Individual provider Active NPI

Michael Lee Rolfsen Jr., M.D.

  • Ophthalmology Physician
  • Waco, TX
National Provider Identifier
1760724553
Registry record updated Jul 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
Q9898 Issued in TX
Practice address
602 W State Highway 6
Waco, TX 76712-3977
Phone
(254) 870-4522
Fax
(254) 870-4601
NPI assigned
Mar 20, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X Q9898 TX Primary

Addresses

Primary practice location

602 W State Highway 6
Waco, TX 76712-3977

Mailing address

602 W State Highway 6
Waco, TX 76712-3977
Phone (254) 870-4522

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20170721000393 TX Practitioner - Ophthalmology 0143508374 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Louisiana State University School of Medicine in New Orleans, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

602 W State Hwy 6
Waco, TX 76712-3977
Phone (254) 870-4522

Merit-based Incentive Payment System (MIPS)

Final score
92.14 of 100Reported as individual
Quality
95.41
Promoting interoperability
100
Improvement activities
40
Cost
78.39

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery673

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
Q9898TXMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Waco Ophthalmology, PLLC Ophthalmology CurrentSince Apr 1, 2020 Accepting new patients

Locations

602 W State Highway 6
Waco, TX 76712
Phone (254) 420-7005

Interoperability endpoints

  • Direct secure messaging: mrolfsen@eyewaco.emadirect.md

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": "1363737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595721600000",
    "number": "1760724553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 W STATE HIGHWAY 6",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767123977",
            "telephone_number": "254-870-4522",
            "fax_number": "254-870-4601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 W STATE HIGHWAY 6",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767123977",
            "telephone_number": "254-870-4522",
            "fax_number": "254-870-4601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLFSEN",
        "first_name": "MICHAEL",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-20",
        "last_updated": "2020-07-26",
        "certification_date": "2020-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "Q9898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

Verify at the official NPI Registry.