Individual provider Active NPI

Robert Bernskoetter, O.D.

  • Optometrist
  • Columbia, MO
National Provider Identifier
1144280140
Registry record updated Oct 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
T03286 Issued in MO
Practice address
500 Keene St
Suite 103
Columbia, MO 65201-8104
Phone
(573) 874-2030
NPI assigned
Mar 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X T03286 MO Primary

Addresses

Primary practice location

500 Keene St
Suite 103
Columbia, MO 65201-8104

Mailing address

500 Keene St
Suite 103
Columbia, MO 65201-8104
Phone (573) 874-2030

Other identifiers 2

IdentifierTypeStateIssuer
109100OtherMOBCBS
0270770001OtherMONORIDIAN-DMERC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111207000840 MO Practitioner - Optometry 5597930289 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri, Columbia School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbia Eye Consultants OptometryGroup PAC ID 2769574714, 14 clinicians

Practice addresses (Care Compare)

500 N Keene St
Suite 103
Columbia, MO 65201-8104
Phone (573) 874-2030

Merit-based Incentive Payment System (MIPS)

Final score
91.71 of 100Reported as group
Quality
95.95
Improvement activities
40
Cost
77.77

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery90

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Eye Consultants Optometry Optometrist CurrentSince Aug 20, 1996 Accepting new patients
Columbia Eyewear Past Accepting new patients

Locations

101 Redtail Dr
Ste B
Ashland, MO 65010
Phone (573) 874-2030

500 N Keene St
Ste 103
Columbia, MO 65201
Phone (573) 874-2030

900 W Nifong Blvd
Ste 125
Columbia, MO 65203
Phone (573) 874-2030

Interoperability endpoints

  • Direct secure messaging: robert.bernskoetter@direct.revolutionehr.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193788800000",
    "number": "1144280140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 KEENE ST",
            "address_2": "SUITE 103",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652018104",
            "telephone_number": "573-874-2030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 KEENE ST",
            "address_2": "SUITE 103",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652018104",
            "telephone_number": "573-874-2030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNSKOETTER",
        "first_name": "ROBERT",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2007-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "T03286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "109100",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORIDIAN-DMERC",
            "identifier": "0270770001",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

Verify at the official NPI Registry.