Bruce Pehl, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

RL15183 Issued in ND

Practice address

725 Hamline St
Grand Forks, ND 58203-2819

Phone

(701) 780-6800

Fax

(701) 780-4391

NPI assigned

Jun 20, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

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

Specialty

Family Practice

Education

University of North Dakota School of Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mercy Specialty ClinicGroup PAC ID 3375639586, 65 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Genesis Vna Home health agency, Bettendorf, IA, CCN 167012
• Angels Care Home Health of Iowa Home health agency, Davenport, IA, CCN 167437
• Centerwell Home Health Home health agency, Moline, IL, CCN 147428
• Mercyone Genesis Hospice, Bettendorf, IA, CCN 161520
• Mercyone Clinton Medical Center Hospital, Clinton, IA, CCN 160080
• Genesis Medical Center-Davenport Hospital, Davenport, IA, CCN 160033

Merit-based Incentive Payment System (MIPS)

Final score

88.8 of 100Reported as apm

Quality

82.54

Promoting interoperability

89.05

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bruce.pehl@macmc.eclinicaldirectplus.com
• Direct secure messaging: bpehl4172144@direct.trinity-health.org

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.

• Mercy Specialty Clinic

  • Multi-Specialty Clinic/Center
  • Clinton, IA
  • NPI 1386832764
  Medicare reassignment Care Compare group NPD
• Medical Associates of Clinton, Iowa P.L.C.

  • Family Medicine Physician
  • Clinton, IA
  • NPI 1841244431
  NPD
• Mercy Specialty Clinic

  • Family Medicine Physician
  • Clinton, IA
  • NPI 1275197998
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Centerwell Certified Healthcare Corp.

  • Home Health Agency
  • Moline, IL
  • NPI 1861428559
  Care Compare affiliation
• E Medical Group of Iowa No 1 LLC

  • Home Health Agency
  • Davenport, IA
  • NPI 1003327446
  Care Compare affiliation
• Genesis Health System

  • Community Based Hospice Care Agency
  • Bettendorf, IA
  • NPI 1013968262
  Care Compare affiliation
• Genesis Health System

  • Home Health Agency
  • Bettendorf, IA
  • NPI 1467404491
  Care Compare affiliation
• Genesis Health System

  • General Acute Care Hospital
  • Davenport, IA
  • NPI 1972542264
  Care Compare affiliation
• Mercy Medical Center-Clinton, Inc

  • General Acute Care Hospital
  • Clinton, IA
  • NPI 1427093962
  Care Compare affiliation

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

{
    "created_epoch": "1529452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529452800000",
    "number": "1154815330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 HAMLINE ST",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582032819",
            "telephone_number": "701-780-6800",
            "fax_number": "701-780-4391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 HAMLINE ST",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582032819",
            "telephone_number": "701-780-6800",
            "fax_number": "701-780-4391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEHL",
        "first_name": "BRUCE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-20",
        "last_updated": "2018-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ND",
            "license": "RL15183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Pederson
• Jennifer Ann Pederson, P.T.
• Marshal H Pederson, DC
• Taylorann Pederson
• Charles Alexander Peebles, MD
• Elizabeth Pehl, MD
• Jesse Peltier
• Katie Rothe Pence
• Valerie Jean Pendleton
• Michelle Elizabeth Penland, MA

• Family Medicine Physician in Grand Forks, ND
• Providers in Grand Forks, ND by specialty
• Family Medicine Physician in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.