Active NPI
Mark T Eggleston, MD
- Ophthalmology Physician
- Clarkston, WA
National Provider Identifier
1306836705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- MD00039323
- Practice address
- 500 Port Drive
Clarkston, WA 99403-1835 - Phone
- (509) 758-8811
- Fax
- (509) 751-1188
- NPI assigned
- Oct 26, 2005
- Last updated
- Apr 30, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | MD00039323 | WA | Primary |
| Ophthalmology Physician | 207W00000X | M8239 | ID |
Addresses
Primary practice location
500 Port Drive
Clarkston, WA 99403-1835
Mailing address
500 Port Drive
Clarkston, WA 99403-1835
Phone (509) 758-8811
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Creighton University School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
415 6TH St
Lewiston, ID 83501-2431
Phone (509) 758-8811
500 Port Dr
Clarkston, WA 99403-1835
Phone (509) 758-8811
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.67 of 100
- Quality
- 97.26
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 82.46
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 196 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 15 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M8239 | ID | MD | Ophthalmology Physician |
| MD00039323 | WA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Care Specialists PS | Ophthalmology | Current | Accepting new patients |
Locations
500 Port Dr
Clarkston, WA 99403
Phone (509) 758-8811
Interoperability endpoints
- meggleston@eyesrus.updoxdirect.com
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.
-
dba The Laser & Surgery Center
- Ophthalmology Physician
- Clarkston, WA
- NPI 1639160450
ID
-
dba The Laser and Surgery Center
- Ambulatory Surgical Clinic/Center
- Clarkston, WA
- NPI 1376556514
Ophthalmology
-
dba The Laser and Surgery Center
- Ophthalmology Physician
- Pullman, WA
- NPI 1780708552
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Clarkston, WA
- NPI 1760485221
-
dba Tri State Medical Clinics
- Family Medicine Physician
- Clarkston, WA
- NPI 1932405693
Hospital
-
dba St. Joseph Regional Medical Center
- General Acute Care Hospital
- Lewiston, ID
- NPI 1225090954
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209513600000",
"number": "1306836705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 PORT DRIVE",
"city": "CLARKSTON",
"state": "WA",
"postal_code": "994031835",
"telephone_number": "509-758-8811",
"fax_number": "509-751-1188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 PORT DRIVE",
"city": "CLARKSTON",
"state": "WA",
"postal_code": "994031835",
"telephone_number": "509-758-8811",
"fax_number": "509-751-1188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EGGLESTON",
"first_name": "MARK",
"middle_name": "T",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-26",
"last_updated": "2008-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "WA",
"license": "MD00039323",
"primary": true
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "ID",
"license": "M8239",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clarkston, WA
- Taylor Durant
- Charles C Dwyer, DC
- Eagle Healthcare, Inc (Eagle Rehabilitation at Clarkston)
- Corlene Ann Eberle, ARNP FNPC ANPC
- Educational and Psychological Services
- Richard J Eggleston, MD
- Omar Elhassadi, BDS, FFD, MSC
- Warren L Ellison, M.D.
- Eric Dudenhofer Arnp PS (Mid River Skin Clinic)
- Allen Michael Ernster, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; 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.