Individual provider Active NPI

Wayne W Bixenman, MD

  • Neuro-ophthalmology Physician
  • Tucson, AZ
National Provider Identifier
1790862522
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuro-ophthalmology PhysicianTaxonomy code 207WX0109X
License
11672 Issued in AZ
Practice address
6422 E Speedway Blvd Ste 100
Tucson, AZ 85710-1151
Phone
(520) 327-3487
Fax
(520) 886-5605
NPI assigned
Nov 1, 2006
Last updated
May 12, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2021

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 11672 AZ
Neuro-ophthalmology Physician 207WX0109X 11672 AZ Primary

Addresses

Primary practice location

6422 E Speedway Blvd Ste 100
Tucson, AZ 85710-1151

Mailing address

1500 N Wilmot Rd
Suite 180C
Tucson, AZ 85712
Phone (520) 886-4137

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20100205000193 AZ Practitioner - Ophthalmology 6305989864 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sean J McCafferty MD PCGroup PAC ID 9931187325, 17 clinicians

Practice addresses (Care Compare)

6422 E Speedway Blvd
Suite 100
Tucson, AZ 85710-1151
Phone (520) 327-3487

Merit-based Incentive Payment System (MIPS)

Final score
90.65 of 100Reported as group
Promoting interoperability
89
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11672AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cornea Associates, PLLC Ophthalmology CurrentSince Sep 11, 2019 Accepting new patients
Sean J. McCafferty, MD, PC Ophthalmology CurrentSince Sep 11, 2019 Accepting new patients
Christopher M Seniw MD PC Ophthalmology PastSince Nov 11, 2002 Accepting new patients

Locations

2177 W Orange Grove Rd
Tucson, AZ 85741
Phone (520) 797-2020

395 N Silverbell Rd
Ste 355
Tucson, AZ 85745
Phone (520) 622-5912

6422 E Speedway Blvd
Ste 100
Tucson, AZ 85710
Phone (520) 325-9400

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1790862522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 N WILMOT RD",
            "address_2": "SUITE 180C",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85712",
            "telephone_number": "520-886-4137",
            "fax_number": "520-886-5605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6422 E SPEEDWAY BLVD STE 100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857101151",
            "telephone_number": "520-327-3487",
            "fax_number": "520-886-5605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIXENMAN",
        "first_name": "WAYNE",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "11672",
            "primary": false
        },
        {
            "code": "207WX0109X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Neuro-ophthalmology",
            "state": "AZ",
            "license": "11672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.