Black Hills Regional Eye Surgery Center LLC
A Medicare group practice based in Rapid City, SD: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 7113909201), with 16 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 7113909201
- Provider type
- Part B Supplier - Ambulatory Surgical Center, Part B Supplier - Clinic/Group Practice
- Enrolled in
- SD
- Enrollments
- 2
- Group size
- 7 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 2
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20040602001563 | SD | Part B Supplier - Clinic/Group Practice | 1174654081 |
| O20090625000089 | SD | Part B Supplier - Ambulatory Surgical Center | 1346220183 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Black Hills Regional Eye Surgery Center, LLC
dba Black Hills Regional Surgery Anesthesia
- Certified Registered Nurse Anesthetist
- Rapid City, SD
- NPI 1174654081
-
Black Hills Regional Eye Surgery Center, LLC
- Ambulatory Surgical Clinic/Center
- Rapid City, SD
- NPI 1346220183
Practice locations
- Rapid City, SD2
Merit-based Incentive Payment System (MIPS)
Medicare Care Compare- Final score
- 80.91 of 100
- Quality
- 61.83
- Improvement activities
- 40
Clinicians 16
Clinicians who reassign their Medicare benefits to this group (16) or whom Care Compare lists as members (7).
-
Cory Bergman, MD
- Ophthalmology Physician
- Rapid City, SD
- NPI 1285049940
-
Jenny M Boland-Hanson, CRNA
- Certified Registered Nurse Anesthetist
- Rapid City, SD
- NPI 1952419418
-
Kelly M Bouma, CRNA
- Certified Registered Nurse Anesthetist
- Rapid City, SD
- NPI 1255630570
-
Michael C Chappell, MD
- Ophthalmic Plastic and Reconstructive Surgery Physician
- Kansas City, MO
- NPI 1497045645
-
Randy L Downey, CRNA
- Certified Registered Nurse Anesthetist
- Sioux Falls, SD
- NPI 1134346034
-
Stephen R Fine, CRNA
- Certified Registered Nurse Anesthetist
- Rapid City, SD
- NPI 1639287105
-
Daniel W Groeneweg, CRNA
- Certified Registered Nurse Anesthetist
- Iowa City, IA
- NPI 1629186119
-
Tammy L Horton, NP
- Family Nurse Practitioner
- Rapid City, SD
- NPI 1871356261
-
Barry Jones, CRNA
- Certified Registered Nurse Anesthetist
- Rapid City, SD
- NPI 1407836943
-
Lonna Marie Potter, CRNA
- Certified Registered Nurse Anesthetist
- Rapid City, SD
- NPI 1538312590
-
Douglas Retzer, CRNA
- Certified Registered Nurse Anesthetist
- Rapid City, SD
- NPI 1376537803
-
Troy Richardson, CRNA
- Certified Registered Nurse Anesthetist
- Rapid City, SD
- NPI 1609983014
-
Tanner Schilder, CRNA
- Certified Registered Nurse Anesthetist
- Rapid City, SD
- NPI 1396132296
-
Nickolaus A. Spain, CRNA
- Certified Registered Nurse Anesthetist
- Rapid City, SD
- NPI 1275851933
-
Joseph Werner, CRNA
- Certified Registered Nurse Anesthetist
- Rapid City, SD
- NPI 1649265018
-
Catherine Ann Wilson, CRNA
- Certified Registered Nurse Anesthetist
- Hot Springs, SD
- NPI 1578630752
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.