Blonie Wayne Dudney Jr., MD

Primary specialty

Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X

License

2010014075 Issued in MO

Practice address

1224 Graham Rd
3011
Florissant, MO 63031-8028

Phone

(314) 839-1211

Fax

(314) 839-8429

NPI assigned

Jun 7, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO, IL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Ophthalmology

Education

University of Tennessee, HSC, College of Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Retina Associates of St Louis, Inc 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

97.79

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: blonie.dudney.p1@direct.nri.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Retina Associates of St Louis, Inc

  • Retina Specialist (Ophthalmology) Physician
  • Florissant, MO
  • NPI 1750581666

  MO, Retina Specialist

  Medicare reassignment Care Compare group NPD
• Retina Contracting Inc

  • Ophthalmology Physician
  • Swansea, IL
  • NPI 1023400058

  IL, MO

  Medicare reassignment NPD Authorized official
• JFJ Eyecare, LTD

  • Optometrist
  • Swansea, IL
  • NPI 1376586685

  IL

  Medicare reassignment NPD
• JFJ Eyecare LTD

  • Optometrist
  • Swansea, IL
  • NPI 1295778587
  NPD
• O'Donnell Eye Institute, Inc.

  • Specialist
  • Kirkwood, MO
  • NPI 1932227485
  NPD (past)
• Bert M. Glaser National Retina Institute, LLC

  • Ophthalmology Physician
  • Towson, MD
  • NPI 1962456780
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1003019019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1224 GRAHAM RD",
            "address_2": "3011",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630318028",
            "telephone_number": "314-839-1211",
            "fax_number": "314-839-8429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 GRAHAM RD",
            "address_2": "3011",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630318028",
            "telephone_number": "314-839-1211",
            "fax_number": "314-839-8429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDNEY",
        "first_name": "BLONIE",
        "middle_name": "WAYNE",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-07",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "MO",
            "license": "2010014075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Elaine Drake
• Rhonda Drake
• Michaela E Drouin, PHARMD
• Kalynne Drummer, RN
• Joyce Lynn Dubea, M.ED, PLPC
• Trenton Patrick Dunahee, PHARM.D
• Alicia Dungins
• Dunn Everyday Home Health Care LLC
• Jerica Dunn, BS
• Dushanas Touch of Love Transportation L.L.C

• All providers in Florissant, MO
• Retina Specialist (Ophthalmology) Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.