Individual provider Active NPI

Jeffrey L Fischer, M.D.

  • Ophthalmology Physician
  • Willmar, MN
National Provider Identifier
1386693604
Registry record updated Aug 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
39771 Issued in MN
Practice address
1801 19TH Ave SW
Willmar, MN 56201-4946
Phone
(320) 235-2020
Fax
(320) 214-5761
NPI assigned
May 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 39771 MN Primary

Addresses

Primary practice location

1801 19TH Ave SW
Willmar, MN 56201-4946

Mailing address

1801 19TH Ave SW
Willmar, MN 56201-4946
Phone (320) 235-2020

Other identifiers 2

IdentifierTypeStateIssuer
849894600MedicaidMN
180044363OtherMNRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040721001338 MN Practitioner - Ophthalmology 1456251255 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Sanford School of Medicine of University of South Dakota, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fischer Laser Eye Center LLCGroup PAC ID 6406756295, 6 clinicians

Practice addresses (Care Compare)

1801 19TH Ave SW
Willmar, MN 56201-4946
Phone (320) 214-5755

Merit-based Incentive Payment System (MIPS)

Final score
76.33 of 100Reported as group
Quality
94.79
Improvement activities
40
Cost
28.04

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery597
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
39771MNMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fischer Laser Eye Center LLC CurrentSince Jun 1, 2002 Accepting new patients
Fischer Laser Eye Center LLC Corneal and Contact Management CurrentSince Jun 1, 2002 Accepting new patients
Fischer Laser Eye Center, LLC Corneal and Contact Management Past Accepting new patients
Litchfield Eye Clinic LLC Corneal and Contact Management PastSince Nov 1, 2006 Accepting new patients

Locations

517 N Sibley Ave
Litchfield, MN 55355
Phone (320) 593-2020

715 N Sibley Ave
Litchfield, MN 55355
Phone (320) 593-2020

61 Main St S
New London, MN 56273
Phone (320) 354-2020

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1146873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628467200000",
    "number": "1386693604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 19TH AVE SW",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562014946",
            "telephone_number": "320-235-2020",
            "fax_number": "320-214-5761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 19TH AVE SW",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562014946",
            "telephone_number": "320-235-2020",
            "fax_number": "320-214-5761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISCHER",
        "first_name": "JEFFREY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-06",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MN",
            "license": "39771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "849894600",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180044363",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Willmar, MN

Sources for this page

Verify at the official NPI Registry.