Michael Brian Beres, MD
Individual provider Active NPI Ophthalmology Physician · Logan, WV
NPI 1124019997 · NPPES record last updated Aug 21, 2012
Key facts
- NPI
- 1124019997
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Ophthalmology Physician 207W00000X
- License
- 20176 (WV)
- Practice address
- 77 Hospital Dr
Suite 400
Logan, WV 25601-3451 - Phone
- (304) 792-1480
- Fax
- (304) 792-1481
- NPI assigned
- Nov 2, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Ophthalmology
- Education
- JC Edwards School of Medicine, Marshall University, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
77 Hospital Dr
Suite 401
Logan, WV 25601-3451
Phone (304) 792-1480
PO Box
Suite 116
Logan, WV 25601-3451
Hospital & facility affiliations
- Logan Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 21.46 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 71.55
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 80 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WV
- 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 |
|---|---|---|---|---|
| I20100125000478 | WV | Practitioner - Ophthalmology | 2668423864 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vision Consultants PLLC | Ophthalmology | Current |
Accepting new patients |
| Logan General Hospital LLC | Past | Accepting new patients |
Locations
77 Hospital Dr
Ste 400
Logan, WV 25601
Phone (304) 792-1480
77 Hospital Dr
#401
Logan, WV 25601
Phone (304) 792-1480
20 Hospital Dr
Logan, WV 25601
Phone (304) 792-1101
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 20176 | WV | Yes |
Addresses
Primary practice location
77 Hospital Dr
Suite 400
Logan, WV 25601-3451
Mailing address
PO Box 116
Logan, WV 25601-0116
Phone (304) 792-1480
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1802361001 | Medicaid | WV | |
| 180045749 | Other | WV | RR MEDICARE |
| 001705979 | Other | WV | BLUE CROSS BLUE SHIELD |
| 562873 | Other | STERLING LIFE | |
| 226977 | Other | COVENTRY ADVANDTRA FREEDOM |
Other providers in Logan, WV
- Larry Lee Belcher
- Skylar Belcher
- Brooke Bell
- Kelly Bennett Adkins
- Basil Bennett
- Lonnie Berry
- Subhash Bhanot
- Todd Blackburn
- Amber Frances Blankenship
- Melissa Blankenship
All providers in Logan, WV · Ophthalmology Physician in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 21, 2012. 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.