Individual provider Active NPI

Michael Vincent Stock, MD

  • Ophthalmology Physician
  • O Fallon, IL
National Provider Identifier
1730442500
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
2016004847 Issued in MO
Practice address
705 Insight Ave
O Fallon, IL 62269-2146
Phone
(618) 391-1660
Fax
(618) 861-6003
NPI assigned
Jun 18, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 2016004847 MO Primary
Ophthalmology Physician 207W00000X 036141217 IL

Addresses

Primary practice location

705 Insight Ave
O Fallon, IL 62269-2146

Mailing address

705 Insight Ave
O Fallon, IL 62269-2146
Phone (618) 391-1660

Other practice location 1

900 W Temple Ave Bldg A
Effingham, IL 62401-2121
Phone (618) 391-1660

Other practice location 2

201 E Pleasant St
Taylorville, IL 62568-1562
Phone (618) 391-1660

Other practice location 3

12400 Olive Blvd Ste 200
Saint Louis, MO 63141-5436
Phone (314) 391-9400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160726001141 MO Practitioner - Ophthalmology 9830328046 Reassigns benefits to 2 organizations
I20160801000620 IL Practitioner - Ophthalmology 9830328046 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Washington University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ideal Eye Surgery LLCGroup PAC ID 7315200888, 13 clinicians
Washington UniversityGroup PAC ID 9830008770, 2,968 clinicians

Practice addresses (Care Compare)

12400 Olive Blvd
Suite 200
Creve Coeur, MO 63141-5436
Phone (314) 391-9400

4901 Forest Park Ave
FL 6
Saint Louis, MO 63108-1495
Phone (314) 362-3937

705 Insight Ave
O Fallon, IL 62269-2146
Phone (618) 391-1660

Hospital & facility affiliations

  • St Anthonys Memorial Hospital Hospital, Effingham, IL, CCN 140032
  • Taylorville Memorial Hospital Hospital, Taylorville, IL, CCN 141339
  • Barnes Jewish Hospital Hospital, Saint Louis, MO, CCN 260032

Merit-based Incentive Payment System (MIPS)

Final score
91.67 of 100Reported as group
Quality
100
Improvement activities
40
Cost
72.25

Merit-based Incentive Payment System (MIPS)

Final score
84.2 of 100Reported as group
Quality
71.6
Promoting interoperability
100
Improvement activities
40
Cost
75.75

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1687

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Washington University CurrentSince Jul 1, 2018 Accepting new patients
Washington University CurrentSince Jul 1, 2018 Accepting new patients
Ideal Eye Surgery LLC Ophthalmology CurrentSince May 1, 2018 Accepting new patients
Retina Consultants, LLC PastSince May 1, 2018 Accepting new patients

Locations

1 Professional Dr
Ste 260
Alton, IL 62002
Phone (314) 921-2020

100 Deerpath
Charleston, IL 61920
Phone (217) 345-2727

900 W Temple Ave
Bldg A
Effingham, IL 62401

900 W Temple Ave
Effingham, IL 62401
Phone (217) 347-5525

900 W Temple Ave
Ste 104
Effingham, IL 62401
Phone (217) 347-5525

200 Health Care Dr
Greenville, IL 62246
Phone (618) 664-0808

250 E Elm St
Nashville, IL 62263
Phone (618) 327-3231

1660 Essex Way
Ste A
O Fallon, IL 62269

705 Insight Ave
O Fallon, IL 62269
Phone (618) 738-0337

201 E Pleasant St
Taylorville, IL 62568
Phone (217) 707-5555

12400 Olive Blvd
Ste 200
Saint Louis, MO 63141
Phone (314) 391-9400

12400 Olive Blvd
Saint Louis, MO 63141
Phone (314) 391-9400

4901 Forest Park Ave
Fl 6
Saint Louis, MO 63108

517 S Euclid Ave
Saint Louis, MO 63110
Phone (314) 362-3431

660 S Euclid Ave
Saint Louis, MO 63110

517 S Euclid Ave
Fl 1
Saint Louis, MO 63110
Phone (314) 362-3431

660 S Euclid Ave
#8096
Saint Louis, MO 63110
Phone (314) 362-3935

Organizations & group practices 4

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1339977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1730442500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 INSIGHT AVE",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622692146",
            "telephone_number": "618-391-1660",
            "fax_number": "618-861-6003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 INSIGHT AVE",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622692146",
            "telephone_number": "618-391-1660",
            "fax_number": "618-861-6003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 W Temple Ave Bldg A",
            "address_purpose": "LOCATION",
            "city": "Effingham",
            "state": "IL",
            "postal_code": "624012121",
            "country_code": "US",
            "telephone_number": "618-391-1660",
            "fax_number": "618-861-6003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 E Pleasant St",
            "address_purpose": "LOCATION",
            "city": "Taylorville",
            "state": "IL",
            "postal_code": "625681562",
            "country_code": "US",
            "telephone_number": "618-391-1660",
            "fax_number": "618-861-6003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12400 Olive Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631415436",
            "country_code": "US",
            "telephone_number": "314-391-9400",
            "fax_number": "618-861-6003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOCK",
        "first_name": "MICHAEL",
        "middle_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-18",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MO",
            "license": "2016004847",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036141217",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in O Fallon, IL

Sources for this page

Verify at the official NPI Registry.