John S Berestka, MD
Individual provider Active NPI Ophthalmology Physician · Wayzata, MN
NPI 1114905072 · NPPES record last updated Mar 17, 2020
Key facts
- NPI
- 1114905072
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Ophthalmology Physician 207W00000X
- License
- 38104 (MN)
- Practice address
- 250 Central Ave N Ste 107
Wayzata, MN 55391-1207 - Phone
- (763) 416-7600
- Fax
- (763) 416-7634
- NPI assigned
- Jan 2, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Ophthalmology
- Education
- Johns Hopkins University School of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Northwest Eye Clinic LLC
Practice addresses (Care Compare)
250 Central Ave N
Suite 107
Wayzata, MN 55391-1207
Phone (763) 416-7600
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.82 of 100
- Quality
- 80.89
- Promoting interoperability
- 94
- Improvement activities
- 40
- Cost
- 70.18
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 95 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100701000746 | MN | Practitioner - Ophthalmology | 2961395850 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Eye Clinic, LLC | Ophthalmology | Current |
Accepting new patients |
| Northwest Eye Clinic, LLC | Ophthalmology | Current |
Accepting new patients |
| Northwest Eye Clinic, LLC | Ophthalmology | Past | Accepting new patients |
Locations
8501 Golden Valley Rd
Ste 100
Golden Valley, MN 55427
Phone (763) 416-7655
12000 Elm Creek Blvd N
Ste 100
Maple Grove, MN 55369
Phone (763) 416-7653
8401 Golden Valley Rd
Ste 330
Minneapolis, MN 55427
2601 39th Ave NE
#1
Saint Anthony, MN 55421
Phone (763) 416-7674
250 Central Ave N
Ste 105
Wayzata, MN 55391
250 Central Ave N
Ste 107
Wayzata, MN 55391
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 38104 | MN | Yes |
Addresses
Primary practice location
250 Central Ave N Ste 107
Wayzata, MN 55391-1207
Mailing address
8401 Golden Valley Rd Ste 330
Golden Valley, MN 55427-4488
Phone (763) 416-7629
Other practice location 1
8501 Golden Valley Rd Ste 100
Golden Valley, MN 55427-4472
Phone (763) 416-7600
Other practice location 2
12000 Elm Creek Blvd N Ste 100
Maple Grove, MN 55369-7074
Phone (763) 416-7600
Other providers in Wayzata, MN
- John Michael Patrick Bearg
- Abigail Beedle
- Casey Behnke
- Belief Labs LLC
- Sonja Benson
- Jacob P Bergstedt
- Norman Thomas Berlinger
- Linda Beutel
- Miles Bichanich
- Peter Binnie
All providers in Wayzata, MN · Ophthalmology Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.