Richard Burgett (NPI# 1336147230, PAC ID# 4789784232) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1336147230 |
| PAC ID by PECOS | 4789784232 |
| Professional Enrollment ID | I20101113000031 |
| Full Name | Richard Burgett |
| Organization Legal Name | OPHTHALMIC PLASTIC SURGERY INC |
| Address |
200 W 103rd St Suite 2020 Indianapolis IN 46290-1017 |
| Phone Number | 3178171976 |
| Gender | M |
| Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1992 |
| Primary Specialty | OPHTHALMOLOGY |
| Secondary Specialties | PLASTIC AND RECONSTRUCTIVE SURGERY |
| Group Practice PAC ID | 6800832635 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150017 | LUTHERAN HOSPITAL OF INDIANA |
| Address | Phone | Organization |
|---|---|---|
| 200 W 103rd St, Suite 2020, Indianapolis, IN 46290-1017 | 3178171976 | OPHTHALMIC PLASTIC SURGERY INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 41% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | OPHTHALMIC PLASTIC SURGERY INC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Austin Louis Gerber | Ophthalmology | Ophthalmic Plastic Surgery Inc | 7305 Jefferson Blvd, Fort Wayne, IN 46804-6275 |
| Scott R Hobson | Ophthalmology | Ophthalmic Plastic Surgery Inc | 201 Pennsylvania Pkwy, Indianapolis, IN 46280-2301 |
| Michael G Welsh | Ophthalmology | Ophthalmic Plastic Surgery Inc | 200 W 103rd St, Suite 2020, Indianapolis, IN 46290-1017 |
| John D Langford | Ophthalmology | Ophthalmic Plastic Surgery Inc | 201 Pennsylvania Pkwy, Indianapolis, IN 46280-2301 |
| Ronald Martin | Ophthalmology | Ophthalmic Plastic Surgery Inc | 2001 W 86th St, Indianapolis, IN 46240-1902 |
| Street Address |
200 W 103RD ST SUITE 2020 |
| City | INDIANAPOLIS |
| State | IN |
| Zip | 46290-1017 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael G Welsh | Ophthalmology | Ophthalmic Plastic Surgery Inc | 200 W 103rd St, Suite 2020, Indianapolis, IN 46290-1017 |
| Bruce H Matt | Otolaryngology | University Otolaryngology Associates, Inc. | 200 W 103rd St, Indianapolis, IN 46290-1092 |
| Jessamyn R Salter | Nurse Practitioner | University Otolaryngology Associates, Inc. | 200 W 103rd St, Indianapolis, IN 46290-1092 |
| Lori K Rosebrock | Physician Assistant | University Otolaryngology Associates, Inc. | 200 W 103rd St, Indianapolis, IN 46290-1092 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennie S Kho Duffin | Pathology | Dcl Pathology LLC | 10291 N Meridian St, Suite 100, Indianapolis, IN 46290-1000 |
| Cynthia Carol Benedict | Pathology | Dcl Pathology LLC | 10291 N Meridian St, Suite 100, Indianapolis, IN 46290-1000 |
| Sally D Slowman Middleton | Pathology | Dcl Pathology LLC | 10291 N Meridian St, Suite 100, Indianapolis, IN 46290-1000 |
| Carol C Eisenhut | Pathology | Dcl Pathology LLC | 10291 N Meridian St, Indianapolis, IN 46290-1000 |
| Lori E Dressman | Pathology | Dcl Pathology LLC | 10291 N Meridian St, Indianapolis, IN 46290-1000 |
| Alan M Sadove | Plastic and Reconstructive Surgery | Perkins Van Natta Plastic Surgery, P.C. | 170 W 106th St, Indianapolis, IN 46290-1004 |
| Christine L Kelley Patteson | Plastic and Reconstructive Surgery | Perkins Van Natta Plastic Surgery, P.C. | 170 W 106th St, Indianapolis, IN 46290-1004 |
| Stephen W Perkins | Plastic and Reconstructive Surgery | Perkins Van Natta Plastic Surgery, P.C. | 170 W 106th St, Indianapolis, IN 46290-1004 |
| Bruce W Van Natta | Plastic and Reconstructive Surgery | Perkins Van Natta Plastic Surgery, P.C. | 170 W 106th St, Indianapolis, IN 46290-1004 |
| John T Minturn | Ophthalmology | 10300 N Illinois St, Suite 1030, Indianapolis, IN 46290-1017 | |
| Find all physicians in zip 46290 | |||
| City | INDIANAPOLIS |
| Zip Code | 46290 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | INDIANAPOLIS + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Richard Burgett.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.