M. Jerry Zapanta Mariano, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

43720 Issued in MN

Practice address

1542 Golf Course Rd
Suite 201
Grand Rapids, MN 55744-9603

Phone

(218) 326-3433

Fax

(218) 326-3435

NPI assigned

Jun 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Dr. M. Jerry Z Mariano Other name

Medicare fee-for-service enrollment

Enrolled in MN

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

Ophthalmology

Education

University of North Dakota School of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

John L Bonner Eye Clinic LTDGroup PAC ID 0547243677, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Range Regional Health Services Hospital, Hibbing, MN, CCN 240040

Merit-based Incentive Payment System (MIPS)

Final score

85.73 of 100Reported as group

Quality

95.97

Improvement activities

40

Cost

53.66

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mmariano291969@fairview.direct-ci.com
• Direct secure messaging: jmariano@bonner.intellechartdirect.net

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.

• John L Bonner Eye Clinic LTD

  • Ophthalmology Physician
  • Grand Rapids, MN
  • NPI 1053351817
  Medicare reassignment Care Compare group NPD
• Bonner Eye Clinic Optical LLC

  • Durable Medical Equipment & Medical Supplies
  • Grand Rapids, MN
  • NPI 1093287849
  NPD
• John L Bonner Eye Clinic LTD

  • Ophthalmology Physician
  • Hibbing, MN
  • NPI 1770626616
  NPD
• Altru Health System

  • Clinic/Center
  • Grand Forks, ND
  • NPI 1043309552
  NPD (past)

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

• Range Regional Health Services

  • General Acute Care Hospital
  • Hibbing, MN
  • NPI 1356321699
  Care Compare affiliation

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1376582908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1542 GOLF COURSE RD",
            "address_2": "SUITE 201",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557449603",
            "telephone_number": "218-326-3433",
            "fax_number": "218-326-3435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1542 GOLF COURSE RD",
            "address_2": "SUITE 201",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557449603",
            "telephone_number": "218-326-3433",
            "fax_number": "218-326-3435"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3605 Mayfair Ave Ste 2150",
            "address_purpose": "LOCATION",
            "city": "Hibbing",
            "state": "MN",
            "postal_code": "557462938",
            "country_code": "US",
            "telephone_number": "218-262-3156",
            "fax_number": "218-262-1456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARIANO",
        "first_name": "M. JERRY",
        "middle_name": "ZAPANTA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MN",
            "license": "43720",
            "primary": true
        },
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "MN",
            "license": "43720",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "184514400",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "43720",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "M. JERRY",
            "last_name": "MARIANO",
            "middle_name": "Z",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kate R. Makinen, MSW, LGSW, LADC
• Amy Mallum, MSW, LICSW
• Kelly Manner, RD
• Rich Marcis, LICSW
• Daniel J Margo, M.D.
• Ann Marie Martin, M.A., CCC-SLP
• Will Martin
• Alexis Charlene Martire, CNP
• McBride Chiropractic PA
• Leanna Marie Marking McBride, D.D.S.

• Ophthalmology Physician in Grand Rapids, MN
• Providers in Grand Rapids, MN by specialty
• Ophthalmology Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.