Justin Michael Wileman, DO

Primary specialty

Cornea and External Diseases Specialist PhysicianTaxonomy code 207WX0120X

License

U3054 Issued in TX

Practice address

3535 Travis St
Dallas, TX 75204-1448

Phone

(214) 522-2661

Fax

(214) 522-2661

NPI assigned

Mar 20, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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 1

Specialty

Ophthalmology

Education

University of North Texas HSC, College of Osteopathic Med, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

T. Jeff Russell, M.D., P.aGroup PAC ID 4486618543, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

90.76 of 100Reported as group

Quality

95

Improvement activities

40

Cost

75.85

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jwileman524285@ecommunitydirect.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.

• T. Jeff Russell, M.D., P.a

  • Ophthalmology Physician
  • Dallas, TX
  • NPI 1063534758
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1521504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1003310509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 TRAVIS ST STE 170",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752041480",
            "telephone_number": "214-522-2661",
            "fax_number": "214-522-5469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 TRAVIS ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752041448",
            "telephone_number": "214-522-2661",
            "fax_number": "214-522-2661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILEMAN",
        "first_name": "JUSTIN",
        "middle_name": "MICHAEL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-20",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207WX0120X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Cornea and External Diseases Specialist",
            "state": "TX",
            "license": "U3054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Wilder, FNP-BC
• Cynthia Kay Wilder, M.D.
• Elizabeth Wilder, M.D.
• Wildflower Telehealth Network Inc.
• Julie Wilding, LCSW
• Courtney Wilemon, M.D.
• Diana Flurry Wilemon, FNP
• Wiley Express Transport LLC
• Andrea Wiley
• Casey Butler Wiley, M.D.

• Cornea and External Diseases Specialist Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Cornea and External Diseases Specialist Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; 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.