Individual provider Active NPI

Warren Patrick Collins, M.D.

  • Ophthalmology Physician
  • Springfield, MO
National Provider Identifier
1043220874
Registry record updated Feb 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
114662 Issued in MO
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

Updated by the provider on Feb 17, 2020

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 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

IdentifierTypeStateIssuer
90-0259728OtherMOTAX ID
203814702MedicaidMO
169344001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, AR2 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

Enrollment IDStateProvider typePAC IDDetails
I20060104000031 MO Practitioner - Ophthalmology 6002838174 Reassigns benefits to 1 organization
I20081204000054 AR Practitioner - Ophthalmology 6002838174 Reassigns benefits to 1 organization

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 Hospital, Springfield, MO, CCN 260040
  • Mercy St Francis Hospital Hospital, Mountain View, MO, CCN 261335
  • Mercy Hospital Berryville Hospital, Berryville, AR, CCN 041329

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery162
Melanoma (skin cancer) excision1-10

National Provider Directory

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

Practice roles (2 of 4)

OrganizationSpecialtyStatusNew patients
Collins Eye Clinic, L.L.C. Ophthalmology CurrentSince Jan 1, 2005 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

  • Direct secure messaging: w.collins@cernerdirect.coxhealth.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.