Wayne R Devantier, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

0101040502 Issued in VA

Practice address

3235 Academy Ave
Suite 200
Portsmouth, VA 23703-3200

Phone

(757) 483-0400

NPI assigned

Aug 8, 2006

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 2

Medicare fee-for-service enrollment

Enrolled in VA

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

Merit-based Incentive Payment System (MIPS)

Final score

81.39 of 100Reported as group

Quality

77.12

Promoting interoperability

100

Improvement activities

40

Cost

60.85

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: wayne.devantiermd.p1@direct.vec.nextgenshare.com

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.

• Virginia Eye Consultants Inc

  • Ophthalmology Physician
  • Norfolk, VA
  • NPI 1992727820
  Medicare reassignment NPD
• Fresenius Medical Care Virginia Beach Home, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Virginia Beach, VA
  • NPI 1831502772
  NPD (past)
• Tidewater Eye Centers

  • Ophthalmology Physician
  • Portsmouth, VA
  • NPI 1245469964
  NPD (past)

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1538178363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3235 ACADEMY AVE STE 200",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237033200",
            "telephone_number": "757-410-3435",
            "fax_number": "757-548-9563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3235 ACADEMY AVE",
            "address_2": "SUITE 200",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237033200",
            "telephone_number": "757-483-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVANTIER",
        "first_name": "WAYNE",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101040502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6306403",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "325051",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dominick Depolo Jr., RPH
• Destiny'S Way, LLC
• Baele Dethridge, PHARMD
• Jonathan Robert Dettmer, M.D.
• Joshua Paul Dettmer, D.O.
• Justin James De Guzman Devera, DO
• Devoted Hands Healthcare, LLC
• Andrea Dewitz, IDC
• Dfas-CL/JFLP
• Dfas-CL/JFLP

• Ophthalmology Physician in Portsmouth, VA
• Providers in Portsmouth, VA by specialty
• Ophthalmology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; 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.