Individual provider Active NPI

Erin T Gilliland, MD

  • Ophthalmology Physician
  • Saint Joseph, MO
National Provider Identifier
1871500066
Registry record updated Jul 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
2006017894 Issued in MO
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, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
204026009MedicaidMO

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060823000360 MO Practitioner - Ophthalmology 5092718577 Reassigns benefits to 1 organization

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
Perfect Sense Eye Center St. Joe, LLCGroup PAC ID 7012911936, 3 clinicians

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 100Reported as group
Quality
100
Improvement activities
40
Cost
77.65

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2006017894MOMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Perfect Sense Eye Center St. Joe, LLC Ophthalmology CurrentSince Aug 1, 2006 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.

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

Verify at the official NPI Registry.