NPIMap

Individual provider Active NPI

Steven B Thom, MD

  • Ophthalmology Physician
  • Fergus Falls, MN
National Provider Identifier
1063434637
Registry record updated Jul 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
40522 Issued in MN
Practice address
712 South Cascade Street
Fergus Falls, MN 56537-2813
Phone
(218) 736-8000
Fax
(218) 736-8757
NPI assigned
Jul 24, 2006
Last updated
Jul 8, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 7692 ND
Ophthalmology Physician 207W00000X 40522 MN Primary

Addresses

Primary practice location

712 South Cascade Street
Fergus Falls, MN 56537-2813

Mailing address

712 South Cascade Street
Fergus Falls, MN 56537-2813
Phone (218) 736-8000

Other identifiers 2

IdentifierTypeStateIssuer
10214MedicaidND
641139800MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, ND2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080416000314 MN Practitioner - Ophthalmology 7113005125 Reassigns benefits to 3 organizations
I20090101000003 ND Practitioner - Ophthalmology 7113005125 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Minnesota Medical School, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Consultants of Fargo PLLCGroup PAC ID 5890045785, 10 clinicians

Practice addresses (Care Compare)

3171 44TH St S
Unit 101
Fargo, ND 58104-8521
Phone (701) 235-0561

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.64 of 100Reported as group
Quality
86.84
Promoting interoperability
100
Improvement activities
40
Cost
75.29

Merit-based Incentive Payment System (MIPS)

Final score
61.92 of 100Reported as group
Quality
72.3
Improvement activities
40
Cost
10

Merit-based Incentive Payment System (MIPS)

Final score
80.83 of 100Reported as group
Quality
72.3
Improvement activities
40
Cost
73.03

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery233

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Consultants of Fargo, PLLC Ophthalmology CurrentSince Aug 1, 2023 Accepting new patients
Lake Region Healthcare Corporation CurrentSince May 1, 2010 Accepting new patients
Premier Optical, LLC CurrentSince Dec 29, 2020 Accepting new patients
Lake Region Healthcare Corporation CurrentSince May 1, 2010 Accepting new patients
Lake Region Healthcare Corporation CurrentSince Dec 17, 2025 Accepting new patients
Steven B Thom, MD PC Ophthalmology CurrentSince Dec 5, 2008 Accepting new patients
Lake Region Healthcare Corporation CurrentSince Dec 17, 2025 Accepting new patients
Lake Region Healthcare Corporation Past Accepting new patients
Lance K Bergstrom MD, PC Ophthalmology PastSince Aug 9, 2012 Accepting new patients

Locations

111 W Vernon Ave
Fergus Falls, MN 56537
Phone (218) 736-5770

712 S Cascade St
Fergus Falls, MN 56537

222 1st St SE
Ste 2
Wadena, MN 56482
Phone (701) 253-0561

2601 University Dr S
Fargo, ND 58103
Phone (701) 235-5200

3171 44th St S
Unit 101
Fargo, ND 58104
Phone (800) 437-4387

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/e35355ac-dfca-48b9-9dd9-0b7c408c2a66/

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278547200000",
    "number": "1063434637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 SOUTH CASCADE STREET",
            "city": "FERGUS FALLS",
            "state": "MN",
            "postal_code": "565372813",
            "telephone_number": "218-736-8000",
            "fax_number": "218-736-8757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 SOUTH CASCADE STREET",
            "city": "FERGUS FALLS",
            "state": "MN",
            "postal_code": "565372813",
            "telephone_number": "218-736-8000",
            "fax_number": "218-736-8757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOM",
        "first_name": "STEVEN",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2010-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "ND",
            "license": "7692",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MN",
            "license": "40522",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10214",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "641139800",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fergus Falls, MN

Sources for this page

Verify at the official NPI Registry.