Individual provider Active NPI

Iain W. Decker, DO

  • Ophthalmology Physician
  • Beloit, WI
National Provider Identifier
1740718410
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
75511-21 Issued in WI
Practice address
Beloit Clinic
1905 E Huebbe Parkway
Beloit, WI 53511-1842
Phone
(608) 364-2293
Fax
(608) 364-5452
NPI assigned
May 25, 2017
Last updated
Mar 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 036-157241 IL
Ophthalmology Physician 207W00000X 5101028533 MI
Ophthalmology Physician 207W00000X 75511-21 WI Primary

Addresses

Primary practice location

Beloit Clinic
1905 E Huebbe Parkway
Beloit, WI 53511-1842

Mailing address

Beloit Clinic
1905 E Huebbe Parkway
Beloit, WI 53511-1842
Phone (608) 364-2293

Other practice location 1

5477 W Clark Rd
Ypsilanti, MI 48197-1102
Phone (734) 434-6000

Other identifiers 1

IdentifierTypeStateIssuer
100174613MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI, MI3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20210728003558 IL Practitioner - Ophthalmology 6002164902 Reassigns benefits to 1 organization
I20210730000446 WI Practitioner - Ophthalmology 6002164902 Reassigns benefits to 1 organization
I20250328000496 MI Practitioner - Ophthalmology 6002164902 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Michigan State University College of Osteopathic Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blue Sky Vision Eye Care PCGroup PAC ID 8820065618, 51 clinicians

Practice addresses (Care Compare)

5477 W Clark Rd
Huron Ophthalmology PC
Ypsilanti, MI 48197-1102
Phone (734) 434-6000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.93 of 100Reported as group
Quality
64.82
Promoting interoperability
100
Improvement activities
40
Cost
71.63

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery117
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-157241ILMDOphthalmology Physician
5101028533MIMDOphthalmology Physician
75511-21WIMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Sky Vision Eye Care, PC Ophthalmology CurrentSince May 2, 2025 Accepting new patients
Beloit Clinic, S.C. Ophthalmology Current Accepting new patients
Huron Ophthalmology PLLC Ophthalmology Current Accepting new patients
Beloit Health System, Inc CurrentSince Jul 19, 2021 Accepting new patients
Beloit Health System Inc Ophthalmology CurrentSince Jul 19, 2021 Accepting new patients
Blue Sky Vision Eye Care, P.C Ophthalmology CurrentSince May 2, 2025 Accepting new patients
Beloit Health System Inc Ophthalmology CurrentSince Jul 19, 2021 Accepting new patients

Locations

5605 E Rockton Rd
Roscoe, IL 61073
Phone (815) 525-4000

19335 Allen Rd
Brownstown Twp, MI 48183
Phone (734) 479-5580

750 E Beltline Ave NE
Grand Rapids, MI 49525
Phone (616) 588-6506

5477 W Clark Rd
Ypsilanti, MI 48197
Phone (734) 434-6000

1735 Madison Rd
Beloit, WI 53511
Phone (608) 363-7510

1905 E Huebbe Pkwy
Beloit, WI 53511
Phone (608) 364-2293

1969 W Hart Rd
Beloit, WI 53511
Phone (608) 364-5011

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: idecker@huroneye.intellechartdirect.net

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1495670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1740718410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BELOIT CLINIC",
            "address_2": "1905 E HUEBBE PARKWAY",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535111842",
            "telephone_number": "608-364-2293",
            "fax_number": "608-364-5452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BELOIT CLINIC",
            "address_2": "1905 E HUEBBE PARKWAY",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535111842",
            "telephone_number": "608-364-2293",
            "fax_number": "608-364-5452"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5477 W Clark Rd",
            "address_purpose": "LOCATION",
            "city": "Ypsilanti",
            "state": "MI",
            "postal_code": "481971102",
            "country_code": "US",
            "telephone_number": "734-434-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DECKER",
        "first_name": "IAIN",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-25",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036-157241",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "5101028533",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WI",
            "license": "75511-21",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100174613",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beloit, WI

Sources for this page

Verify at the official NPI Registry.