Individual provider Active NPI

Douglas L Holmes, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Casper, WY
National Provider Identifier
1073565487
Registry record updated Nov 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
8868A Issued in WY
Practice address
307 S Jackson St
Casper, WY 82601-2908
Phone
(307) 237-3937
Fax
(307) 237-0670
NPI assigned
May 16, 2006
Last updated
Nov 7, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 30384 CO
Retina Specialist (Ophthalmology) Physician 207WX0107X 8868A WY Primary

Addresses

Primary practice location

307 S Jackson St
Casper, WY 82601-2908

Mailing address

307 S Jackson St
Casper, WY 82601-2908
Phone (307) 237-3937

Other identifiers 1

IdentifierTypeStateIssuer
01303841MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
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
I20111116000207 WY Practitioner - Ophthalmology 0042291577 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Creighton University School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

307 S Jackson St
Casper, WY 82601-2908
Phone (307) 237-3937

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30384COMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Wyoming Retina Associates, PC CurrentSince Oct 11, 2011 Accepting new patients
Retina Associates of Mid-Wyoming, LLC PastSince Oct 11, 2011 Accepting new patients
Retinal Alliance, PC Specialist PastSince Oct 1, 1996 Accepting new patients

Locations

307 S Jackson St
Casper, WY 82601
Phone (307) 237-3740

Interoperability endpoints

  • Direct secure messaging: direct@douglasholmesmdcasperwy.compulinkdirect.com
  • Direct secure messaging: douglas.holmes@direct.wyomingmedicalcenter.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573084800000",
    "number": "1073565487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 S JACKSON ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012908",
            "telephone_number": "307-237-3937",
            "fax_number": "307-237-0670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 S JACKSON ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012908",
            "telephone_number": "307-237-3937",
            "fax_number": "307-237-0670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "DOUGLAS",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2019-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CO",
            "license": "30384",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "WY",
            "license": "8868A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01303841",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

Verify at the official NPI Registry.