Mark T Eggleston, MD
Individual provider Active NPI Ophthalmology Physician · Clarkston, WA
NPI 1306836705 · NPPES record last updated Apr 30, 2008
Key facts
- NPI
- 1306836705
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Ophthalmology Physician 207W00000X
- License
- MD00039323 (WA)
- Practice address
- 500 Port Drive
Clarkston, WA 99403-1835 - Phone
- (509) 758-8811
- Fax
- (509) 751-1188
- NPI assigned
- Oct 26, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Ophthalmology
- Education
- Creighton University School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Eye Care Specialists PS
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
- St Joseph Regional Medical Center
- Tri-State Memorial Hospital
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 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in WA, ID
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100423000930 | WA | Practitioner - Ophthalmology | 7416958293 | Reassigns benefits to 1 organization |
| I20190521002597 | ID | Practitioner - Ophthalmology | 7416958293 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M8239 | ID | 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | MD00039323 | WA | Yes |
| 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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000010033114 | Other | ID | REGENCE BLUE SHIELD OF IDAHO |
| 0152789 | Other | WA | LABOR & INDUSTRY |
| 806011100 | Medicaid | ID | |
| MXXPR0054708 | Other | WA | MOLINA HEALTHCARE |
| 0000100033114 | Other | FEDERAL BLUE CROSS | |
| 24509 | Other | WA | GROUP HEALTH COOPERATIVE |
| BYHD5 | Other | ID | BLUE CROSS OF IDAHO |
| 000010145029 | Other | ID | REGENCE BLUE SHIELD OF IDAHO |
| 8293425 | Medicaid | WA | |
| 8928983 | Other | WA | CRIME VICTIMES COMPENSATION ACT |
| 42663 | Other | ID | BLUE CROSS OF IDAHO |
Other providers in Clarkston, WA
- Brandon Dugdale
- Charles C Dwyer
- Eagle Healthcare, Inc
- Corlene Ann Eberle
- Educational and Psychological Services
- Richard J Eggleston
- Omar Elhassadi
- Warren L Ellison
- Eric Dudenhofer Arnp PS
- Allen Michael Ernster
All providers in Clarkston, WA · Ophthalmology Physician in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 30, 2008. 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.