NPIMap

Advanced Ophthalmology of Michiana LLC

A Medicare group practice based in South Bend, IN: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 3678528403), with 4 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
3678528403The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Physician - Optometrist, Part B Supplier - Clinic/Group Practice
Enrolled in
IN
Enrollments
2
Group size
3 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
2In 1 place

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20050315000461 IN Part B Supplier - Clinic/Group Practice 1548304876
O20100930001164 IN DME Supplier - Physician - Optometrist 1962547984

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
92.97 of 100Reported as group, on the record of 4 clinicians in this group
Quality
100
Improvement activities
40
Cost
76.56

Clinicians 4

Clinicians who reassign their Medicare benefits to this group (4) or whom Care Compare lists as members (3).

Sources for this page