C. Douglas Evans, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

77262 Issued in MA

Practice address

669 Main St
Wakefield, MA 01880-5200

Phone

(781) 245-5200

Fax

(781) 246-3932

NPI assigned

May 15, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

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

Specialty

Ophthalmology

Education

Geisel School of Medicine at Dartmouth, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Andover Eye Associates IncGroup PAC ID 4486627866, 11 clinicians

North Suburban Eye Associates PCGroup PAC ID 5193747186, 10 clinicians

North Suburban Eye Associates LLCGroup PAC ID 6305173097, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Winchester Hospital Hospital, Winchester, MA, CCN 220105

Merit-based Incentive Payment System (MIPS)

Final score

83 of 100Reported as group

Quality

74.43

Improvement activities

40

Cost

77.43

Merit-based Incentive Payment System (MIPS)

Final score

85.72 of 100Reported as individual

Quality

82.72

Improvement activities

40

Cost

75.45

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: devans@andovereye.intellechartdirect.net
• Direct secure messaging: cevans46668@tuftsmedicine.direct-ci.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: evans.douglas@elincdirect.org
• Direct secure messaging: c.douglas.evans.p1@direct.northsuburbaneye.nextgenshare.com

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.

• North Suburban Eye Associates LLC

  • Ophthalmology Physician
  • Wakefield, MA
  • NPI 1942737226
  Medicare reassignment Care Compare group NPD Authorized official
• North Suburban Eye Associates PC

  • Ophthalmology Physician
  • Wakefield, MA
  • NPI 1942351994
  Medicare reassignment Care Compare group NPD Authorized official
• Andover Eye Associates, Inc

  • Ophthalmology Physician
  • Andover, MA
  • NPI 1588678551
  Medicare reassignment Care Compare group NPD
• North Suburban Eye Associates

  • Ophthalmology Physician
  • Wakefield, MA
  • NPI 1083073076
  NPD (past) Authorized official
• North Suburban Eye Associates

  • Ophthalmology Physician
  • Wakefield, MA
  • NPI 1407186992
  NPD (past) Authorized official
• North Suburban Eye Associates

  • Eyewear Supplier
  • Wakefield, MA
  • NPI 1578730644
  NPD (past) Authorized official
• North Suburban Eye Associates

  • Ophthalmology Physician
  • Wakefield, MA
  • NPI 1669818746
  NPD (past) Authorized official

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

• Winchester Hospital

  • General Acute Care Hospital
  • Winchester, MA
  • NPI 1790740777
  Care Compare affiliation

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565222400000",
    "number": "1982655643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "669 MAIN ST",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018805200",
            "telephone_number": "781-245-5200",
            "fax_number": "781-246-3932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "669 MAIN ST",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018805200",
            "telephone_number": "781-245-5200",
            "fax_number": "781-246-3932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "C. DOUGLAS",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2019-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "77262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3112870",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shania Renee Enriquez
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• Erin Cronan Lasker Licsw LLC
• Peta-Gaye Escoffery
• Sheelove Estime
• Victoria A Fabbo, MPH, RD,LDN
• Steven Alexander Falk, M.A.
• Family Acupuncture and Herbs of Reading LLC
• Maryama Farah
• Andrea Farber, O.D.

• Ophthalmology Physician in Wakefield, MA
• Providers in Wakefield, MA by specialty
• Ophthalmology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.