Individual provider Active NPI

Lucas J Wendel, M.D.

  • Ophthalmology Physician
  • St Charles, IL
National Provider Identifier
1427256601
Registry record updated Sep 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
036127431 Issued in IL
Practice address
40W330 Lafox Rd
Suite a
St Charles, IL 60175-6515
Phone
(630) 584-9850
NPI assigned
Jul 10, 2007
Last updated
Sep 27, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X R-8005 IA
Ophthalmology Physician 207W00000X 38964 IA
Ophthalmology Physician 207W00000X 036127431 IL Primary

Addresses

Primary practice location

40W330 Lafox Rd
Suite a
St Charles, IL 60175-6515

Mailing address

40W330 Lafox Rd
Suite a
St Charles, IL 60175-6515
Phone (630) 584-9850

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
I20110902000612 IL Practitioner - Ophthalmology 2264566280 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Iowa, RJ & L Carver College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fox Valley OphthalmologyGroup PAC ID 6103710652, 7 clinicians

Practice addresses (Care Compare)

40 W330 Lafox Rd
Unit a
Saint Charles, IL 60175-6515
Phone (630) 584-9850

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.18 of 100Reported as group
Quality
97.93
Improvement activities
40
Cost
70.03

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery354

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
38964IAMDOphthalmology Physician
R-8005IAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Valley Ophthalmology Ophthalmology PastSince Dec 1, 2013 Accepting new patients
Koziol-Thoms Eye Associates S.C. Ophthalmology PastSince Mar 15, 1990 Accepting new patients
Koziol-Thoms Eye Associates S.C. Ophthalmology Past Accepting new patients

Organizations & group practices 4

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": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632700800000",
    "number": "1427256601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40W330 LAFOX RD",
            "address_2": "SUITE A",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601756515",
            "telephone_number": "630-584-9850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40W330 LAFOX RD",
            "address_2": "SUITE A",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601756515",
            "telephone_number": "630-584-9850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENDEL",
        "first_name": "LUCAS",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-10",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IA",
            "license": "R-8005",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IA",
            "license": "38964",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036127431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Charles, IL

Sources for this page

Verify at the official NPI Registry.