Derek B Wiles (NPI# 1225336324, PAC ID# 1456527274) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1225336324 |
| PAC ID by PECOS | 1456527274 |
| Professional Enrollment ID | I20111229000035 |
| Full Name | Derek B Wiles |
| Organization Legal Name | COMPLETE VISION CARE INC |
| Address |
600 Westwood Dr S Festus MO 63028-2061 |
| Phone Number | 6369374747 |
| Gender | M |
| Medical School | UNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY |
| Graduation Year | 2011 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 4981737095 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 600 Westwood Dr S, Festus, MO 63028-2061 | 6369374747 | COMPLETE VISION CARE INC |
| 200 E Woodlawn Dr, Leadington, MO 63601-4436 | 5734311301 | COMPLETE VISION CARE INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 100% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 0% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 0% | |
| ACI_EC_TRANS_PHCDRR_2 | Syndromic Surveillance Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 14% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 0% | |
| MIPS_EC_012_overall | Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation | 100% | |
| MIPS_EC_014_overall | Age-Related Macular Degeneration (AMD): Dilated Macular Examination | 100% | |
| MIPS_EC_117_overall | Diabetes: Eye Exam | 100% | |
| MIPS_EC_140_overall | Age-Related Macular Degeneration (AMD): Counseling on Antioxidant Supplement | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | COMPLETE VISION CARE INC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John B Crane Ii | Optometry | Complete Vision Care Inc | 7954 Big Bend Blvd, Webster Groves, MO 63119-2717 |
| Evan T Williams | Optometry | Complete Vision Care Inc | 200 E Woodlawn Dr, Leadington, MO 63601-4436 |
| Mark A Kahrhoff | Optometry | Complete Vision Care Inc | 7954 Big Bend Blvd, Webster Groves, MO 63119-2717 |
| Catherine Joanita Radakovic | Optometry | Complete Vision Care Inc | 7954 Big Bend Blvd, Webster Groves, MO 63119-2717 |
| Christopher J Brenon | Optometry | Complete Vision Care Inc | 200 E Woodlawn Dr, Leadington, MO 63601-4436 |
| Michelle Spray | Optometry | Complete Vision Care Inc | 200 E Woodlawn Dr, Leadington, MO 63601-4436 |
| Street Address |
600 WESTWOOD DR S |
| City | FESTUS |
| State | MO |
| Zip | 63028-2061 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah L Jensen | Dermatology | 1463 Hwy 61 B, Festus, MO 63028 | |
| Chandra B Dommaraju | Infectious Disease | 1400 Hwy 61 240b, Festus, MO 63028 | |
| Robert J Evens | Emergency Medicine | Southeastern Emergency Physicians of Memphis LLC | 1400 Hwy 61 S, Festus, MO 63028 |
| Paul H Wang | Psychologist, Clinical | 1400 Hwy 61 S, Festus, MO 63028 | |
| Kevin T Baumgartner | Emergency Medicine | Southeastern Emergency Physicians of Memphis LLC | 1400 Hwy 61 S, Festus, MO 63028 |
| Phillip J Ward | Physical Therapy | Central Missouri Physical Therapy LLC | 1405 N Truman Blvd, Festus, MO 63028-1177 |
| Ashley P Schwendeman | Physical Therapy | Central Missouri Physical Therapy LLC | 1405 N Truman Blvd, Festus, MO 63028-1177 |
| Mindy Kay Wortmann | Nurse Practitioner | Interventional Pain Institute, LLC | 1405 N Truman Blvd, Festus, MO 63028-1177 |
| Steven A Harvey | Psychiatry | 23 N 6th St, My Place Residential Facility, Festus, MO 63028-1301 | |
| William W Clendenin | Psychiatry | 705 Moore St, Festus, MO 63028-1339 | |
| Find all physicians in zip 63028 | |||
| City | FESTUS |
| Zip Code | 63028 |
| Specialty | OPTOMETRY |
| City + Specialty | FESTUS + OPTOMETRY |
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| 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.