Individual provider Active NPI

James Guy Wymore, MD

  • Ophthalmology Physician
  • Silvis, IL
National Provider Identifier
1477530830
Registry record updated Sep 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
21468 Issued in IA
Practice address
2001 5TH St
Suite 49
Silvis, IL 61282-2903
Phone
(309) 792-2020
Fax
(309) 792-4753
NPI assigned
Dec 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 036-081788 IL
Ophthalmology Physician 207W00000X 21468 IA Primary

Addresses

Primary practice location

2001 5TH St
Suite 49
Silvis, IL 61282-2903

Mailing address

777 Tanglefoot LN
Bettendorf, IA 52722-1650
Phone (563) 323-2020

Other identifiers 3

IdentifierTypeStateIssuer
790730OtherILIL GROUP MEDICARE
1053918MedicaidIA
26568OtherIAIA GROUP MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IA2 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

Enrollment IDStateProvider typePAC IDDetails
I20050601000985 IL Practitioner - Ophthalmology 4789626672 Reassigns benefits to 1 organization
I20100601000720 IA Practitioner - Ophthalmology 4789626672 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Iowa, RJ & L Carver College of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Surgeons Associates PCGroup PAC ID 4183521206, 19 clinicians

Practice addresses (Care Compare)

4731 45TH St CT
Rock Island, IL 61201-7102
Phone (309) 793-2020

777 Tanglefoot LN
Bettendorf, IA 52722-1650
Phone (563) 323-2020

Merit-based Incentive Payment System (MIPS)

Final score
78.56 of 100Reported as group
Quality
97.61
Promoting interoperability
98
Improvement activities
40
Cost
32.58

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-081788ILMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Surgeons Associates PC Ophthalmology CurrentSince Jan 1, 1987 Accepting new patients
Eye Surgeons Associates PC Ophthalmology Past Accepting new patients

Locations

777 Tanglefoot Ln
Bettendorf, IA 52722
Phone (319) 323-8888

422 S State St
Geneseo, IL 61254
Phone (309) 944-4608

2570 24th St
Ste 124
Rock Island, IL 61201
Phone (309) 779-3670

4731 45th Street Ct
Rock Island, IL 61201
Phone (309) 793-2020

2001 5th St
Ste 49
Silvis, IL 61282
Phone 3097922020 ext. 6676

Interoperability endpoints

  • Direct secure messaging: james.wymore.p2@direct.urologyqc.nextgenshare.com
  • Direct secure messaging: james.wymoremd.p1@direct.esaeyecare.nextgenshare.com

Organizations & group practices 2

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": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410912000000",
    "number": "1477530830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 TANGLEFOOT LN",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527221650",
            "telephone_number": "563-323-2020",
            "fax_number": "563-328-5694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 5TH ST",
            "address_2": "SUITE 49",
            "city": "SILVIS",
            "state": "IL",
            "postal_code": "612822903",
            "telephone_number": "309-792-2020",
            "fax_number": "309-792-4753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYMORE",
        "first_name": "JAMES",
        "middle_name": "GUY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-28",
        "last_updated": "2014-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036-081788",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IA",
            "license": "21468",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IL GROUP MEDICARE",
            "identifier": "790730",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1053918",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IA GROUP MEDICARE",
            "identifier": "26568",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Silvis, IL

Sources for this page

Verify at the official NPI Registry.