Individual provider Active NPI

Craig L Wilkerson, MD

  • Ophthalmology Physician
  • Helena, MT
National Provider Identifier
1508976267
Registry record updated Feb 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
10699 Issued in MT
Practice address
3116 Saddle Dr Ste 3
Helena, MT 59601-8637
Phone
(406) 443-4040
Fax
(406) 443-0773
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 10699 MT Primary

Addresses

Primary practice location

3116 Saddle Dr Ste 3
Helena, MT 59601-8637

Mailing address

3116 Saddle Dr Ste 3
Helena, MT 59601-8637
Phone (406) 443-4040

Other identifiers 1

IdentifierTypeStateIssuer
0090559MedicaidMT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90 of 100Reported as group
Quality
80
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10699MTMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Retina Institute of Hawaii LLC Ophthalmology CurrentSince Jul 1, 2024 Accepting new patients
Retina Institute of Hawaii LLC Ophthalmology CurrentSince Jul 1, 2024 Accepting new patients
Montana Surgery Center CurrentSince Jul 17, 2012 Accepting new patients

Locations

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Phone (808) 689-7911

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Phone (808) 319-2939

1620 Ala Moana Blvd
Ste 500
Honolulu, HI 96815

23 Paa St
Kahului, HI 96732
Phone (808) 674-2727

77-6403 Nalani St
Fl 2
Kailua Kona, HI 96740

77-6403 Nalani St
Fl Second
Kailua Kona, HI 96740

77-6403 Nalani St
Ste 200
Kailua Kona, HI 96740

4418 Kukui Grove St
Lihue, HI 96766
Phone (808) 245-5377

94-216 Farrington Hwy
Ste B2
Waipahu, HI 96797

94-216 Farrington Hwy
Ste B2203
Waipahu, HI 96797
Phone (808) 621-8448

3116 Saddle Dr
Ste 3
Helena, MT 59601
Phone (406) 443-4040

Organizations & group practices 3

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329436800000",
    "number": "1508976267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3116 SADDLE DR STE 3",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596018637",
            "telephone_number": "406-443-4040",
            "fax_number": "406-443-0773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3116 SADDLE DR STE 3",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596018637",
            "telephone_number": "406-443-4040",
            "fax_number": "406-443-0773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKERSON",
        "first_name": "CRAIG",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2012-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MT",
            "license": "10699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0090559",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Helena, MT

Sources for this page

Verify at the official NPI Registry.