Active NPI
Derek Scott Horkey, MD
- Glaucoma Specialist (Ophthalmology) Physician
- Woodbury, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Glaucoma Specialist (Ophthalmology) Physician
- License
- 65102
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 65102 | MN | MD | Glaucoma Specialist (Ophthalmology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Paul Eye Clinic PA | Current | Accepting new patients | |
| St Paul Eye Clinic PA | Current | Accepting new patients | |
| Eye Care, LLC | Past | 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.
-
- Eyewear Supplier
- Woodbury, MN
- NPI 1669574646
-
- Eyewear Supplier
- Blue Springs, MO
- NPI 1659497832
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
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
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 178 |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; 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.