Troy O Maydew, OD
Individual provider Active NPI Optometrist · Pratt, KS
NPI 1144396458 · NPPES record last updated Jun 12, 2012
Key facts
- NPI
- 1144396458
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 14353 (KS)
- Practice address
- 216 S Oak St
Pratt, KS 67124-2721 - Phone
- (620) 672-5934
- Fax
- (620) 672-3550
- NPI assigned
- Nov 28, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- University of Missouri St Louis - School of Optometry, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Maydew Thibault Optometry LLC
Practice addresses (Care Compare)
216 S Oak St
Pratt, KS 67124-2721
Phone (620) 672-5934
Merit-based Incentive Payment System (MIPS)
- Final score
- 62.21 of 100
- Quality
- 31.29
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 86 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050602000480 | KS | Practitioner - Optometry | 9234170036 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maydew Thibault Optometry LLC | Optometrist | Current |
Accepting new patients |
| Maydew Thibault Optometry LLC | Optometrist | Current | Accepting new patients |
| Maydew Thibault Optometry LLC | Optometrist | Current |
Accepting new patients |
Locations
721 W Kansas Ave
Greensburg, KS 67054
Phone (620) 723-2127
604 N Walnut St
Medicine Lodge, KS 67104
Phone (620) 886-3222
Interoperability endpoints
- troymaydewod@maydewthibault.direct.eyemdemr.com
- troymaydew@maydewthibault.direct.eyemdemr.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 14353 | KS | Yes |
Addresses
Primary practice location
216 S Oak St
Pratt, KS 67124-2721
Mailing address
PO Box 1024
Pratt, KS 67124-1024
Phone (620) 672-5934
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 410040206 | Other | RAILROAD MEDICARE | |
| 100220930B | Medicaid | KS |
Other providers in Pratt, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 12, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.