Mitchell Vincent Gossman, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

35396 Issued in MN

Practice address

628 Roosevelt Rd Ste 101
Saint Cloud, MN 56301-4867

Phone

(320) 774-3789

Fax

(320) 774-3483

NPI assigned

Jun 2, 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

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 Minnesota Medical School, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Associates of Central Minnesota PAGroup PAC ID 5597046987, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

89.17 of 100Reported as group

Quality

100

Improvement activities

40

Cost

63.91

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mgossman1297@direct.centracare.com

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.

• Eye Associates of Central Minnesota PA

  • Ophthalmology Physician
  • Saint Cloud, MN
  • NPI 1790228294
  Medicare reassignment Care Compare group NPD
• Central Minnesota Surgical Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Sartell, MN
  • NPI 1275762957
  NPD (past) Authorized official

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520553600000",
    "number": "1447298443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "628 ROOSEVELT RD STE 101",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563014867",
            "telephone_number": "320-774-3789",
            "fax_number": "320-774-3483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 ROOSEVELT RD STE 101",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563014867",
            "telephone_number": "320-774-3789",
            "fax_number": "320-774-3483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSSMAN",
        "first_name": "MITCHELL",
        "middle_name": "VINCENT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2018-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0109X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Neuro-ophthalmology",
            "state": "MN",
            "license": "35396",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MN",
            "license": "35396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Mary Gordon, RN
• Shawn Michael Gordon, RPH
• Tracy Gordon, LICSW
• Holly Christina Gosiak, RN
• Darlyn Gilberte Gossiho
• Karen Rae Gozel, APRN, CNS
• Grace Counseling Center
• Kelly Grack
• Julie Ann Grafntiz, LPN
• Jenine Marie Graham, APRN, CNP

• Ophthalmology Physician in Saint Cloud, MN
• Providers in Saint Cloud, 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 9, 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.