Active NPI
Warren Patrick Collins, M.D.
- Ophthalmology Physician
- Springfield, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 114662
- Practice address
- 1342 E Primrose St
Suite B
Springfield, MO 65804-4279 - Phone
- (417) 869-3200
- Fax
- (417) 869-3212
- NPI assigned
- Aug 8, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 114662 | MO | Primary |
Addresses
Primary practice location
1342 E Primrose St
Suite B
Springfield, MO 65804-4279
Mailing address
1342 E Primrose St
Suite B
Springfield, MO 65804-4279
Phone (417) 869-3200
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 90-0259728 | Other | MO | TAX ID |
| 203814702 | Medicaid | MO | |
| 169344001 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1342 E Primrose St B
Springfield, MO 65804-4224
Phone (417) 869-3200
211 Carter St
Berryville, AR 72616-4303
Phone (417) 869-3200
Hospital & facility affiliations
- Cox Medical Centers
- Mercy St Francis Hospital
- Mercy Hospital Berryville
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 162 |
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles (2 of 4)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Collins Eye Clinic, L.L.C. | Ophthalmology | Current | Accepting new patients |
| Ozarks Medical Center | Past | Accepting new patients |
Locations
211 Carter St
Berryville, AR 72616
Phone (417) 869-3200
1443 N Robberson Ave
Ste 305
Springfield, MO 65802
Phone (417) 869-3200
1342 E Primrose St
Ste B
Springfield, MO 65804
Phone (417) 869-3200
Networks
- IA HMO C-SNP
- IA HMO
Interoperability endpoints
- w.collins@cernerdirect.coxhealth.com
- w.collins@collinseye.direct.eyemdemr.com
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Springfield, MO
- NPI 1093740128
-
- Critical Access Hospital
- Mountain View, MO
- NPI 1023053477
-
- Critical Access Hospital
- Berryville, AR
- NPI 1457306326
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581897600000",
"number": "1043220874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1342 E PRIMROSE ST",
"address_2": "SUITE B",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658044279",
"telephone_number": "417-869-3200",
"fax_number": "417-869-3212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1342 E PRIMROSE ST",
"address_2": "SUITE B",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658044279",
"telephone_number": "417-869-3200",
"fax_number": "417-869-3212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "WARREN",
"middle_name": "PATRICK",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-08",
"last_updated": "2020-02-17",
"certification_date": "2020-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MO",
"license": "114662",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "90-0259728",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "203814702",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "169344001",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2020; 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.