Erik William Niemi, D.O.
Individual provider Active NPI Ophthalmology Physician · Bennington, VT
NPI 1194772491 · NPPES record last updated Mar 30, 2018
Key facts
- NPI
- 1194772491
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Ophthalmology Physician 207W00000X
- License
- 042-0007142 (VT)
- Practice address
- 322 Dewey St
Bennington, VT 05201-2225 - Phone
- (802) 447-8700
- Fax
- (802) 447-1500
- NPI assigned
- May 30, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Ophthalmology
- Education
- Philadelphia College of Osteopathic Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Advanced Eyecare PC
Practice addresses (Care Compare)
322 Dewey St
Bennington, VT 05201-2225
Phone (802) 447-8700
77 Hospital Ave
North Adams, MA 01247-2550
Phone (413) 664-6736
Hospital & facility affiliations
- Southwestern Vermont Medical Center
- Rutland Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.13 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 80.42
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 340 |
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in VT, MA
- 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 |
|---|---|---|---|---|
| I20100903000694 | VT | Practitioner - Ophthalmology | 5799874376 | Reassigns benefits to 1 organization |
| I20111205000878 | MA | Practitioner - Ophthalmology | 5799874376 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 219513 | MA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Eyecare PC | Ophthalmology | Current |
Accepting new patients |
Locations
77 Hospital Ave
North Adams, MA 01247
Phone (413) 346-4242
322 Dewey St
Bennington, VT 05201
Phone (802) 447-8700
5222 Main St
Manchestr Ctr, VT 05255
Phone (802) 366-8050
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 219513 | MA | |
| Ophthalmology Physician | 207W00000X | 042-0007142 | VT | Yes |
Addresses
Primary practice location
322 Dewey St
Bennington, VT 05201-2225
Mailing address
322 Dewey St
Bennington, VT 05201-2225
Phone (802) 447-8700
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110035290A | Medicaid | MA | |
| 10078138 | Other | VT | CDPHP |
| 59731 | Other | VT | VT BS |
| J26902 | Other | VT | MASS BS |
| J26902 | Other | MA | MASS BS |
| 364148 | Other | MA | MVP |
| 59731 | Other | MA | VTBS |
| 1010090 | Medicaid | VT | |
| 000000027329 | Other | VT | BMC |
| 467617 | Other | MA | TUFTS |
| 467617 | Other | VT | TUFTS |
| 000000027330 | Other | MA | BMC |
| 10078138 | Other | MA | CDPHP |
| 33621 | Other | VT | HNE |
| 364148 | Other | VT | MVP |
Other providers in Bennington, VT
- New England Consulting Inc
- Beth Newman
- Christelle Nicol
- David Bruce Nicol
- Lori S, Nicol
- Gabriel Noel
- Matthew J Nofziger
- Kofi Norsah
- David O'Brien
- Russell Arlington O'Connell
All providers in Bennington, VT · Ophthalmology Physician in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 30, 2018. 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.