Individual provider Active NPI

Brandt Michael Riley, DO

  • Ophthalmology Physician
  • Mason City, IA
National Provider Identifier
1306064324
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
3892 Issued in IA
Practice address
Hwy 122
Mason City, IA 50402-1877
Phone
(641) 423-8861
Fax
(641) 423-0727
NPI assigned
Apr 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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 34-8629 OH
Ophthalmology Physician 207W00000X 3892 IA Primary

Addresses

Primary practice location

Hwy 122
Mason City, IA 50402-1877

Mailing address

PO Box 1877
Mason City, IA 50402-1877
Phone (641) 423-8861

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20080626000653 IA Practitioner - Ophthalmology 9638241292 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Iowa Eye Clinic, P.C.Group PAC ID 8426949173, 5 clinicians

Practice addresses (Care Compare)

3121 4TH St SW
Mason City, IA 50401-1581
Phone (641) 423-8861

Hospital & facility affiliations

  • Mitchell County Regional Health Hospital, Osage, IA, CCN 161323
  • Mercyone North Iowa Medical Center Hospital, Mason City, IA, CCN 160064

Merit-based Incentive Payment System (MIPS)

Final score
86.49 of 100Reported as group
Quality
92.91
Improvement activities
40
Cost
64.42

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery569

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3892IAMDOphthalmology Physician
34-8629OHMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Iowa Eye Clinic, P.C. Ophthalmology CurrentSince Jul 1, 2008 Accepting new patients
North Iowa Eye Clinic, P.C. CurrentSince Jul 1, 2008 Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients

Locations

3121 4th St SW
Mason City, IA 50401
Phone (641) 201-1711

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/pk92qb38

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 2

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": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1306064324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1877",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504021877",
            "telephone_number": "641-423-8861",
            "fax_number": "641-423-0727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HWY 122",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504021877",
            "telephone_number": "641-423-8861",
            "fax_number": "641-423-0727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "BRANDT",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-23",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "34-8629",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IA",
            "license": "3892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason City, IA

Sources for this page

Verify at the official NPI Registry.