Nathan Derek Wilbanks, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MD60945817 Issued in WA

Practice address

1101 Madison St Ste 600
Seattle, WA 98104-1340

Phone

(206) 215-2020

Fax

(206) 215-2022

NPI assigned

May 28, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

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

Specialty

Ophthalmology

Education

University of Alabama School of Medicine, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Associates Northwest PLLCGroup PAC ID 2961397385, 10 clinicians

Evergreen Eye Center PLLCGroup PAC ID 3173410057, 33 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

84.62 of 100Reported as group

Quality

85.07

Improvement activities

40

Cost

76.1

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Evergreen Eye Center, PLLC

  • Ophthalmology Physician
  • Federal Way, WA
  • NPI 1700959293
  Medicare reassignment Care Compare group NPD
• Eye Associates Northwest, PLLC

  • Ophthalmology Physician
  • Seattle, WA
  • NPI 1811952815
  Medicare reassignment Care Compare group NPD
• Evergreen Eye Center, PLLC

  • Ambulatory Surgical Clinic/Center
  • Seattle, WA
  • NPI 1184689408
  NPD
• Evergreen Eye Center, PLLC

  • Ophthalmology Physician
  • Seattle, WA
  • NPI 1275387995
  NPD (past)
• Evergreen Eye Center, PLLC

  • Ophthalmology Physician
  • Burien, WA
  • NPI 1538238043
  NPD (past)
• Evergreen Eye Center, PLLC

  • Ambulatory Surgical Clinic/Center
  • Federal Way, WA
  • NPI 1821167479
  NPD (past)

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

{
    "created_epoch": "1432771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1801275490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 MADISON ST",
            "address_2": "STE 600",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981043501",
            "telephone_number": "206-215-2004",
            "fax_number": "206-342-6183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 MADISON ST STE 600",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981041340",
            "telephone_number": "206-215-2020",
            "fax_number": "206-215-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILBANKS",
        "first_name": "NATHAN",
        "middle_name": "DEREK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-28",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WA",
            "license": "MD60945817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Wiiki
• Sandhira Wijayaratne, MD
• Olindi Wijesekera, MD
• Stefan Z Wiktor
• Carolyn Marie Wilbanks, MSW
• Ellen Wilber, M.D.
• Robert L Wilburn, MD
• Rand Nicholas Wilcox Vanden Berg, MD
• Carrie Lynn Klaes Wilcox, M.D.
• Cynthia L. Wilcox, M.D.

• Ophthalmology Physician in Seattle, WA
• Providers in Seattle, WA by specialty
• Ophthalmology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; 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.