Nathan Michael Fierce, D.O.
Individual provider Active NPI Surgery Physician · Moline, IL
NPI 1639355134 · NPPES record last updated Jul 6, 2022
Key facts
- NPI
- 1639355134
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- 036.127839 (IL)
- Practice address
- 870 36TH Ave
Moline, IL 61265-7159 - Phone
- (309) 281-6400
- Fax
- (309) 281-6409
- NPI assigned
- Jan 14, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- General Surgery
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Genesis Health System
Mercy Specialty Clinic
Practice addresses (Care Compare)
1227 E Rusholme St
Davenport, IA 52803-2459
1410 N 4TH St
Clinton, IA 52732-2940
Phone (563) 244-5900
4700 E 56TH St
Davenport, IA 52807-2904
801 Illini Dr
Silvis, IL 61282-1804
Phone (309) 281-4000
855 Illini Dr
Silvis, IL 61282-2904
915 13TH Ave N
Mercyone Clinton Plaza
Clinton, IA 52732-5067
Phone (563) 243-2511
Hospital & facility affiliations
- Mercyone Clinton Medical Center
- Genesis Medical Center-Davenport
- Genesis HLTH System Dba Genesis MDL Ctr-Illini
- Mercyone Genesis Dewitt Medical Center
- Select Specialty Hospital - Quad Cities
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.8 of 100
- Quality
- 82.54
- Promoting interoperability
- 89.05
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.03 of 100
- Quality
- 60.48
- Promoting interoperability
- 97
- Improvement activities
- 40
- Cost
- 69.64
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 67 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Mastectomy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 62 |
| Removal of tissue | 17 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IL, IA
- 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 |
|---|---|---|---|---|
| I20110630000432 | IL | Practitioner - General Surgery | 2961534912 | Reassigns benefits to 1 organization |
| I20110728000355 | IA | Practitioner - General Surgery | 2961534912 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4206 | IA | MD | Surgery Physician |
| 036.127839 | IL | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jackson County Public Hospital | Current |
Accepting new patients | |
| Jackson County Public Hospital | Current |
Accepting new patients | |
| Jackson County Public Hospital | Current | Accepting new patients | |
| Genesis Health System | Surgery | Current |
Accepting new patients |
| Medical Associates of Clinton, Iowa P.L.C. | Surgery | Current | Accepting new patients |
| Genesis Health System | Current |
Accepting new patients | |
| Mercy Specialty Clinic | Current | Accepting new patients | |
| Mercy Specialty Clinic | Current |
Accepting new patients | |
| Genesis Health System | Past | Accepting new patients | |
| Genesis Health System | Past | Accepting new patients | |
| Mercy Medical Center-Clinton, Inc | Past | Accepting new patients |
Locations
4500 Utica Ridge Rd
Bettendorf, IA 52722
Phone (563) 742-2724
865 Lincoln Rd
Ste 100
Bettendorf, IA 52722
Phone (563) 355-1000
915 13th Ave N
Clinton, IA 52732
Phone (319) 243-2511
1410 N 4th St
Clinton, IA 52732
Phone (563) 244-5555
4700 E 56th St
Ste 100
Davenport, IA 52807
Phone (563) 383-2667
1227 E Rusholme St
Davenport, IA 52803
Phone (563) 324-8160
601 Hospital Dr
Maquoketa, IA 52060
Phone (563) 652-2474
621 S Illinois Ave
Ste 103
Mason City, IA 50401
870 36th Ave
Moline, IL 61265
Phone (309) 623-7100
2701 17th St
Rock Island, IL 61201
Phone (309) 779-3200
855 Illini Dr
Ste 304
Silvis, IL 61282
Phone (309) 281-2120
801 Illini Dr
Silvis, IL 61282
Phone (309) 281-4000
Interoperability endpoints
- nathan.fierce@direct.genesishealth.com
- nfierce4030592@direct.trinity-health.org
- nathan.fierce@macmc.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 4206 | IA | |
| Surgery Physician | 208600000X | 036.127839 | IL | Yes |
Addresses
Primary practice location
870 36TH Ave
Moline, IL 61265-7159
Mailing address
870 36TH Ave
Moline, IL 61265-7159
Phone (309) 281-6400
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01170092 | Other | IL | RR MEDICARE |
| 1639355134 | Medicaid | IA | |
| P01066005 | Other | IA | RR MEDICARE |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Nathan.Fierce@direct.genesishealth.com | Direct |
Other providers in Moline, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 6, 2022. 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.