Individual provider Active NPI

Geoffrey Guy Emerson, MD

  • Retina Specialist (Ophthalmology) Physician
  • Minneapolis, MN
National Provider Identifier
1801848171
Registry record updated Sep 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
49508 Issued in MN
Practice address
710 E 24TH St
Suite 304
Minneapolis, MN 55404-3846
Phone
(612) 871-2292
Fax
(952) 460-5274
NPI assigned
May 16, 2006
Last updated
Sep 21, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X MD25646 OR
Retina Specialist (Ophthalmology) Physician 207WX0107X 49508 MN Primary

Addresses

Primary practice location

710 E 24TH St
Suite 304
Minneapolis, MN 55404-3846

Mailing address

710 E 24TH St
Suite 304
Minneapolis, MN 55404-3846
Phone (612) 871-2292

Other identifiers 3

IdentifierTypeStateIssuer
750052000MedicaidMN
34783400MedicaidWI
023134MedicaidOR

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gemerson@retinadocs.intellechartdirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20070822001513 MN Practitioner - Ophthalmology 5395781587 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Yale University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitreoretinal Surgery PLLCGroup PAC ID 6709899768, 23 clinicians
Hennepin Healthcare System IncGroup PAC ID 4789684861, 905 clinicians

Practice addresses (Care Compare)

3601 W 76TH St
Suite 300
Minneapolis, MN 55435-3004
Phone (952) 929-1131

701 Park Ave
Minneapolis, MN 55415-1623
Phone (612) 873-6963

Merit-based Incentive Payment System (MIPS)

Final score
92.67 of 100Reported as group
Quality
74.5
Promoting interoperability
100
Improvement activities
40
Cost
72.86

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Identity verified by CMS
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
49508MNMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hennepin Healthcare System, Inc Current Accepting new patients
Hennepin Healthcare System Inc CurrentSince Jan 14, 2015 Accepting new patients
Hennepin Healthcare System, Inc CurrentSince Jan 14, 2015 Accepting new patients
Vitreoretinal Surgery PLLC Ophthalmology CurrentSince Jan 1, 2022 Accepting new patients

Locations

2485 Maplewood Dr N
Ste 213
Maplewood, MN 55109
Phone (612) 871-2292

3601 W 76th St
Ste 300
Minneapolis, MN 55435
Phone (952) 897-1175

701 Park Ave
Minneapolis, MN 55415
Phone (612) 873-6005

914 S 8th St
#D4
Minneapolis, MN 55404
Phone (612) 347-6450

Interoperability endpoints

  • Direct secure messaging: gemerson@vrssurgery.intellechartdirect.net

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600646400000",
    "number": "1801848171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 E 24TH ST",
            "address_2": "SUITE 304",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554043846",
            "telephone_number": "612-871-2292",
            "fax_number": "952-460-5274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 E 24TH ST",
            "address_2": "SUITE 304",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554043846",
            "telephone_number": "612-871-2292",
            "fax_number": "952-460-5274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMERSON",
        "first_name": "GEOFFREY",
        "middle_name": "GUY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "OR",
            "license": "MD25646",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "MN",
            "license": "49508",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "750052000",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34783400",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "023134",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gemerson@retinadocs.intellechartdirect.net",
            "affiliation": "N",
            "endpointDescription": "direct email to EHR system",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "710 E 24th St",
            "address_2": "Suite 304",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554043846",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.