Gunnar Jon Erickson, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

24279 Issued in MN

Practice address

5200 Fairview Blvd
Wyoming, MN 55092-8013

Phone

(651) 257-8421

Fax

(651) 257-8464

NPI assigned

May 24, 2005

Last updated

Nov 14, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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

Mayo Medical School, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Total Eye Care LLCGroup PAC ID 8022075142, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

91.34 of 100Reported as group

Quality

95.62

Improvement activities

40

Cost

76.98

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Total Eye Care LLC

  • Ophthalmology Physician
  • Wyoming, MN
  • NPI 1124166558
  Medicare reassignment Care Compare group NPD
• Total Eye Care LLC

  • Eyewear Supplier
  • North Branch, MN
  • NPI 1972937506
  NPD
• North Suburban Optical

  dba Optical Studios

  • Eyewear Supplier
  • Saint Paul, MN
  • NPI 1285084954
  NPD (past)

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384387200000",
    "number": "1528061371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 FAIRVIEW BLVD",
            "city": "WYOMING",
            "state": "MN",
            "postal_code": "550928013",
            "telephone_number": "651-257-8421",
            "fax_number": "651-257-8464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 FAIRVIEW BLVD",
            "city": "WYOMING",
            "state": "MN",
            "postal_code": "550928013",
            "telephone_number": "651-257-8421",
            "fax_number": "651-257-8464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "GUNNAR",
        "middle_name": "JON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2013-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MN",
            "license": "24279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ebenezer Society, LLC (Ebenezer Home Care)
• Michael Donald Eichler, MD
• John P Eikens, MD
• Terrence Ellis
• Carlton R Erickson, MD
• Susan Lynn Ertel, RPH, CACP
• Randall G Ewald, MD
• Fairview Clinics (M Health Fairview Clinic - Wyoming)
• Fairview Express Care (Fairview Sports and Orthopedic Care - Wyoming)
• Fairview Express Care (University of Minnesota Physician Heart at Fairview - Lakes)

• Ophthalmology Physician in Wyoming, MN
• Providers in Wyoming, MN by specialty
• Ophthalmology Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2013; 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.