "postal_code": "526451335",
            "telephone_number": "319-367-5313",
            "fax_number": "319-367-5313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 W MAIN ST",
            "city": "NEW LONDON",
            "state": "IA",
            "postal_code": "526451335",
            "telephone_number": "319-367-5313",
            "fax_number": "319-367-5313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCPHERON",
        "first_name": "ROBERT",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-15",
        "last_updated": "2007-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "IA1880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1280313",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New London, IA

Sources for this page

Verify at the official NPI Registry.