Individual provider Active NPI

Wesley C Green, MD

  • Ophthalmology Physician
  • O Fallon, IL
National Provider Identifier
1851736037
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
2017006915 Issued in MO
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

Updated by the provider on Dec 11, 2025

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 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, IL2 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 2

Enrollment IDStateProvider typePAC IDDetails
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 LLCGroup PAC ID 7315200888, 13 clinicians
Washington UniversityGroup PAC ID 9830008770, 2,968 clinicians

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 Hospital, Taylorville, IL, CCN 141339
  • Ste Genevieve County Memorial Hospital Hospital, Sainte Genevieve, MO, CCN 261330
  • Barnes Jewish Hospital Hospital, Saint Louis, MO, CCN 260032

Merit-based Incentive Payment System (MIPS)

Final score
79.58 of 100Reported as group
Quality
80.09
Promoting interoperability
88
Improvement activities
40
Cost
61.86

Merit-based Incentive Payment System (MIPS)

Final score
84.2 of 100Reported as group
Quality
71.6
Promoting interoperability
100
Improvement activities
40
Cost
75.75

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery189

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036174940ILMDOphthalmology Physician
2017006915MOMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ste. Genevieve County Memorial Hospital CurrentSince Nov 1, 2025 Accepting new patients
Washington University CurrentSince Feb 25, 2021 Accepting new patients
Ideal Eye Surgery LLC Ophthalmology CurrentSince May 21, 2025 Accepting new patients
Ste Genevieve County Memorial Hospital CurrentSince Nov 1, 2025 Accepting new patients
Retina Consultants, LLC PastSince Jun 1, 2025 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

  • Direct secure messaging: wesley.green.p1@direct.ocltd.nextgenshare.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.