Luke D Brog (NPI# 1831262641, PAC ID# 7012935406) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1831262641 |
| PAC ID by PECOS | 7012935406 |
| Professional Enrollment ID | I20051103001024 |
| Full Name | Luke D Brog |
| Address |
491 N Main St Suite A Thayne WY 83127-9768 |
| Gender | M |
| Credential | OD |
| Graduation Year | 2005 |
| Primary Specialty | OPTOMETRY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 491 N Main St, Suite A, Thayne, WY 83127-9768 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_012_overall | Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation | 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 | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Street Address |
491 N MAIN ST SUITE A |
| City | THAYNE |
| State | WY |
| Zip | 83127-9768 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brand P Reynolds | Nurse Practitioner | 491 N Main St, Tooele, UT 84074-1654 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott M Sessions | Chiropractic | 383 N Main St, Suite 1, Thayne, WY 83127 | |
| Devin J Simpson | Chiropractic | Prater View Chiropractic, Inc. | 118 S Main St, Thayne, WY 83127-1179 |
| Darnell Simpson | Chiropractic | Prater View Chiropractic, Inc. | 118 S Main St, Thayne, WY 83127-1179 |
| Kenneth Melton | Chiropractic | 150 Cedar Creek Dr, Cedar Creek Chiropractic, Thayne, WY 83127-5041 | |
| Eric B Hodges | Occupational Therapy | Therapy Works LLC | 487 A N Main St, Thayne, WY 83127-9768 |
| City | THAYNE |
| Zip Code | 83127 |
| Specialty | OPTOMETRY |
| City + Specialty | THAYNE + OPTOMETRY |
Please comment or provide details below to improve the information on Luke D Brog.
| 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.