Individual provider Active NPI

William McKinley Thompson, MD

  • Ophthalmology Physician
  • Roanoke, VA
National Provider Identifier
1023015476
Registry record updated Jan 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
0101227709 Issued in VA
Practice address
1960 Electric Rd
Roanoke, VA 24018-1621
Phone
(540) 772-7171
Fax
(540) 774-8299
NPI assigned
Jun 30, 2005
Last updated
Jan 25, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 0101227709 VA Primary

Addresses

Primary practice location

1960 Electric Rd
Roanoke, VA 24018-1621

Mailing address

1960 Electric Rd
Roanoke, VA 24018-1621
Phone (540) 772-7171

Other identifiers 1

IdentifierTypeStateIssuer
6311164MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20100301000351 VA Practitioner - Ophthalmology 1759454952 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Virginia School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Care and Surgery PCGroup PAC ID 3678666096, 8 clinicians

Practice addresses (Care Compare)

1960 Electric Rd
Roanoke, VA 24018-1601
Phone (540) 772-0870

Merit-based Incentive Payment System (MIPS)

Final score
83.69 of 100Reported as group
Quality
100
Improvement activities
40
Cost
45.64

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery449
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101227709VAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care & Surgery PC Ophthalmology CurrentSince Jul 1, 2003 Accepting new patients

Locations

13295 Booker T Washington Hwy
Hardy, VA 24101
Phone (540) 721-4433

1960 Electric Rd
Roanoke, VA 24018
Phone (540) 772-0870

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264377600000",
    "number": "1023015476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1960 ELECTRIC RD",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240181621",
            "telephone_number": "540-772-7171",
            "fax_number": "540-774-8299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1960 ELECTRIC RD",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240181621",
            "telephone_number": "540-772-7171",
            "fax_number": "540-774-8299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "WILLIAM",
        "middle_name": "MCKINLEY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2010-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101227709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6311164",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.