Individual provider Active NPI

Michael Brian Beres, MD

  • Ophthalmology Physician
  • Logan, WV
National Provider Identifier
1124019997
Registry record updated Aug 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
20176 Issued in 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
Last updated
Aug 21, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2012

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 20176 WV Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20100125000478 WV Practitioner - Ophthalmology 2668423864 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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

Merit-based Incentive Payment System (MIPS)

Final score
21.46 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
71.55

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery80

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Consultants PLLC Ophthalmology CurrentSince Oct 1, 2002 Accepting new patients
Logan General Hospital LLC Past Accepting new patients

Locations

77 Hospital Dr
#401
Logan, WV 25601
Phone (304) 792-1480

77 Hospital Dr
Ste 400
Logan, WV 25601
Phone (304) 792-1480

Organizations & group practices 2

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": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345507200000",
    "number": "1124019997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 116",
            "city": "LOGAN",
            "state": "WV",
            "postal_code": "256010116",
            "telephone_number": "304-792-1480",
            "fax_number": "304-792-1481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 HOSPITAL DR",
            "address_2": "SUITE 400",
            "city": "LOGAN",
            "state": "WV",
            "postal_code": "256013451",
            "telephone_number": "304-792-1480",
            "fax_number": "304-792-1481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERES",
        "first_name": "MICHAEL",
        "middle_name": "BRIAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2012-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WV",
            "license": "20176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Logan, WV

Sources for this page

Verify at the official NPI Registry.