Kevin Michael Wells, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

R9889 Issued in TX

Practice address

2806 E 29TH St
Bryan, TX 77802-2601

Phone

(979) 776-8330

Fax

(979) 774-9157

NPI assigned

Apr 25, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AL, TX2 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

Specialty

Ophthalmology

Education

University of Texas Medical Branch at Galveston, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Retina Center P aGroup PAC ID 6709856388, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• CHI St Joseph Health Regional Hospital Hospital, Bryan, TX, CCN 450011

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: wkevin@retina.updoxdirect.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Retina Center P a

  • Ophthalmology Physician
  • Bryan, TX
  • NPI 1922006246
  Medicare reassignment Care Compare group NPD
• Uab Callahan Eye Hospital Authority

  • Certified Registered Nurse Anesthetist
  • Birmingham, AL
  • NPI 1023358850
  Medicare reassignment NPD
• University of Alabama Ophthalmology Services Foundation

  • Ophthalmology Physician
  • Birmingham, AL
  • NPI 1265485999
  Medicare reassignment NPD
• Uab Callahan Eye Hospital Authority

  • Ophthalmology Physician
  • Birmingham, AL
  • NPI 1427398254
  NPD
• University of Alabama at Birmingham

  • General Acute Care Hospital
  • Birmingham, AL
  • NPI 1447145818
  NPD (past)

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

• St Joseph Regional Health Center

  • General Acute Care Hospital
  • Bryan, TX
  • NPI 1942294939
  Care Compare affiliation
• St. Joseph Regional Health Center

  • General Acute Care Hospital
  • College Station, TX
  • NPI 1053963009
  Care Compare affiliation

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

{
    "created_epoch": "1366848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620259200000",
    "number": "1154765733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2806 E 29TH ST",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022601",
            "telephone_number": "979-776-8330",
            "fax_number": "979-774-9157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2806 E 29TH ST",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022601",
            "telephone_number": "979-776-8330",
            "fax_number": "979-774-9157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "KEVIN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-25",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "TX",
            "license": "R9889",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "R9889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Mark Weber, M.D.
• Mark Alan Weedon, LMFT-A
• Paulla Weekes, LMSW
• Sydney Rose Weilnau, RCP
• Rebecca Anne Weldon, LPC ASSOCIATE
• Sheena Nicole Wells, COTA
• Wendy McDonald PC
• Wendy McDonald PC
• Darlys Werner, LPC-ASSOCIATE
• Hannah Leigh Wertz

• Ophthalmology Physician in Bryan, TX
• Providers in Bryan, TX by specialty
• Ophthalmology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; 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.

Verify at the official NPI Registry.