Jacob G Despain (NPI# 1124284997, PAC ID# 6406914266) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1124284997 |
| PAC ID by PECOS | 6406914266 |
| Professional Enrollment ID | I20130611000812 |
| Full Name | Jacob G Despain |
| Address |
1708 Stampede Ave Cody WY 82414-4829 |
| Gender | M |
| Medical School | PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY |
| Graduation Year | 2008 |
| Primary Specialty | OPTOMETRY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1708 Stampede Ave, Cody, WY 82414-4829 | ||
| 426 Nevada Ave, Lovell, WY 82431-1916 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 99% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 97% | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| 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% |
| Street Address |
1708 STAMPEDE AVE |
| City | CODY |
| State | WY |
| Zip | 82414-4829 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Allen L Gee | Neurology | Frontier Neurosciences, LLC | 907 Platinum Ave, Cody, WY 82414 |
| Lauren Jade Seitz | Physician Assistant | Frontier Neurosciences, LLC | 907 Platinum Ave, Cody, WY 82414 |
| Karen Sue Bond | Qualified Speech Language Pathologist | 502 19th St, Cody, WY 82414-3325 | |
| Susan Nannenga | Speech Language Pathologist | Progressive Therapy Services, Inc. | 502 19th St, Cody, WY 82414-3325 |
| Gregory H Cross Jr. | Diagnostic Radiology | Yellowstone Radiology PC | 707 Sheridan Ave, Cody, WY 82414-3409 |
| Gregory G Marino | Medical Oncology | West Park Hospital District | 707 Sheridan Ave, Cody, WY 82414-3409 |
| Kim L Slight | Internal Medicine | West Park Hospital District | 707 Sheridan Ave, Cody, WY 82414-3409 |
| Catherine C Schmidt | Anesthesiology | Wyoming Perioperative Anesthesia Consultants LLC | 707 Sheridan Ave, Cody, WY 82414-3409 |
| Robert R Lang | Physician Assistant | West Park Hospital District | 707 Sheridan Ave, Cody, WY 82414-3409 |
| Stephanie L Knodel | Emergency Medicine | West Park Hospital District | 707 Sheridan Ave, Cody, WY 82414-3409 |
| Find all physicians in zip 82414 | |||
| City | CODY |
| Zip Code | 82414 |
| Specialty | OPTOMETRY |
| City + Specialty | CODY + OPTOMETRY |
Please comment or provide details below to improve the information on Jacob G Despain.
| 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.