ANDREW W THARP MD
NPI 1538237706
Ophthalmology in Newburgh, IN

Active since December 04, 2006PECOS EnrolledAccepts Medicare Assignment
60.01/100
CMS Quality Rating
4233 GATEWAY BLVD, NEWBURGH, IN 47630(812) 490-3937(812) 490-4514 Get Directions Write a Review

NPPES record last updated: February 19, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Andrew W Tharp Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREW W THARP MD (NPI 1538237706) is an individual ophthalmology provider in Newburgh, Indiana, licensed in Indiana (01037685) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Deaconess Hospital Inc, and is a graduate of Indiana University School Of Medicine (1988).

NPPES Registry Identity

NPI1538237706
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameANDREW W THARPCredential: MD
Location Address4233 GATEWAY BLVDNewburgh, IN 47630-8900
Mailing AddressPo Box 3873Evansville, IN 47737-3873 · (812) 490-3937
Fax(812) 490-4514
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 1988
Enumeration DateDecember 4, 2006
Last NPPES UpdateFebruary 19, 2024
NPPES CertifiedFebruary 19, 2024
NPI 1538237706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in IN · 01037685
Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

4233 GATEWAY BLVD, Newburgh, IN 47630

Other Identifiers 2

Medicaid100096940IN
Other000000584867IN · Anthem

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Andrew W Tharp Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2567374960
PECOS Enrollment IDI20080826000484
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 16

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
742 services544 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
348 services299 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
291 services119 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
156 services95 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
128 services118 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
121 services84 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Deaconess Hospital Inc

Acute Care Hospitals · Evansville, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150082
Location600 Mary StEvansville, IN 47710 · Vanderburgh County
Emergency services

Ascension St Vincent Evansville

Acute Care Hospitals · Evansville, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150100
Location3700 Washington AveEvansville, IN 47750 · Vanderburgh County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47630 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

60.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality47.93
Improvement Activities40
Cost36.12

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier13 claims13 services$56.07 avg. paid by Medicare
Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens V2303
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier12 claims12 services$56.71 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
4233 GATEWAY BLVD
NEWBURGH, IN 47630
Family Medicine
4233 GATEWAY BLVD
NEWBURGH, IN 47630
Family Medicine
4233 GATEWAY BLVD
NEWBURGH, IN 47630
Nurse Practitioner
4233 GATEWAY BLVD
NEWBURGH, IN 47630
Durable Medical Equipment & Medical Supplies
4233 GATEWAY BLVD
NEWBURGH, IN 47630
Surgery (Plastic and Reconstructive Surgery)
4233 GATEWAY BLVD
NEWBURGH, IN 47630
Optometrist
4233 GATEWAY BLVD
NEWBURGH, IN 47630
Nurse Practitioner
4233 GATEWAY BLVD
NEWBURGH, IN 47630

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrew Tharp's NPI number?

The NPI number for Andrew Tharp is 1538237706. It was assigned to this individual provider in the NPPES registry on December 4, 2006.

Where is Andrew Tharp located?

Andrew Tharp practices at 4233 Gateway Blvd, Newburgh, IN 47630. The listed phone number is (812) 490-3937.

What is Andrew Tharp's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Andrew Tharp enrolled in Medicare?

Yes. Andrew Tharp is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Andrew Tharp accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Providence Health Plan list Andrew Tharp as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Andrew Tharp affiliated with any hospitals?

According to CMS data, Andrew Tharp is affiliated with Deaconess Hospital Inc and Ascension St Vincent Evansville.

When was this NPI record last updated?

The NPPES record for Andrew Tharp was last updated on February 19, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.