Mark Howard Wilkerson, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

H0938 Issued in TX

Practice address

400 S Loop 336 W
Conroe, TX 77304-3302

Phone

(936) 539-4500

Fax

(936) 539-4050

NPI assigned

Oct 10, 2006

Last updated

Jun 11, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Ophthalmology

Education

University of Texas Southwestern Medical School at Dallas, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dejean and Kuglen Eye Associates LLPGroup PAC ID 8527041128, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Hermann Hospital System Hospital, Houston, TX, CCN 450184

Merit-based Incentive Payment System (MIPS)

Final score

90.63 of 100Reported as group

Quality

95.33

Improvement activities

40

Cost

74.98

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mwilkerson@averyeye.emadirect.md

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.

• Dejean & Kuglen Eye Associates LLP

  dba Avery Eye Clinic

  • Ophthalmology Physician
  • Conroe, TX
  • NPI 1952322067
  Medicare reassignment Care Compare group NPD
• Dejean & Kuglen Eye Associates, LLP

  dba Avery Optical

  • Durable Medical Equipment & Medical Supplies
  • Huntsville, TX
  • NPI 1003523887
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Memorial Hermann Health System

  dba MHHS NW Radiation Therapy

  • Radiology Clinic/Center
  • Houston, TX
  • NPI 1013948553

  Hospital

  Care Compare affiliation
• Memorial Hermann Health System

  dba MHHS Woodlands Outpatient Imaging System

  • Radiology Clinic/Center
  • The Woodlands, TX
  • NPI 1275564858

  Hospital

  Care Compare affiliation
• Memorial Hermann Health System

  dba Memorial Hermann Outpatient Imaging-Southwest

  • Radiology Clinic/Center
  • Houston, TX
  • NPI 1407959448

  Hospital

  Care Compare affiliation
• Memorial Hermann Health System

  dba MHHS Friendswood Imaging

  • Radiology Clinic/Center
  • Friendswood, TX
  • NPI 1508896267

  Hospital

  Care Compare affiliation
• Memorial Hermann Health System

  dba MHHS Pearland Outpatient Imaging Center

  • Radiology Clinic/Center
  • Pearland, TX
  • NPI 1669402335

  Hospital

  Care Compare affiliation
• Memorial Hermann Health System

  • General Acute Care Hospital
  • Houston, TX
  • NPI 1730132234
  Care Compare affiliation

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1477641108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S LOOP 336 W",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773043302",
            "telephone_number": "936-539-4500",
            "fax_number": "936-539-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S LOOP 336 W",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773043302",
            "telephone_number": "936-539-4500",
            "fax_number": "936-539-4050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "129 Vision Park Blvd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Shenandoah",
            "state": "TX",
            "postal_code": "773843024",
            "country_code": "US",
            "telephone_number": "936-539-4500",
            "fax_number": "936-539-4050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3361 Montgomery Rd",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "TX",
            "postal_code": "773406416",
            "country_code": "US",
            "telephone_number": "936-539-4500",
            "fax_number": "936-539-4050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILKERSON",
        "first_name": "MARK",
        "middle_name": "HOWARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "H0938",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "097848802",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph D Whitt, MD
• Grayson Brulie Whitten
• Joshua Tyler Wiatt
• Jessica Nicole Wiley, OTR
• Richard Stephen Wilkenfeld, M.D.
• Melissa Kay Wilkin, FNP
• Dawn Lynnelle Williams-Voorbeijtel, M.D.
• Georgia Ann Williams-Zuccaro, LPC
• Andre Williams
• Christi Williams, HAF

• Ophthalmology Physician in Conroe, TX
• Providers in Conroe, TX by specialty
• Ophthalmology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.