Individual provider Active NPI

Jeffrey Michael Maher, M.D.

  • Ophthalmology Physician
  • Swansea, IL
National Provider Identifier
1386649234
Registry record updated Nov 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Practice address
3990 N Illinois St
Swansea, IL 62226-1919
Phone
(618) 277-1130
Fax
(618) 277-4917
NPI assigned
Jun 16, 2005
Last updated
Nov 20, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2007

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 IL Primary

Addresses

Primary practice location

3990 N Illinois St
Swansea, IL 62226-1919

Mailing address

3990 N Illinois St
Swansea, IL 62226-1919
Phone (618) 277-1130

Other identifiers 1

IdentifierTypeStateIssuer
1376586685OtherILNPI GROUP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040812000628 IL Practitioner - Ophthalmology 0042282667 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Missouri, Columbia School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
JFJ Eyecare LTDGroup PAC ID 8224009865, 13 clinicians

Practice addresses (Care Compare)

3990 N Illinois St
Swansea, IL 62226-1919
Phone (618) 277-1130

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.84 of 100Reported as group
Quality
92.01
Improvement activities
40
Cost
76.78

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery895

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
JFJ Eyecare LTD CurrentSince Jul 1, 2004 Accepting new patients
JFJ Eyecare, LTD CurrentSince Jul 1, 2004 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

111 W Lincoln St
Belleville, IL 62220
Phone (618) 234-1774

991 Fairfax St
Carlyle, IL 62231
Phone (618) 594-2663

408 W 2nd St
Centralia, IL 62801
Phone (618) 532-5531

2121 S State Route 157
Edwardsville, IL 62025
Phone (618) 656-7774

12 Professional Park Dr
Maryville, IL 62062
Phone (618) 288-7266

3000 Broadway St
Mount Vernon, IL 62864
Phone (618) 242-4141

210 S Main St
Red Bud, IL 62278
Phone (618) 282-6163

400 N Broadway Ave
Salem, IL 62881
Phone (618) 548-3506

3990 N Illinois St
Swansea, IL 62226
Phone (618) 235-3100

Organizations & group practices 3

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 1

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": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195516800000",
    "number": "1386649234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3990 N ILLINOIS ST",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622261919",
            "telephone_number": "618-277-1130",
            "fax_number": "618-277-4917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3990 N ILLINOIS ST",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622261919",
            "telephone_number": "618-277-1130",
            "fax_number": "618-277-4917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHER",
        "first_name": "JEFFREY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2007-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI GROUP",
            "identifier": "1376586685",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Swansea, IL

Sources for this page

Verify at the official NPI Registry.