NPIMap

Individual provider Active NPI

Jeffery Wayne Adkins, MD

  • Ophthalmology Physician
  • Coupeville, WA
National Provider Identifier
1255309696
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD60754541 Issued in WA
Practice address
109 NE Birch St
Coupeville, WA 98239-3133
Phone
(360) 678-2020
NPI assigned
Mar 10, 2006
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD60754541 WA Primary

Addresses

Primary practice location

109 NE Birch St
Coupeville, WA 98239-3133

Mailing address

2100 Little Mountain LN
Mount Vernon, WA 98274-8752
Phone (360) 416-6735

Other practice location 1

1110 12th St
Anacortes, WA 98221-2104
Phone (360) 293-9312

Other identifiers 1

IdentifierTypeStateIssuer
2081933MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041222000511 CA Practitioner - Ophthalmology 2860450814 Reassigns benefits to 2 organizations
Receives reassigned benefits from 1 practitioner
Practice locations: Lincoln, CA; Sacramento, CA

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Kentucky College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ukiah Adventist HospitalGroup PAC ID 6406816123, 136 clinicians

Practice addresses (Care Compare)

275 Hospital Dr
Ukiah, CA 95482-4531
Phone (707) 462-3111

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.16 of 100Reported as group
Quality
82.56
Promoting interoperability
93
Improvement activities
40
Cost
69.49

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery18
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD60754541WAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ukiah Adventist Hospital CurrentSince Jan 1, 2019 Accepting new patients
Ukiah Adventist Hospital CurrentSince Jan 1, 2019 Accepting new patients
Sylvan Eye Associates, a Medical Corporation Ophthalmology CurrentSince Oct 1, 2016 Accepting new patients
Hill Physicians Care Solutions, Inc. Past Accepting new patients
Care Community, P.C. PastSince Jun 26, 2022 Accepting new patients
North Cascade Eye Associates PS Ophthalmology Past Accepting new patients

Locations

1011 Sylvan Ave
Ste A
Modesto, CA 95350
Phone (209) 575-2020

248 Hospital Dr
Ste B
Ukiah, CA 95482
Phone (707) 462-2924

275 Hospital Dr
Ukiah, CA 95482
Phone (707) 462-7900

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Organizations & group practices 6

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 3

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": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1255309696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 LITTLE MOUNTAIN LN",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982748752",
            "telephone_number": "360-416-6735",
            "fax_number": "360-424-6954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 NE BIRCH ST",
            "city": "COUPEVILLE",
            "state": "WA",
            "postal_code": "982393133",
            "telephone_number": "360-678-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1110 12th St",
            "address_purpose": "LOCATION",
            "city": "Anacortes",
            "state": "WA",
            "postal_code": "982212104",
            "country_code": "US",
            "telephone_number": "360-293-9312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADKINS",
        "first_name": "JEFFERY",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-10",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WA",
            "license": "MD60754541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2081933",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coupeville, WA

Sources for this page

Verify at the official NPI Registry.