Active NPI
Mark J Phelan, M.D.
- Ophthalmology Physician
- Abilene, TX
National Provider Identifier
1801882030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- F79809
- Practice address
- 2120 Antilley Rd
Abilene, TX 79606-5211 - Phone
- (325) 695-2020
- Fax
- (325) 695-2326
- NPI assigned
- Sep 22, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | F79809 | MI | Primary |
Addresses
Primary practice location
2120 Antilley Rd
Abilene, TX 79606-5211
Mailing address
2120 Antilley Rd
Abilene, TX 79606-5211
Phone (325) 695-2020
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 180019658 | Other | TX | RRMC |
| 81W900 | Other | TX | BCBS |
| 039788701 | Medicaid | TX | |
| 751531889 | Other | TAX ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- University of Michigan Medical School, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2120 Antilley Rd
Abilene, TX 79606-5211
Phone (325) 695-2020
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 954 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F79809 | MI | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Regional Health Care System Inc | Current | Accepting new patients | |
| Abilene Eye ASC LP | Past | Accepting new patients |
Interoperability endpoints
- mark.phelan.p1@direct.abileneeye.nextgenshare.com
- https://epicproxy.et1096.epichosted.com/FHIRProxy/api/fhir/r4/
- mphelan14475@unitedregional.medalliesdirect.net
- mark.phelan.p2@direct.abileneeye.nextgenshare.com
- https://epicproxy.et1096.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
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 and National Provider Directory roles.
-
- Ophthalmology Physician
- Abilene, TX
- NPI 1043325996
-
- General Acute Care Hospital
- Wichita Falls, TX
- NPI 1023013448
-
- Ambulatory Surgical Clinic/Center
- Abilene, TX
- NPI 1205808938
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Eastland, TX
- NPI 1437851680
-
- Critical Access Hospital
- Stanton, TX
- NPI 1679560866
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752105600000",
"number": "1801882030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2120 ANTILLEY RD",
"city": "ABILENE",
"state": "TX",
"postal_code": "796065211",
"telephone_number": "325-695-2020",
"fax_number": "325-695-2326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2120 ANTILLEY RD",
"city": "ABILENE",
"state": "TX",
"postal_code": "796065211",
"telephone_number": "325-695-2020",
"fax_number": "325-695-2326"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHELAN",
"first_name": "MARK",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-22",
"last_updated": "2025-07-10",
"certification_date": "2025-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MI",
"license": "F79809",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRMC",
"identifier": "180019658",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "81W900",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "039788701",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "751531889",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Abilene, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; 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.