Individual provider Active NPI

Justin Wilkinson, M.D.

  • Cornea and External Diseases Specialist Physician
  • Provo, UT
National Provider Identifier
1396937074
Registry record updated Jun 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cornea and External Diseases Specialist PhysicianTaxonomy code 207WX0120X
License
8227125-1205 Issued in UT
Practice address
1735 N State St
Provo, UT 84604
Phone
(801) 374-1818
Fax
(801) 374-0163
NPI assigned
Aug 15, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD154095 OR
Ophthalmology Physician 207W00000X 8227125-1205 UT
Student in an Organized Health Care Education/Training Program 390200000X LL17376 OR
Cornea and External Diseases Specialist Physician 207WX0120X 8227125-1205 UT Primary

Addresses

Primary practice location

1735 N State St
Provo, UT 84604

Mailing address

1735 N State St
Provo, UT 84604-1010
Phone (801) 374-1818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20120607000329 UT Practitioner - Ophthalmology 3678742459 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of California, Geffen School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Utah Eye AssociatesGroup PAC ID 3577464908, 17 clinicians

Practice addresses (Care Compare)

820 N 980
Orem, UT 84057-7709
Phone (801) 426-9800

Merit-based Incentive Payment System (MIPS)

Final score
86.79 of 100Reported as group
Quality
81.55
Promoting interoperability
100
Improvement activities
40
Cost
74.42

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery231

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD154095ORMDOphthalmology Physician
8227125-1205UTMDCornea and External Diseases Specialist Physician
LL17376ORMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Central Utah Eye Associates Ophthalmology CurrentSince Jul 1, 2012 Accepting new patients

Locations

674 S Highway 99
Fillmore, UT 84631
Phone (435) 743-5555

220 N 1200 E
Ste 101
Lehi, UT 84043
Phone (801) 341-6200

820 N 980 W
Orem, UT 84057
Phone (801) 426-9800

1735 N State St
Provo, UT 84604
Phone (801) 374-1818

Interoperability endpoints

  • Direct secure messaging: justin.wilkinson.p1@direct.exceleyecenter.nextgenshare.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1187136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530144000000",
    "number": "1396937074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 N STATE ST",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846041010",
            "telephone_number": "801-374-1818",
            "fax_number": "801-374-0163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1735 N STATE ST",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "84604",
            "telephone_number": "801-374-1818",
            "fax_number": "801-374-0163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKINSON",
        "first_name": "JUSTIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-15",
        "last_updated": "2018-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OR",
            "license": "MD154095",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "UT",
            "license": "8227125-1205",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OR",
            "license": "LL17376",
            "primary": false
        },
        {
            "code": "207WX0120X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Cornea and External Diseases Specialist",
            "state": "UT",
            "license": "8227125-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Provo, UT

Sources for this page

Verify at the official NPI Registry.