Individual provider Active NPI

Derek Scott Horkey, MD

  • Glaucoma Specialist (Ophthalmology) Physician
  • Woodbury, MN
National Provider Identifier
1053759019
Registry record updated May 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Glaucoma Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0009X
License
65102 Issued in MN
Practice address
2080 Woodwinds Dr Ste 230
Woodbury, MN 55125-2539
Phone
(651) 714-6901
NPI assigned
Jun 11, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Glaucoma Specialist (Ophthalmology) Physician 207WX0009X 65102 MN Primary

Addresses

Primary practice location

2080 Woodwinds Dr Ste 230
Woodbury, MN 55125-2539

Mailing address

2080 Woodwinds Dr Ste 230
Woodbury, MN 55125-2539
Phone (651) 714-6901

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20190508003286 MN Practitioner - Ophthalmology 0345547295 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
65102MNMDGlaucoma Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Paul Eye Clinic PA CurrentSince May 31, 2019 Accepting new patients
St Paul Eye Clinic PA CurrentSince May 31, 2019 Accepting new patients
Eye Care, LLC PastSince Aug 1, 2018 Accepting new patients

Locations

1215 Town Centre Dr
Ste 100
Eagan, MN 55123
Phone (651) 454-2526

1675 Beam Ave
Ste 100
Maplewood, MN 55109
Phone (651) 227-6634

2680 Snelling Ave N
Ste 110
Roseville, MN 55113
Phone (651) 631-2922

2680 Snelling Ave N
Saint Paul, MN 55113
Phone (651) 488-5557

1093 Grand Ave
Saint Paul, MN 55105
Phone (651) 222-7343

5945 Norwich Ave N
Stillwater, MN 55082
Phone (651) 351-2038

2080 Woodwinds Dr
Ste 230
Woodbury, MN 55125
Phone (651) 578-6949

2080 Woodwinds Dr
Ste 110
Woodbury, MN 55125
Phone (651) 738-6500

Organizations & group practices 3

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.

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Loyola University of Chicago, Stritch School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Paul Eye Clinic PA 20 clinicians

Practice addresses (Care Compare)

1215 Town Centre Dr
Suite 100
Eagan, MN 55123-1356
Phone (651) 454-2526

1675 Beam Ave
Suite 100
Maplewood, MN 55109-1478
Phone (651) 770-2904

2080 Woodwinds Dr
Suite 230
Woodbury, MN 55125-2539
Phone (651) 578-6949

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery178

NPI Registry JSON

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

{
    "created_epoch": "1370908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557792000000",
    "number": "1053759019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2080 WOODWINDS DR STE 230",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252539",
            "telephone_number": "651-714-6901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 WOODWINDS DR STE 230",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252539",
            "telephone_number": "651-714-6901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORKEY",
        "first_name": "DEREK",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-11",
        "last_updated": "2019-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "MN",
            "license": "65102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, MN

Sources for this page

Verify at the official NPI Registry.