Thomas J J Oberg, M.D.

Primary specialty

Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X

License

7771826-1205 Issued in UT

Practice address

5200 S Highland Dr Ste 201
Holladay, UT 84117-7003

Phone

(801) 363-3356

Fax

(801) 533-9613

NPI assigned

May 17, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Thomas Jonathan Jackson Oberg Professional name

Medicare fee-for-service enrollment

Enrolled in UT

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

Specialty

OphthalmologyAlso: Plastic and Reconstructive Surgery

Education

University of Arizona College of Medicine, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Eye CareGroup PAC ID 3375520091, 4 clinicians

Oculoplastic Surgery IncGroup PAC ID 5799766671, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Intermountain Health Alta View Hospital Hospital, Sandy, UT, CCN 460044
• Holy Cross Hospital - Salt Lake Hospital, Salt Lake City, UT, CCN 460003

Merit-based Incentive Payment System (MIPS)

Final score

88.92 of 100Reported as group

Quality

93.17

Improvement activities

40

Cost

72.17

Merit-based Incentive Payment System (MIPS)

Final score

98.98 of 100Reported as individual

Quality

98.15

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tjoberg@stillcanyon.emadirect.md
• Direct secure messaging: toberg@aecut.intellechartdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Oculoplastic Surgery, Inc.

  dba Still Canyon Eyelid & Facial Plastic Surgery

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Holladay, UT
  • NPI 1578780805

  Ophthalmology

  Medicare reassignment Care Compare group NPD Authorized official
• Advanced Eye Care Inc

  dba Advanced Eye Care

  • Ophthalmology Physician
  • Salt Lake City, UT
  • NPI 1427248467
  Medicare reassignment Care Compare group NPD
• Eye Institute of Utah Inc

  dba The Eye Institute of Utah

  • Ophthalmology Physician
  • Salt Lake City, UT
  • NPI 1366515041
  Medicare reassignment NPD
• Granger Medical Specialists LLC

  • Clinic/Center
  • West Valley City, UT
  • NPI 1376159368
  NPD (past)

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

• Catholic Health Initiatives Colorado

  dba Holy Cross Hospital - Salt Lake

  • General Acute Care Hospital
  • Salt Lake City, UT
  • NPI 1043915523
  Care Compare affiliation
• Ihc Health Services Inc

  dba Intermountain Health Alta View Hospital

  • General Acute Care Hospital
  • Sandy, UT
  • NPI 1962412486
  Care Compare affiliation

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

{
    "created_epoch": "1242518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695945600000",
    "number": "1801021126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 E 3900 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841072105",
            "telephone_number": "520-349-6140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 S HIGHLAND DR STE 201",
            "city": "HOLLADAY",
            "state": "UT",
            "postal_code": "841177003",
            "telephone_number": "801-363-3356",
            "fax_number": "801-533-9613"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "755 E 3900 S",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841072105",
            "country_code": "US",
            "telephone_number": "801-363-3356",
            "fax_number": "801-533-9613",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1250 E 3900 S Ste 310",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841241350",
            "country_code": "US",
            "telephone_number": "801-263-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OBERG",
        "first_name": "THOMAS",
        "middle_name": "J J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-17",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "UT",
            "license": "7771826-1205",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "UT",
            "license": "7771826-1205",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THOMAS",
            "last_name": "OBERG",
            "middle_name": "JONATHAN JACKSON",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kim-Loan Nguyen, DDS
• Camile Nielson
• Eric Norling, DMD
• Katy L O'Banion, PH.D.
• Richard T. O'Brien, M.D.
• Oculoplastic Surgery, Inc. (Still Canyon Eyelid & Facial Plastic Surgery)
• Tara Jill Olson
• Olympus Health and Performance
• Olympus Spine and Pain
• Oral Design Dental

• Ophthalmic Plastic and Reconstructive Surgery Physician in Holladay, UT
• Providers in Holladay, UT by specialty
• Ophthalmic Plastic and Reconstructive Surgery Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.