Active NPI
Erin T Gilliland, MD
- Ophthalmology Physician
- Saint Joseph, MO
National Provider Identifier
1871500066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 2006017894
- Practice address
- 3201 Ashland Avenue
St. Joseph, MO 64506-1543 - Phone
- (816) 279-7015
- Fax
- (816) 364-1100
- NPI assigned
- Aug 1, 2006
- Last updated
- Jul 16, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 2006017894 | MO | Primary |
Addresses
Primary practice location
3201 Ashland Avenue
St. Joseph, MO 64506-1543
Mailing address
3201 Ashland Avenue
St. Joseph, MO 64506-1543
Phone (816) 279-2015
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 204026009 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- 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 Kansas School of Med (KC/Wich/Sal), 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3201 Ashland Ave
Saint Joseph, MO 64506-1543
Phone (816) 279-7015
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.3 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 77.65
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2006017894 | MO | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Perfect Sense Eye Center St. Joe, LLC | Ophthalmology | Current | Accepting new patients |
Locations
3201 Ashland Ave
Saint Joseph, MO 64506
Phone (816) 279-0079
Organizations & group practices 1
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.
-
- Ophthalmology Physician
- Saint Joseph, MO
- NPI 1205870581
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342396800000",
"number": "1871500066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3201 ASHLAND AVENUE",
"city": "ST. JOSEPH",
"state": "MO",
"postal_code": "645061543",
"telephone_number": "816-279-2015",
"fax_number": "816-364-1100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3201 ASHLAND AVENUE",
"city": "ST. JOSEPH",
"state": "MO",
"postal_code": "645061543",
"telephone_number": "816-279-7015",
"fax_number": "816-364-1100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILLILAND",
"first_name": "ERIN",
"middle_name": "T",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-01",
"last_updated": "2012-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MO",
"license": "2006017894",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "204026009",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Joseph, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2012; 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.