Active NPI
James Guy Wymore, MD
- Ophthalmology Physician
- Silvis, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 21468
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 790730 | Other | IL | IL GROUP MEDICARE |
| 1053918 | Medicaid | IA | |
| 26568 | Other | IA | IA GROUP MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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 100
- Quality
- 97.61
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 32.58
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 12 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-081788 | IL | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Surgeons Associates PC | Ophthalmology | Current | 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
- james.wymore.p2@direct.urologyqc.nextgenshare.com
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2014; 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.