Individual provider Active NPI

David Michael Misch, MD

  • Retina Specialist (Ophthalmology) Physician
  • Lakeland, FL
National Provider Identifier
1992775571
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
ME0056305 Issued in FL
Practice address
1910 Lakeland Hills Blvd
Lakeland, FL 33805-2902
Phone
(863) 345-4350
Fax
(863) 345-4353
NPI assigned
Jan 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME0056305 FL
Retina Specialist (Ophthalmology) Physician 207WX0107X ME0056305 FL Primary

Addresses

Primary practice location

1910 Lakeland Hills Blvd
Lakeland, FL 33805-2902

Mailing address

1910 Lakeland Hills Blvd
Lakeland, FL 33805-2902
Phone (863) 345-4350

Other practice location 1

410 1st St S
Winter Haven, FL 33880-3504
Phone (863) 345-4350

Other practice location 2

5233 US 27 S Ste 2
Sebring, FL 33870-5660
Phone (863) 345-4350

Other identifiers 1

IdentifierTypeStateIssuer
064523100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20100709000555 FL Practitioner - Ophthalmology 6305748559 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Medical College of Wisconsin, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Retina Partners of FloridaGroup PAC ID 3678956901, 3 clinicians

Practice addresses (Care Compare)

2322 Lakeland Hills Blvd
Lakeland, FL 33805-2995
Phone (863) 345-4350

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0056305FLMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Retina Partners of Florida Retina Specialist CurrentSince Sep 1, 2022 Accepting new patients

Locations

1910 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 296-8880

2322 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 345-4350

5233 US 27 N
Ste 2
Sebring, FL 33870

5233 US 27 N
Sebring, FL 33870
Phone (863) 345-4350

410 1st St S
Winter Haven, FL 33880
Phone (863) 293-4800

Interoperability endpoints

  • Direct secure messaging: dmisch@rpf.emadirect.md
  • Direct secure messaging: david.misch.1@18417.direct.athenahealth.com

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": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1992775571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 LAKELAND HILLS BLVD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338052902",
            "telephone_number": "863-345-4350",
            "fax_number": "863-345-4353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 LAKELAND HILLS BLVD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338052902",
            "telephone_number": "863-345-4350",
            "fax_number": "863-345-4353"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "410 1st St S",
            "address_purpose": "LOCATION",
            "city": "Winter Haven",
            "state": "FL",
            "postal_code": "338803504",
            "country_code": "US",
            "telephone_number": "863-345-4350",
            "fax_number": "863-345-4353",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5233 US 27 S Ste 2",
            "address_purpose": "LOCATION",
            "city": "Sebring",
            "state": "FL",
            "postal_code": "338705660",
            "country_code": "US",
            "telephone_number": "863-345-4350",
            "fax_number": "863-345-4353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MISCH",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME0056305",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "FL",
            "license": "ME0056305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "064523100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.