Active NPI
Craig L Wilkerson, MD
- Ophthalmology Physician
- Helena, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 10699
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0090559 | Medicaid | MT |
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
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 90 of 100
- Quality
- 80
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10699 | MT | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Retina Institute of Hawaii LLC | Ophthalmology | Current | Accepting new patients |
| Retina Institute of Hawaii LLC | Ophthalmology | Current | Accepting new patients |
| Montana Surgery Center | Current | Accepting new patients |
Locations
91-803 Papipi Rd
Ewa Beach, HI 96706
Phone (808) 689-7911
346 Waianuenue Ave
Hilo, HI 96720
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.
-
- Ambulatory Surgical Clinic/Center
- Helena, MT
- NPI 1811257918
-
- Ophthalmology Physician
- Lihue, HI
- NPI 1134000391
-
- Ophthalmology Physician
- Kailua Kona, HI
- NPI 1801859871
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.