NPI Details
DR. Jacqueline R Carrasco, MD is an ophthalmic plastic and reconstructive surgery ophthalmology in Wynnewood, PA with 27 years of experience. The provider is a physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck. DR. Jacqueline R Carrasco, MD NPI is 1336148410. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
Education
Medical School: UNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE
Graduation Year:1999
The provider's business location address is:
100 E LANCASTER AVE STE 54
WYNNEWOOD, PA
ZIP 19096-438
Phone: (610) 649-1970
The NPI 1336148410 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Injection, onabotulinumtoxina, 1 unit (HCPCS:J0585)
- Photography of content of eyes (HCPCS:92285)
- New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
- Established patient problem focused exam of visual system (HCPCS:92012)
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- Closure of tear duct opening using plug (HCPCS:68761)
- Established patient complete exam of visual system (HCPCS:92014)
- Exam of visual field with extended testing (HCPCS:92083)
- Insertion of probe into nasal tear duct (HCPCS:68810)
- Injection of chemical for paralysis of nerve muscles on side of face (HCPCS:64612)
- Removal of eyelashes using forceps (HCPCS:67820)
- Removal of growth of eyelid (HCPCS:67840)
- Repair of tendon of upper eyelid (HCPCS:67904)
- Removal of excessive skin and fat of upper eyelid (HCPCS:15823)
- Injection into skin growth, 1-7 growths (HCPCS:11900)
- Injection of drug or substance into membrane covering eyeball (HCPCS:67515)
- Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg (HCPCS:J0702)
- Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
- New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
- Extensive repair of turning-outward eyelid defect (HCPCS:67917)
- Removal of growth of eyelid (HCPCS:67840)
- Repair tear duct opening by heat, tying, or laser surgery (HCPCS:68760)
- Exam to measure eye deviation and range of motion (HCPCS:92060)
- Imaging of retina (HCPCS:92134)
- Repair of brow paralysis (HCPCS:67900)
- Exploration of cavity behind eye (HCPCS:67400)
- Removal of recurring cataract in lens capsule using a laser (HCPCS:66821)
- Imaging of optic nerve (HCPCS:92133)
- New patient complete exam of visual system (HCPCS:92004)
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less (HCPCS:14060)
- Removal of tissue, muscle, and membrane to correct eyelid drooping or paralysis (HCPCS:67908)
- Cataract surgery (HCPCS:NAN11)
- Melanoma (skin cancer) excision (HCPCS:NAN03)
The enumeration date for this NPI number is 7/20/2005 and was last updated on 7/28/2020.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 207W00000X | Ophthalmology | | 25MA07455900 | NEW JERSEY | No |
| 2 | 207W00000X | Ophthalmology | | MD416985 | PENNSYLVANIA | No |
| 3 | 207WX0200X | Ophthalmology | Ophthalmic Plastic and Reconstructive Surgery | MD416985 | PENNSYLVANIA | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 101226829001 | MEDICAID | PENNSYLVANIA | |