Active NPI
Robert W Weller, MD
- Ophthalmology Physician
- Quincy, IL
National Provider Identifier
1669445458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 036104739
- Practice address
- 1025 Maine St
Quincy, IL 62301-4038 - Phone
- (217) 222-6550
- NPI assigned
- Feb 10, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 19
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.
-
- Clinic/Center
- Quincy, IL
- NPI 1548234198
IL, MO, Ophthalmology
-
- Rural Health Clinic/Center
- Pleasant Hill, IL
- NPI 1467426585
-
- Durable Medical Equipment & Medical Supplies
- Pittsfield, IL
- NPI 1871794925
-
- Rural Health Clinic/Center
- Barry, IL
- NPI 1013981547
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Quincy, IL
- NPI 1053410001
-
- Rural Health Clinic/Center
- Winchester, IL
- NPI 1114105749
-
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Quincy, IL
- NPI 1215497730
-
- Ambulatory Surgical Clinic/Center
- Quincy, IL
- NPI 1245862002
-
- Rural Health Clinic/Center
- Pittsfield, IL
- NPI 1356315899
-
- Clinical Medical Laboratory
- Quincy, IL
- NPI 1396719431
-
- Durable Medical Equipment & Medical Supplies
- Mt Sterling, IL
- NPI 1598966640
-
- Clinical Medical Laboratory
- Pittsfield, IL
- NPI 1639711120
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Baylor College of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Quincy Physicians and Surgeons Clinic, PLLC
Practice addresses (Care Compare)
1025 Maine St
Quincy, IL 62301-4038
1450 N County Rd 2050
Carthage, IL 62321-3551
Phone (217) 357-2173
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 188 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100326000995 | IL | Practitioner - Ophthalmology | 9931105780 | Reassigns benefits to 1 organization |
| I20100830000640 | MO | Practitioner - Ophthalmology | 9931105780 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036104739 | IL | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Quincy Physicians & Surgeons Clinic, PLLC | Current | Accepting new patients | |
| Quincy Physicians & Surgeons Clinic, PLLC | Ophthalmology | Current | Accepting new patients |
| Quincy Physicians & Surgeons Clinic, PLLC | Current | Accepting new patients |
Locations
1025 Maine St
Quincy, IL 62301
Phone 21722265503163
6000 Hospital Dr
Hannibal, MO 63401
Phone (573) 248-5460
175 Shinn Ln
Hannibal, MO 63401
Phone (573) 248-0008
Interoperability endpoints
- rweller198200@direct.unitypoint.org
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 036104739 | IL | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1025 Maine St
Quincy, IL 62301-4038
Mailing address
1025 Maine St
Quincy, IL 62301-4038
Phone (217) 222-6550
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036104739 | Medicaid | IL |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 12, 2010.
{
"created_epoch": "1139529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265932800000",
"number": "1669445458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1025 MAINE ST",
"city": "QUINCY",
"state": "IL",
"postal_code": "623014038",
"telephone_number": "217-222-6550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 MAINE ST",
"city": "QUINCY",
"state": "IL",
"postal_code": "623014038",
"telephone_number": "217-222-6550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLER",
"first_name": "ROBERT",
"middle_name": "W",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-10",
"last_updated": "2010-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "IL",
"license": "036104739",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036104739",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Quincy, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2010; 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.