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Dr. Wade Roger Demordaunt

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NPI Number Detailed Information

Provider Information:

Name: Dr. Wade Roger Demordaunt
Gender: M
Provider License Number If Given: ODP-959

NPI Information:

NPI: 1275591711
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 5/3/2006

Last Update Date: 2/1/2016

Provider Business Mailing Address:

Address: PO BOX 158
Rexburg, ID 83440
Phone Number: 2084976406
Fax Number: 2083593007

Provider Business Practice Location Address:

Address: 1450 N 2ND E
Rexburg, ID 83440
Phone Number: 2084976406
Fax Number: 2083593007

Provider Taxonomy:

Primary: 152WC0802X
Secondary (if any): 152WC0802X
State: ID

Top Doctors in ID

 

About Dr. Wade Roger Demordaunt

Dr. Wade Roger Demordaunt (DR. WADE ROGER DEMORDAUNT ) is The Optometrist Physician in Rexburg, ID. The NPI Number for Dr. Wade Roger Demordaunt is 1275591711.
The current location address for Dr. Wade Roger Demordaunt is 1450 N 2ND E Rexburg, ID 83440 and the contact number is 2084976406 and fax number is 2083593007. The mailing address for Dr. Wade Roger Demordaunt is PO BOX 158 Rexburg, ID 83440- 2084976406 (mailing address contact number - 2084976406).
The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.

Provider Business Location on Map

FAQs:

What is the NPI Number for Dr. Wade Roger Demordaunt ?


Answer: The NPI Number for Dr. Wade Roger Demordaunt is 1275591711

Where is Dr. Wade Roger Demordaunt located?


Answer: Dr. Wade Roger Demordaunt is located at 1450 N 2ND E Rexburg, ID 83440.

What is the specialty for Dr. Wade Roger Demordaunt ?


Answer: The Specialty of Dr. Wade Roger Demordaunt is The Optometrist Physician.

Are there any online reviews for Dr. Wade Roger Demordaunt ?


Answer: Not yet!

Are there any other health care providers in Rexburg, ID?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Dr. Wade Roger Demordaunt

Number of HCPCS 10
Number of Medicare Beneficiaries 170
Number of Services 249
Total Submitted Charge Amount 22225.45
Total Medicare Allowed Amount 20609.67
Total Medicare Payment Amount 12200.33
Total Medicare Standardized Payment Amount 14848.63
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 0
Number of Medicare Beneficiaries With Drug Services 0
Number of Drug Services 0
Total Drug Submitted Charge Amount 0
Total Drug Medicare Allowed Amount 0
Total Drug Medicare Payment Amount 0
Total Drug Medicare Standardized Payment Amount 0
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 10
Number of Medicare Beneficiaries With Medical 170
Number of Medical Services 249
Total Medical Submitted Charge Amount 22225.45
Total Medical Medicare Allowed Amount 20609.67
Total Medical Medicare Payment Amount 12200.33
Total Medical Medicare Standardized Payment Amount 14848.63
Average Age of Beneficiaries 72
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74 91
Number of Beneficiaries Age 75 to 84 54
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries 83
Number of Male Beneficiaries 87
Number of Non-Hispanic White Beneficiaries
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement 15
Number of Beneficiaries With Medicare Only Entitlement 155
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.09
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia
Percent (%) of Beneficiaries Identified With Asthma
Percent (%) of Beneficiaries Identified With Cancer 0.09
Percent (%) of Beneficiaries Identified With Heart Failure 0.16
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.21
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.09
Percent (%) of Beneficiaries Identified With Depression 0.16
Percent (%) of Beneficiaries Identified With Diabetes 0.26
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.31
Percent (%) of Beneficiaries Identified With Hypertension 0.52
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.25
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.35
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries 0.8207

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type Optometry
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 27
Number of Standardized 30-Day Fills 27
Aggregate Cost Paid for All Claims 3246.55
Number of Day's Supply for All Claims 447
Number of Medicare Beneficiaries 15
Number of Claims, Including Refills, for Beneficiaries Age 65+ 27
Including Refills, for Beneficiaries Age 65+ 27
Beneficiaries Age 65+ 3246.55
Number of Day's Supply for All Claims for Beneficaries Age 65+ 447
Number of Medicare Beneficiaries Age 65+ 15
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 17
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst *
Total Claims of Generic Drugs, Including Refills
Aggregate Cost Paid for Generic Drugs
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst #
Total Claims of Other Drugs, Including Refills
Aggregate Cost Paid for Other Drugs
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst *
Number of Claims for Beneficiaries Covered by MAPD Plans
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst #
Number of Claims for Beneficiaries Covered by Standalone PDP Plans
Aggregate Cost Paid for Claims Filled by
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 0
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 0
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 27
by Low-Income Subsidy 3246.55
Total Claims of Opioid Drugs, Including 0
Aggregate Cost Paid for Opioid Drugs 0
Opioid Claims 0
Opioid_Tot_Clms divided by the Tot_Clms 0
Total Claims of Long-Acting Opioid Drugs 0
Aggregate Cost Paid for Long-Acting Opioid 0
Number of Day's Supply of All Long-Acting 0
Long-Acting Opioid Claims 0
Opioid_LA_Tot_Clms divided by the
Total Claims of Antibiotic Drugs, Including 0
Aggregate Cost Paid for Antibiotic Drugs 0
Antibiotic Claims 0
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+ 0
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+ 0
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims 0
Average Age of Beneficiaries 74.533333333
Number of Beneficiaries Age Less Than 65 0
Number of Beneficiaries Age 65 to 74
Number of Beneficiaries Age 75 to 84
Number of Female Beneficiaries
Number of Male Beneficiaries
Number of Non-Hispanic White 15
Number of Black or African American 0
Number of Asian Pacific Islander 0
Number of Hispanic Beneficiaries 0
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not 0
Only Entitlement 15
Average Hierarchical Condition Category 0.6877333333

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Dr. Wade Roger Demordaunt in Other Directories

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