ERIC HUNT WIGTON M.D.
NPI 1396926424
Ophthalmology in Swansea, IL

Active since November 16, 2007PECOS EnrolledAccepts Medicare Assignment
80.42/100
CMS Quality Rating
3990 N ILLINOIS ST, SWANSEA, IL 62226(618) 277-1130(618) 277-4917 Get Directions Write a Review

NPPES record last updated: July 27, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Eric Hunt Wigton M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ERIC HUNT WIGTON M.D. (NPI 1396926424) is an individual ophthalmology provider in Swansea, Illinois, licensed in Alabama (29048) and active in the NPI registry since November 2007. He is enrolled in Medicare PECOS and is a graduate of Saint Louis University School Of Medicine (2007).

NPPES Registry Identity

NPI1396926424
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameERIC HUNT WIGTONCredential: M.D.
Location Address3990 N ILLINOIS STSwansea, IL 62226-1919
Mailing Address3990 N Illinois StSwansea, IL 62226-1919 · (618) 277-1130 · Fax (618) 277-4917
Fax(618) 277-4917
Sole ProprietorNo
Medical School CMSSaint Louis University School Of MedicineGraduated 2007
Enumeration DateNovember 16, 2007
Last NPPES UpdateJuly 27, 2012
NPI 1396926424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in AL · 29048
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
3990 N ILLINOIS ST, Swansea, IL 62226

Other Identifiers 14

Other051117259AL · Bcbs
Medicaid07805726MS
Medicaid128645AL
Medicaid128661AL
Medicaid128646AL
Medicaid128662AL
Other051117254AL · Bcbs
Medicaid128660AL
Other051117253AL · Bcbs
Other051117258AL · Bcbs
Other051117260AL · Bcbs
Other051117262AL · Bcbs
Medicaid128667AL
Medicare PIN102I500465AL

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Eric Hunt Wigton M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8527246586
PECOS Enrollment IDI20120827000703
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 16

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
724 services704 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
678 services646 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
605 services458 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
323 services319 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
308 services219 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
275 services164 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62226 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$131.14 typical visit price
range $56.28 – $173.35
Typical copayment $32.78 (range $14.07 – $43.33)
Most-billed visit code 99204
Established Patient
$70.42 typical visit price
range $17.51 – $139.99
Typical copayment $17.60 (range $4.37 – $34.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.42/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost34.74

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
3 suppliers11 claims11 services$56.98 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Ophthalmology
3990 N ILLINOIS ST
SWANSEA, IL 62226
Technician/Technologist (Ophthalmic)
3990 N ILLINOIS ST
SWANSEA, IL 62226
Optometrist
3990 N ILLINOIS ST
SWANSEA, IL 62226
Ophthalmology
3990 N ILLINOIS ST
SWANSEA, IL 62226
Optometrist
3990 N ILLINOIS ST
SWANSEA, IL 62226
Ophthalmology
3990 N ILLINOIS ST
SWANSEA, IL 62226
Ophthalmology
3990 N ILLINOIS ST
SWANSEA, IL 62226
Optometrist
3990 N ILLINOIS ST
SWANSEA, IL 62226

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eric Wigton's NPI number?

The NPI number for Eric Wigton is 1396926424. It was assigned to this individual provider in the NPPES registry on November 16, 2007.

Where is Eric Wigton located?

Eric Wigton practices at 3990 N Illinois St, Swansea, IL 62226. The listed phone number is (618) 277-1130.

What is Eric Wigton's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Eric Wigton enrolled in Medicare?

Yes. Eric Wigton is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Eric Wigton accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 6 other insurers list Eric Wigton as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Eric Wigton was last updated on July 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.