Steven M Bagan, M.D.

Individual provider Active NPI Ophthalmology Physician · Fargo, ND

NPI 1487747267 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1487747267
Entity type
Individual (NPI type 1)
Primary specialty
Ophthalmology Physician 207W00000X
License
4403 (ND)
Practice address
4344 20TH Ave S
Fargo, ND 58103-4434
Phone
(701) 293-8242
Fax
(701) 293-0909
NPI assigned
Oct 2, 2006
Sex
Male
Sole proprietor
Yes

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.

Medicare Care Compare profile

Specialty
Ophthalmology
Education
Baylor College of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Physicians Group LLC (4 clinicians)

Practice addresses (Care Compare)

4344 20TH Ave S
Fargo, ND 58103-7436

Merit-based Incentive Payment System (MIPS)

Final score
73.61 of 100 (group)
Quality
84.58
Improvement activities
40
Cost
32.61

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery165

Medicare participation

Medicare fee-for-service enrollment
Enrolled in ND
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20100420000529 ND Practitioner - Ophthalmology 3476652652 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4403NDMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Plains Surgery Center LLC Current Accepting new patients
Laser & Surgery Center, LLC Past
since Aug 17, 2001
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 4403 ND Yes

Addresses

Primary practice location

4344 20TH Ave S
Fargo, ND 58103-4434

Mailing address

4344 20TH Ave S
Fargo, ND 58103-4434
Phone (701) 293-8242

Other identifiers

IdentifierTypeStateIssuer
13730MedicaidND

Other providers in Fargo, ND

All providers in Fargo, ND · Ophthalmology Physician in North Dakota

Sources for this page

Verify at the official NPI Registry.