Michael L Wertheimer, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

21002 Issued in MS

Practice address

726 Goodman Rd E # B
Southaven, MS 38671-9530

Phone

(662) 349-1959

Fax

(662) 349-0424

NPI assigned

Jun 26, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MS, TN2 enrollments

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 2

Specialty

Ophthalmology

Education

University of South Alabama College of Medicine, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Memphis Eye and Cataract Associates PLCGroup PAC ID 5496727844, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

88.54 of 100Reported as group

Quality

88.41

Improvement activities

40

Cost

77.25

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Memphis Eye & Cataract Associates PLC

  • Specialist
  • Memphis, TN
  • NPI 1043271224

  TN

  Medicare reassignment Care Compare group
• Deep Blue Retina, PLLC

  • Retina Specialist (Ophthalmology) Physician
  • Southaven, MS
  • NPI 1427511880

  MS, TN

  Medicare reassignment NPD
• Desoto Eyecare Inc

  • Exclusive Provider Organization
  • Southaven, MS
  • NPI 1376576884

  MS, TN

  Medicare reassignment NPD
• Delta Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Memphis, TN
  • NPI 1184173312
  NPD

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348012800000",
    "number": "1447412945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "726 GOODMAN RD E # B",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386719530",
            "telephone_number": "662-349-1959",
            "fax_number": "662-349-0424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "726 GOODMAN RD E # B",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386719530",
            "telephone_number": "662-349-1959",
            "fax_number": "662-349-0424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERTHEIMER",
        "first_name": "MICHAEL",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-26",
        "last_updated": "2012-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MS",
            "license": "21002",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TN",
            "license": "MD0000045703",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "XXXXX5420",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TN",
            "identifier": "4277943",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wellness Clinic, P.C.
• Chelcey Rennee Wells
• Kenji Jermaine Wells
• Willie Johnathan Wells, LPC
• Robert James Wenzler, DPM
• West Clinic PC
• West Clinic, PC
• Brandy B West, LPC
• Thitiporn Sriprasert Whaley, NURSE PRACTITIONER
• Sarah Caitlin Wheat, OTR/L

• All providers in Southaven, MS
• Ophthalmology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; 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.

Verify at the official NPI Registry.