Gunnar Jon Erickson, M.D.
Individual provider Active NPI Ophthalmology Physician · Wyoming, MN
NPI 1528061371 · NPPES record last updated Nov 14, 2013
Key facts
- NPI
- 1528061371
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Ophthalmology Physician 207W00000X
- License
- 24279 (MN)
- Practice address
- 5200 Fairview Blvd
Wyoming, MN 55092-8013 - Phone
- (651) 257-8421
- Fax
- (651) 257-8464
- NPI assigned
- May 24, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Ophthalmology
- Education
- Mayo Medical School, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Total Eye Care LLC
Practice addresses (Care Compare)
5200 Fairview Blvd
Wyoming, MN 55092-8013
Phone (651) 982-7720
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.34 of 100
- Quality
- 95.62
- Improvement activities
- 40
- Cost
- 76.98
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 13 |
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: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110111000832 | MN | Practitioner - Ophthalmology | 8921065053 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Eye Care LLC | Ophthalmology | Current |
Accepting new patients |
| Total Eye Care LLC | Current |
Accepting new patients | |
| North Suburban Optical | Past |
Accepting new patients |
Locations
10961 Club West Pkwy
Ste 130
Blaine, MN 55449
Phone (763) 571-7550
11725 Stinson Ave
Chisago City, MN 55013
Phone (651) 257-8421
5200 Fairview Blvd
Wyoming, MN 55092
Phone (651) 464-4611
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 24279 | MN | Yes |
Addresses
Primary practice location
5200 Fairview Blvd
Wyoming, MN 55092-8013
Mailing address
5200 Fairview Blvd
Wyoming, MN 55092-8013
Phone (651) 257-8421
Other providers in Wyoming, MN
- Ebenezer Society, LLC
- Michael Donald Eichler
- John P Eikens
- Terrence Ellis
- Carlton R Erickson
- Susan Lynn Ertel
- Randall G Ewald
- Fairview Clinics
- Fairview Express Care
- Fairview Express Care
All providers in Wyoming, MN · Ophthalmology Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 14, 2013. 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.