Active NPI
Brandon K McCafferty, MD
- Ophthalmology Physician
- Minneapolis, MN
National Provider Identifier
1255744579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 66392
- Practice address
- 909 Fulton St SE
Minneapolis, MN 55455 - Phone
- (612) 672-7422
- NPI assigned
- Jun 4, 2014
- Last updated
- Sep 27, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Ophthalmology Physician | 207W00000X | 66812 | MT | |
| Ophthalmology Physician | 207W00000X | 66392 | MN | Primary |
Addresses
Primary practice location
909 Fulton St SE
Minneapolis, MN 55455
Mailing address
909 Fulton St SE
Minneapolis, MN 55455-4800
Phone (612) 672-7422
Other practice location 1
3000 15th Ave S
Great Falls, MT 59405
Phone (406) 454-2171
Other practice location 2
3000 15th Ave S
Great Falls, MT 59405
Phone (406) 454-2171
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- University of Minnesota Medical School, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3000 15TH Ave S
Great Falls, MT 59405-5240
Phone (406) 454-2171
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.98 of 100
- Quality
- 80.39
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 158 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 66812 | MT | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Great Falls Clinic LLC | Current | Accepting new patients |
Locations
1400 29th St S
Great Falls, MT 59405
Phone (406) 442-3570
3000 15th Ave S
Great Falls, MT 59405
Phone (406) 771-3102
Interoperability endpoints
- brandon.mccafferty.1@25095.direct.athenahealth.com
- https://api.platform.athenahealth.com/25095/brand/1/csg/1/fhir/r4
Organizations & group practices 1
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.
-
- Multi-Specialty Clinic/Center
- Great Falls, MT
- NPI 1801897780
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Benefis Medical Group
- Multi-Specialty Clinic/Center
- Great Falls, MT
- NPI 1780968974
Hospital
-
- General Acute Care Hospital
- Great Falls, MT
- NPI 1881650737
-
dba Great Falls Clinic Hospital
- General Acute Care Hospital
- Great Falls, MT
- NPI 1639109978
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569542400000",
"number": "1255744579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "909 FULTON ST SE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554554800",
"telephone_number": "612-672-7422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "909 FULTON ST SE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "55455",
"telephone_number": "612-672-7422"
}
],
"practiceLocations": [
{
"address_1": "3000 15th Ave S",
"address_purpose": "LOCATION",
"city": "Great Falls",
"state": "MT",
"postal_code": "59405",
"country_code": "US",
"telephone_number": "406-454-2171",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3000 15th Ave S",
"address_purpose": "LOCATION",
"city": "Great Falls",
"state": "MT",
"postal_code": "59405",
"country_code": "US",
"telephone_number": "406-454-2171",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCAFFERTY",
"first_name": "BRANDON",
"middle_name": "K",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-04",
"last_updated": "2019-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MT",
"license": "66812",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MN",
"license": "66392",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2019; 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.