Individual provider Active NPI

Justin M Risma, M.D.

  • Ophthalmology Physician
  • Dubuque, IA
National Provider Identifier
1194042820
Registry record updated May 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
41585 Issued in IA
Practice address
2140 JFK Rd
Suite F
Dubuque, IA 52002-3883
Phone
(563) 582-0769
Fax
(563) 582-5772
NPI assigned
Apr 20, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 41585 IA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

2140 JFK Rd
Suite F
Dubuque, IA 52002-3883

Mailing address

2140 JFK Rd
Suite F
Dubuque, IA 52002-3883
Phone (563) 582-0769

Other identifiers 1

IdentifierTypeStateIssuer
0201517MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140516001289 IA Practitioner - Ophthalmology 4183864416 Reassigns benefits to 1 organization
I20141120001217 IL Practitioner - Ophthalmology 4183864416 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Nebraska College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fuerste Eye ClinicGroup PAC ID 0941198063, 7 clinicians

Practice addresses (Care Compare)

1 Medical Ctr Dr
Galena, IL 61036-8118
Phone 88858207691

2140 JFK Rd
Suite F
Dubuque, IA 52002-3883
Phone (563) 582-0769

Hospital & facility affiliations

  • Finley Hospital Hospital, Dubuque, IA, CCN 160117
  • Midwest Medical Center Hospital, Galena, IL, CCN 141302

Merit-based Incentive Payment System (MIPS)

Final score
82.12 of 100Reported as group
Quality
78
Improvement activities
40
Cost
69.75

Merit-based Incentive Payment System (MIPS)

Final score
91.05 of 100Reported as apm
Quality
72.1
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery242

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
41585IAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke'S Methodist Hospital Current Accepting new patients
Fuerste Eye Clinic Ophthalmology CurrentSince Jul 1, 2014 Accepting new patients
Fuerste Eye Clinic Ophthalmology PastSince Jul 1, 2014 Accepting new patients

Locations

2140 John F Kennedy Rd
Ste F
Dubuque, IA 52002

2140 John F Kennedy Rd
Dubuque, IA 52002
Phone (563) 582-0769

1 Medical Center Dr
Galena, IL 61036
Phone (815) 776-7381

Interoperability endpoints

  • Direct secure messaging: jrisma204518@direct.unitypoint.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/IDFFBA
  • Direct secure messaging: justin.risma@feclinic.eclinicaldirectplus.com

Organizations & group practices 3

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.

Hospital & facility affiliations 3

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": "1271721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399593600000",
    "number": "1194042820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 JFK RD",
            "address_2": "SUITE F",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520023883",
            "telephone_number": "563-582-0769",
            "fax_number": "563-582-5772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 JFK RD",
            "address_2": "SUITE F",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520023883",
            "telephone_number": "563-582-0769",
            "fax_number": "563-582-5772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RISMA",
        "first_name": "JUSTIN",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-20",
        "last_updated": "2014-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IA",
            "license": "41585",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0201517",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dubuque, IA

Sources for this page

Verify at the official NPI Registry.