NPIMap

John L Bonner Eye Clinic LTD

A Medicare group practice based in Grand Rapids, MN: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 0547243677), with 4 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
0547243677The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Physician - Ophthalmology, Part B Supplier - Clinic/Group Practice
Enrolled in
MN
Enrollments
2
Group size
4 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
3In 2 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20040610000493 MN Part B Supplier - Clinic/Group Practice 1053351817
O20100930025009 MN DME Supplier - Physician - Ophthalmology 1053351817

NPIs in this group 2

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Merit-based Incentive Payment System (MIPS)

Medicare Care Compare
Final score
85.73 of 100Reported as group, on the record of 3 clinicians in this group
Quality
95.97
Improvement activities
40
Cost
53.66

Clinicians 4

Clinicians who reassign their Medicare benefits to this group (4) or whom Care Compare lists as members (4).

Sources for this page