Active NPI
Wesley C Green, MD
- Ophthalmology Physician
- O Fallon, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 2017006915
- Practice address
- 705 Insight Ave
O Fallon, IL 62269-2146 - Phone
- (618) 738-0337
- NPI assigned
- May 1, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 2017006915 | MO | Primary |
| Ophthalmology Physician | 207W00000X | 036174940 | 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
201 E Pleasant St
Taylorville, IL 62568-1562
Phone (618) 391-1660
Other practice location 2
751 Sappington Bridge Rd # Mo63080
Sullivan, MO 63080-2354
Phone (314) 391-9400
Other practice location 3
800 Ste Genevieve Dr
Ste Genevieve, MO 63670-1434
Phone (314) 391-9400
Other practice location 4
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, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170619001384 | MO | Practitioner - Ophthalmology | 6406076850 | Reassigns benefits to 3 organizations |
| I20250528000362 | IL | Practitioner - Ophthalmology | 6406076850 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- R Franklin University of Med & Sci/Chicago Medical School, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ideal Eye Surgery LLCWashington University
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
- Taylorville Memorial Hospital
- Ste Genevieve County Memorial Hospital
- Barnes Jewish Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.58 of 100
- Quality
- 80.09
- Promoting interoperability
- 88
- Improvement activities
- 40
- Cost
- 61.86
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.2 of 100
- Quality
- 71.6
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.75
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 189 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036174940 | IL | MD | Ophthalmology Physician |
| 2017006915 | MO | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ste. Genevieve County Memorial Hospital | Current | Accepting new patients | |
| Washington University | Current | Accepting new patients | |
| Ideal Eye Surgery LLC | Ophthalmology | Current | Accepting new patients |
| Ste Genevieve County Memorial Hospital | Current | Accepting new patients | |
| Retina Consultants, LLC | Past | Accepting new patients |
Locations
250 E Elm St
Nashville, IL 62263
Phone (618) 327-3231
705 Insight Ave
O Fallon, IL 62269
Phone (618) 738-0337
201 E Pleasant St
Taylorville, IL 62568
Phone (217) 707-5555
20 Progress Point Pkwy
Ste 126
O Fallon, MO 63368
Phone (314) 690-8383
1000 W 10th St
Rolla, MO 65401
Phone (573) 364-9000
12400 Olive Blvd
Ste 200
Saint Louis, MO 63141
Phone (314) 391-9400
660 S Euclid Ave
#8096
Saint Louis, MO 63110
Phone (314) 362-3935
12400 Olive Blvd
Saint Louis, MO 63141
Phone (314) 391-9400
517 S Euclid Ave
Fl 1
Saint Louis, MO 63110
Phone (314) 362-3431
5615 Pershing Ave
Ste 27
Saint Louis, MO 63112
Phone (314) 367-7077
4901 Forest Park Ave
Fl 6
Saint Louis, MO 63108
517 S Euclid Ave
Saint Louis, MO 63110
Phone (314) 362-3431
800 Ste Genevieve Dr
Ste Genevieve, MO 63670
Phone (573) 883-2571
965 Mattox Dr
Bldg B
Sullivan, MO 63080
Phone (314) 872-3104
751 Sappington Bridge Rd
Sullivan, MO 63080
Phone (573) 468-1343
320 Washington Ave
Washington, MO 63090
Phone (314) 239-2179
Interoperability endpoints
- wesley.green.p1@direct.ocltd.nextgenshare.com
- wesley.greenmd.p2@direct.ocltd.nextgenshare.com
Organizations & group practices 5
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.
-
- Foot Surgery Podiatrist
- Bloomsdale, MO
- NPI 1104692946
-
- Retina Specialist (Ophthalmology) Physician
- Brentwood, MO
- NPI 1700175395
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Ste Genevieve, MO
- NPI 1073587655
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765411200000",
"number": "1851736037",
"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": "618-738-0337"
}
],
"practiceLocations": [
{
"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": "751 Sappington Bridge Rd # Mo63080",
"address_purpose": "LOCATION",
"city": "Sullivan",
"state": "MO",
"postal_code": "630802354",
"country_code": "US",
"telephone_number": "314-391-9400",
"fax_number": "618-861-6003",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "800 Ste Genevieve Dr",
"address_purpose": "LOCATION",
"city": "Ste Genevieve",
"state": "MO",
"postal_code": "636701434",
"country_code": "US",
"telephone_number": "314-391-9400",
"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": "GREEN",
"first_name": "WESLEY",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-05-01",
"last_updated": "2025-12-11",
"certification_date": "2025-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MO",
"license": "2017006915",
"primary": true
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "IL",
"license": "036174940",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in O Fallon, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.