Jason D Sibble (NPI# 1841235975, PAC ID# 3971406117) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1841235975 |
| PAC ID by PECOS | 3971406117 |
| Professional Enrollment ID | I20040127000940 |
| Full Name | Jason D Sibble |
| Organization Legal Name | KENNETH G VANDINE MDPC |
| Address |
12 Martin St Wellsville NY 14895-1057 |
| Phone Number | 5855936041 |
| Gender | M |
| Credential | OD |
| Medical School | PENNSYLVANIA COLLEGE OF OPTOMETRY |
| Graduation Year | 2001 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 5698865996 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 12 Martin St, Wellsville, NY 14895-1057 | 5855936041 | KENNETH G VANDINE MDPC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_012_overall | Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation | 100% | |
| MIPS_EC_014_overall | Age-Related Macular Degeneration (AMD): Dilated Macular Examination | 98% | |
| MIPS_EC_019_overall | Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care | 100% | |
| MIPS_EC_117_overall | Diabetes: Eye Exam | 99% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_140_overall | Age-Related Macular Degeneration (AMD): Counseling on Antioxidant Supplement | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | KENNETH G VANDINE MDPC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kurt T Benham | Ophthalmology | Kenneth G Vandine Mdpc | 130 S Union St, 8 Allegheny Eye Assoc, Olean, NY 14760-3676 |
| Michael A Johnson | Ophthalmology | Kenneth G Vandine Mdpc | 12 Martin St, Wellsville, NY 14895-1057 |
| Gary L Cook | Optometry | Kenneth G Vandine Mdpc | 12 Martin St, Wellsville, NY 14895-1057 |
| Michael D Mortimer | Optometry | Kenneth G Vandine Mdpc | 130 S Union St, 8 Allegheny Eye Assoc, Olean, NY 14760-3676 |
| Street Address |
12 MARTIN ST |
| City | WELLSVILLE |
| State | NY |
| Zip | 14895-1057 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher R Depner | Family Medicine | 12 Martin St, Wellsville, NY 14895-1057 | |
| Robert J Maiden | Psychologist, Clinical | 12 Martin St, Wellsville, NY 14895-1057 | |
| Michael A Johnson | Ophthalmology | Kenneth G Vandine Mdpc | 12 Martin St, Wellsville, NY 14895-1057 |
| Gary L Cook | Optometry | Kenneth G Vandine Mdpc | 12 Martin St, Wellsville, NY 14895-1057 |
| Bradley A Speta | Nurse Practitioner | 12 Martin St, Wellsville, NY 14895-1057 | |
| Linda Pullman | Nurse Practitioner | 12 Martin St, Wellsville, NY 14895-1057 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregory Lee Gunzburger | Chiropractic | 29 Martin St, Wellsville, NY 14895-1019 | |
| Heide K Crandall | General Surgery | 46 Martin St, Wellsville, NY 14895-1020 | |
| Reed P Haag | Internal Medicine | 238 N Main St, Wellsville, NY 14895-1046 | |
| Anthony M Marra IIi | Occupational Therapy | Nysarc Inc., Chemung County Chapter | 240 Oconnor St, Wellsville, NY 14895-1055 |
| Benjamin H Palmer Iv | Speech Language Pathologist | Nysarc Inc., Chemung County Chapter | 240 Oconnor St, Wellsville, NY 14895-1055 |
| Shannon M Mooney | Physician Assistant | The Memorial Hospital of William F. and Gertrude F. Jones, Inc. | 13 Loder St, Wellsville, NY 14895-1112 |
| Cheryl A Patterson-reeves | Physician Assistant | The Memorial Hospital of William F. and Gertrude F. Jones, Inc. | 13 Loder St, Wellsville, NY 14895-1112 |
| Billy R Carstens | Physical Medicine and Rehabilitation | 243 Maple Ave, Wellsville, NY 14895-1114 | |
| Anna M Haring | Obstetrics/gynecology | The Memorial Hospital of William F. and Gertrude F. Jones, Inc. | 127 N Main St, Wellsville, NY 14895-1149 |
| Jennifer Middaugh | Certified Nurse Midwife (cnm) | The Memorial Hospital of William F. and Gertrude F. Jones, Inc. | 127 N Main St, Wellsville, NY 14895-1149 |
| Find all physicians in zip 14895 | |||
| City | WELLSVILLE |
| Zip Code | 14895 |
| Specialty | OPTOMETRY |
| City + Specialty | WELLSVILLE + OPTOMETRY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.