DR. THANDEKA MYENI M.D.
NPI 1972764801
Ophthalmology in Springfield, IL

Active since June 23, 2008PECOS EnrolledAccepts Medicare Assignment
96.15/100
CMS Quality Rating
2020 W ILES AVE, SPRINGFIELD, IL 62704(217) 698-3030 Get Directions Write a Review

NPPES record last updated: December 17, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 17, 2025, Dec 11, 2025, Dec 8, 2022 and 6 more (9 updates tracked since 2016).

About Dr. Thandeka Myeni M.d. NPPES

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

DR. THANDEKA MYENI M.D. (NPI 1972764801) is an individual ophthalmology provider in Springfield, Illinois, licensed in District Of Columbia (MD040967) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, is affiliated with St Marys Hospital, and is a graduate of Medical College Of Georgia School Of Medicine (2006).

NPPES Registry Identity

NPI1972764801
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameDR. THANDEKA MYENICredential: M.D.
Location Address2020 W ILES AVESpringfield, IL 62704-4174
Mailing Address2041 Martin Luther King Jr Ave Se Ste 102Washington, DC 20020-7033 · (202) 889-5700 · Fax (202) 610-1861
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2006
Enumeration DateJune 23, 2008
Last NPPES UpdateDecember 17, 20259 updates tracked since enumeration
NPPES CertifiedDecember 17, 2025
NPI 1972764801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in DC · MD040967 Licensed in MD · D74797 Licensed in RI · MD14959
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.
Also ListedOphthalmology · Glaucoma SpecialistTaxonomy 207WX0009X · License MD040967 (DC)
2020 W ILES AVE, Springfield, IL 62704

Other Identifiers 2

Medicaid012845502DC
Medicaid073072308DC

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

Dr. Thandeka Myeni 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 ID9133307531
PECOS Enrollment IDI20130402000252, I20251003001223
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 12

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
250 services195 patients
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).
206 services197 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.
182 services136 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
138 services136 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.
126 services125 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.
97 services94 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Marys Hospital

Acute Care Hospitals · Decatur, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140166
Location1800 E Lake Shore DrDecatur, IL 62521 · Macon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62704 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

96.15/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality83.92
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
7%245 patients1/55-star benchmark: 87%
Controlling High Blood Pressure
0%1,071 patients1/55-star benchmark: 91%
Diabetes: Eye Exam
100%735 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
94%4,810 patients4/55-star benchmark: 100%
e-Prescribing
96%586 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
0%2,353 patients1/55-star benchmark: 98%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 78% · 1,838 patients
Patients screened: 92% · 1,838 patients
20%316 patients1/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
97%1,159 patients
Provide Patients Electronic Access to Their Health Information
99%951 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
82%1,396 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,204 patients
Patients totalRate: 0% · 1,204 patients
0%1,204 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

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

Optometrist
2020 W ILES AVE
SPRINGFIELD, IL 62704
Specialist
2020 W ILES AVE
SPRINGFIELD, IL 62704
Optometrist
2020 W ILES AVE
SPRINGFIELD, IL 62704
Specialist
2020 W ILES AVE
SPRINGFIELD, IL 62704
Ophthalmology
2020 W ILES AVE
SPRINGFIELD, IL 62704
Ophthalmology (Retina Specialist)
2020 W ILES AVE
SPRINGFIELD, IL 62704
Optometrist
2020 W ILES AVE
SPRINGFIELD, IL 62704
Ophthalmology
2020 W ILES AVE
SPRINGFIELD, IL 62704

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 Thandeka Myeni's NPI number?

The NPI number for Thandeka Myeni is 1972764801. It was assigned to this individual provider in the NPPES registry on June 23, 2008.

Where is Thandeka Myeni located?

Thandeka Myeni practices at 2020 W Iles Ave, Springfield, IL 62704. The listed phone number is (217) 698-3030.

What is Thandeka Myeni's specialty?

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

Is Thandeka Myeni enrolled in Medicare?

Yes. Thandeka Myeni 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 Thandeka Myeni accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 1 other insurer list Thandeka Myeni 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.

Is Thandeka Myeni affiliated with any hospitals?

According to CMS data, Thandeka Myeni is affiliated with St Marys Hospital.

When was this NPI record last updated?

The NPPES record for Thandeka Myeni was last updated on December 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.