Marcus S Deranian (NPI# 1952367351, PAC ID# 4587699830) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1952367351 |
| PAC ID by PECOS | 4587699830 |
| Professional Enrollment ID | I20080125000472 |
| Full Name | Marcus S Deranian |
| Organization Legal Name | CENTER FOR SIGHT OF CENTRAL ILLINOIS SC |
| Address |
608 W Ladd Pontiac IL 61764-1617 |
| Phone Number | 2172333101 |
| Gender | M |
| Medical School | BROWN UNIVERSITY PROGRAM IN MEDICINE |
| Graduation Year | 1983 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 5496780736 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140135 | DECATUR MEMORIAL HOSPITAL |
| 140137 | GREENVILLE REGIONAL HOSPITAL |
| 140189 | SARAH BUSH LINCOLN HEALTH CENTER |
| 140019 | HSHS GOOD SHEPHERD HOSPITAL INC |
| 141320 | PARIS COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2300 N Edward St, Decatur, IL 62526-4163 | 2172333101 | CENTER FOR SIGHT OF CENTRAL ILLINOIS SC |
| 2442 Nw Route 121, Decatur, IL 62526-9461 | 2172333101 | CENTER FOR SIGHT OF CENTRAL ILLINOIS SC |
| 4837 E Route 36, Decatur, IL 62521-9725 | 2178641362 | CENTER FOR SIGHT OF CENTRAL ILLINOIS SC |
| 101 W Main St, Greenville, IL 62246-1734 | 2172333101 | CENTER FOR SIGHT OF CENTRAL ILLINOIS SC |
| 200 Health Care Dr, Greenville, IL 62246-1154 | 2172333101 | CENTER FOR SIGHT OF CENTRAL ILLINOIS SC |
| 721 E Court St, Paris, IL 61944-2460 | 2172333101 | CENTER FOR SIGHT OF CENTRAL ILLINOIS SC |
| 608 W Ladd, Pontiac, IL 61764-1617 | 2172333101 | CENTER FOR SIGHT OF CENTRAL ILLINOIS SC |
| 102 N Heinlein Dr, Shelbyville, IL 62565-9050 | 2172333101 | CENTER FOR SIGHT OF CENTRAL ILLINOIS SC |
| 1401 W Main St, Shelbyville, IL 62565-1256 | 2172333101 | CENTER FOR SIGHT OF CENTRAL ILLINOIS SC |
| 200 S Cedar St, Shelbyville, IL 62565-1838 | 2172333101 | CENTER FOR SIGHT OF CENTRAL ILLINOIS SC |
| 2202 W Randolph St, Vandalia, IL 62471-1946 | 2172333101 | CENTER FOR SIGHT OF CENTRAL ILLINOIS SC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_012_overall | Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation | 80% | |
| MIPS_EC_014_overall | Age-Related Macular Degeneration (AMD): Dilated Macular Examination | 100% | |
| MIPS_EC_117_overall | Diabetes: Eye Exam | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_140_overall | Age-Related Macular Degeneration (AMD): Counseling on Antioxidant Supplement | 97% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | CENTER FOR SIGHT OF CENTRAL ILLINOIS SC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dennis Rabe | Optometry | Center for Sight of Central Illinois Sc | 4837 E Route 36, Decatur, IL 62521-9725 |
| Nathan A Crouch | Optometry | Center for Sight of Central Illinois Sc | 2442 Nw Route 121, Decatur, IL 62526-9461 |
| Maxx M Craggs | Optometry | Center for Sight of Central Illinois Sc | 4837 E Route 36, Decatur, IL 62521-9725 |
| Street Address |
608 W LADD |
| City | PONTIAC |
| State | IL |
| Zip | 61764-1617 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda Bachman | Physical Therapy | Athletic and Therapeutic Institute of Bourbonnais, LLC | 924 W Custer Ave, Pontiac, IL 61764-1067 |
| Jordan Collins | Physical Therapy | Athletic and Therapeutic Institute of Bourbonnais, LLC | 924 W Custer Ave, Pontiac, IL 61764-1067 |
| Sasha Radford | Optometry | Pontiac Family Eye Care LLC | 320 N Ladd St, Pontiac, IL 61764-1612 |
| Bryan Stoller | Optometry | Pontiac Family Eye Care LLC | 320 N Ladd St, Pontiac, IL 61764-1612 |
| Janelle Joyce Brown | Optometry | Pontiac Family Eye Care LLC | 320 N Ladd St, Pontiac, IL 61764-1612 |
| Douglas R Watson | Optometry | 301 W Madison St, Pontiac, IL 61764-1705 | |
| Cheryle Diana Strother | Nurse Practitioner | 402 N Plum, Pontiac, IL 61764-1817 | |
| Kimberly K Kidner | Chiropractic | Livingston County Chiropractic Center, Ltd. | 402 N Plum St, Pontiac, IL 61764-1817 |
| Ashley N Fauser | Chiropractic | Livingston County Chiropractic Center, Ltd. | 402 N Plum St, Pontiac, IL 61764-1817 |
| Airn E Houlahan | Chiropractic | Livingston County Chiropractic Center, Ltd. | 402 N Plum St, Pontiac, IL 61764-1817 |
| Find all physicians in zip 61764 | |||
| City | PONTIAC |
| Zip Code | 61764 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | PONTIAC + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Marcus S Deranian.
| 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.