Casey Clay Bartz, O.D.
Individual provider Active NPI Optometrist · Moorhead, MN
NPI 1447480520 · NPPES record last updated Dec 16, 2019
Key facts
- NPI
- 1447480520
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 3196 (MN)
- Practice address
- 420 Center Ave
Suite 41
Moorhead, MN 56560-1957 - Phone
- (218) 233-1624
- Fax
- (218) 233-2058
- NPI assigned
- Jul 22, 2009
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Stanton L Andrist and Casey C Bartz
Practice addresses (Care Compare)
855 37TH Ave S
Suite E
Moorhead, MN 56560-3528
Phone (218) 233-1624
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.86 of 100
- Quality
- 89.71
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 44 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101116001105 | MN | Practitioner - Optometry | 2163617150 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18003612A | IN | MD | Optometrist |
| 3196 | MN | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stanton L Andrist & Casey C Bartz | Optometrist | Current |
Accepting new patients |
| Thomas N Lorentzsen & Stanton L Andrist PTR | Optometrist | Past | Accepting new patients |
Locations
420 Center Ave
Ste 41
Moorhead, MN 56560
Phone (218) 233-1624
855 37th Ave S
Ste E
Moorhead, MN 56560
Phone (218) 233-1624
Interoperability endpoints
- casey.bartz@direct.revolutionehr.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 18003612A | IN | |
| Optometrist | 152W00000X | 3196 | MN | Yes |
Addresses
Primary practice location
420 Center Ave
Suite 41
Moorhead, MN 56560-1957
Mailing address
420 Center Ave
Suite 41
Moorhead, MN 56560-1957
Phone (218) 233-1624
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01065717 | Other | MN | RR MEDICARE |
Other providers in Moorhead, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 16, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.