Individual provider Active NPI

Ryan J Brown, O.D.

  • Optometrist
  • Fort Dodge, IA
National Provider Identifier
1659333870
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
02250 Issued in IA
Practice address
1202 2ND Ave N
Fort Dodge, IA 50501-4115
Phone
(515) 576-1261
Fax
(515) 576-0224
NPI assigned
Apr 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 02250 IA Primary

Addresses

Primary practice location

1202 2ND Ave N
Fort Dodge, IA 50501-4115

Mailing address

1202 2ND Ave N
Fort Dodge, IA 50501-4115
Phone (515) 576-1261

Other identifiers 4

IdentifierTypeStateIssuer
1293670MedicaidIA
34895OtherIABLUE CROSS OF IOWA
5486680001OtherIACIGNA MEDICARE
PLAMETTOOtherIARAILROAD MEDICARE

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050802001018 IA Practitioner - Optometry 0840228722 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr Ryan J Brown PCGroup PAC ID 5395773279, 2 clinicians

Practice addresses (Care Compare)

1202 2ND Ave N
Fort Dodge, IA 50501-4115
Phone (515) 576-1261

Merit-based Incentive Payment System (MIPS)

Final score
68.33 of 100Reported as individual
Quality
36.67
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery63

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Ryan J Brown PC Optometrist CurrentSince Jun 15, 2005 Accepting new patients

Locations

1202 2nd Ave N
Fort Dodge, IA 50501
Phone (515) 576-1261

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659333870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 2ND AVE N",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505014115",
            "telephone_number": "515-576-1261",
            "fax_number": "515-576-0224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 2ND AVE N",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505014115",
            "telephone_number": "515-576-1261",
            "fax_number": "515-576-0224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "RYAN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "02250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1293670",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF IOWA",
            "identifier": "34895",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA MEDICARE",
            "identifier": "5486680001",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "PLAMETTO",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Dodge, IA

Sources for this page

Verify at the official NPI Registry.