Individual provider Active NPI

Blake Norton Geren, M.D.

  • Ophthalmology Physician
  • Fort Smith, AR
National Provider Identifier
1063448405
Registry record updated Dec 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
E5157 Issued in AR
Practice address
7901 Dallas St
Fort Smith, AR 72903-4281
Phone
(479) 782-8892
Fax
(479) 782-8840
NPI assigned
Jun 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X E5157 AR Primary

Addresses

Primary practice location

7901 Dallas St
Fort Smith, AR 72903-4281

Mailing address

7901 Dallas St
Fort Smith, AR 72903-4281
Phone (479) 782-8892

Other identifiers 4

IdentifierTypeStateIssuer
CQ2484OtherRAILROAD MEDICARE
200115630AMedicaidOK
P00419389OtherARRAILROAD MEDICARE
164798001MedicaidAR

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070712000364 AR Practitioner - Ophthalmology 6103926647 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Arkansas College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Group, LLCGroup PAC ID 8921066697, 3 clinicians

Practice addresses (Care Compare)

7901 Dallas St
Fort Smith, AR 72903-4281
Phone (479) 782-8892

Hospital & facility affiliations

  • Mercy Hospital Fort Smith Hospital, Fort Smith, AR, CCN 040062

Merit-based Incentive Payment System (MIPS)

Final score
90.04 of 100Reported as group
Quality
94.31
Improvement activities
40
Cost
74.37

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery215

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E5157ARMDOphthalmology Physician

Organizations & group practices 1

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

Hospital & facility affiliations 1

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": "1151193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576540800000",
    "number": "1063448405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 DALLAS ST",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729034281",
            "telephone_number": "479-782-8892",
            "fax_number": "479-782-8840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 DALLAS ST",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729034281",
            "telephone_number": "479-782-8892",
            "fax_number": "479-782-8840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEREN",
        "first_name": "BLAKE",
        "middle_name": "NORTON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-25",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AR",
            "license": "E5157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CQ2484",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200115630A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00419389",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164798001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

Verify at the official NPI Registry.