Individual provider Active NPI

Melissa M Summerfield

  • Ophthalmology Physician
  • Mason City, IA
National Provider Identifier
1609096478
Registry record updated Nov 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
39755 Issued in IA
Practice address
3121 4TH St SW
Mason City, IA 50401-1581
Phone
(757) 423-8861
Fax
(757) 423-0727
NPI assigned
Apr 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 0101247778 VA
Ophthalmology Physician 207W00000X 39755 IA Primary

Addresses

Primary practice location

3121 4TH St SW
Mason City, IA 50401-1581

Mailing address

PO Box 1877
Mason City, IA 50402-1877
Phone (641) 423-8861

Other identifiers 14

IdentifierTypeStateIssuer
415451OtherVAANTHEM BC/BS
5915878MedicaidNC
PAROtherVAUSA MANAGED CARE
PAROtherVACORVEL/CORCARE
PAROtherVAFIRST HEALTH COMMERCIAL/COVENTRY HEALTH/SOUTHERN HEALTH
PAROtherVAVIRGINIA PREMIER HEALTH PLAN
PAROtherVACIGNA
PAROtherVAAETNA
-019OtherVATRICARE/CHAMPUS
1609096478MedicaidVA
PAROtherVAUNITED HEALTH CARE/MAMSI
PAROtherVAMULTIPLAN
PAROtherVAVIRGINIA HEALTH NETWORK
10064693OtherVAOPTIMA HEALTH

Other names 1

  • Melissa M Manning Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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

Enrollment IDStateProvider typePAC IDDetails
I20110825000483 IA Practitioner - Ophthalmology 2860687753 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Creighton University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Iowa Eye Clinic, P.C.Group PAC ID 8426949173, 5 clinicians

Practice addresses (Care Compare)

3121 4TH St SW
Mason City, IA 50401-1581
Phone (641) 423-8861

Hospital & facility affiliations

  • Floyd County Medical Center Hospital, Charles City, IA, CCN 161347
  • Hancock County Health System Hospital, Britt, IA, CCN 161307
  • Mercyone North Iowa Medical Center Hospital, Mason City, IA, CCN 160064

Merit-based Incentive Payment System (MIPS)

Final score
86.49 of 100Reported as group
Quality
92.91
Improvement activities
40
Cost
64.42

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as group
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1006
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
39755IAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Iowa Eye Clinic, P.C. Ophthalmology CurrentSince Sep 1, 2011 Accepting new patients
North Iowa Eye Clinic, P.C. CurrentSince Sep 1, 2011 Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients

Locations

3121 4th St SW
Mason City, IA 50401
Phone (641) 201-1711

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/pk92qb38

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638144000000",
    "number": "1609096478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1877",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504021877",
            "telephone_number": "641-423-8861",
            "fax_number": "641-423-0727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3121 4TH ST SW",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504011581",
            "telephone_number": "757-423-8861",
            "fax_number": "757-423-0727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMMERFIELD",
        "first_name": "MELISSA",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101247778",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IA",
            "license": "39755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "415451",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5915878",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "USA MANAGED CARE",
            "identifier": "PAR",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORVEL/CORCARE",
            "identifier": "PAR",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH COMMERCIAL/COVENTRY HEALTH/SOUTHERN HEALTH",
            "identifier": "PAR",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA PREMIER HEALTH PLAN",
            "identifier": "PAR",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "PAR",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "PAR",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE/CHAMPUS",
            "identifier": "-019",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1609096478",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE/MAMSI",
            "identifier": "PAR",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN",
            "identifier": "PAR",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA HEALTH NETWORK",
            "identifier": "PAR",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA HEALTH",
            "identifier": "10064693",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "MANNING",
            "middle_name": "M",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mason City, IA

Sources for this page

Verify at the official NPI Registry.