Individual provider Active NPI

Deborah Gess Ristvedt, D.O.

  • Ophthalmology Physician
  • Alexandria, MN
National Provider Identifier
1871881656
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
54574 Issued in MN
Practice address
2600 Jefferson St Ste 200
Alexandria, MN 56308-3410
Phone
(320) 762-2166
Fax
(605) 371-7199
NPI assigned
Jul 14, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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 54574 MN Primary

Addresses

Primary practice location

2600 Jefferson St Ste 200
Alexandria, MN 56308-3410

Mailing address

3101 W 57TH St
Sioux Falls, SD 57108-3162
Phone (605) 371-7100

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
I20110914000772 MN Practitioner - Ophthalmology 9234300617 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2600 Jefferson St
Suite 200
Alexandria, MN 56308-3410
Phone (320) 762-2166

Merit-based Incentive Payment System (MIPS)

Final score
89.22 of 100Reported as individual
Quality
92.2
Promoting interoperability
100
Improvement activities
40
Cost
71.87

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery817
Melanoma (skin cancer) excision1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alexandria Eye Clinic P.a. CurrentSince Aug 17, 2011 Accepting new patients
Vance Thompson Vision Surgery Center Alexandria, LLC CurrentSince Mar 1, 2020 Accepting new patients
Vance Thompson Vision Surgery Center NE, LLC Ophthalmology PastSince Jan 1, 2023 Accepting new patients

Locations

1501 Hawthorne St
Alexandria, MN 56308
Phone (320) 355-0953

2600 Jefferson St
Ste 200
Alexandria, MN 56308
Phone (320) 335-0953

2600 Jefferson St
Alexandria, MN 56308

2600 Jefferson St
Ste 100
Alexandria, MN 56308
Phone (320) 335-2167

3101 W 57th St
Sioux Falls, SD 57108
Phone (605) 361-3937

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1310601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1871881656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 W 57TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571083162",
            "telephone_number": "605-371-7100",
            "fax_number": "605-371-7199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 JEFFERSON ST STE 200",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563083410",
            "telephone_number": "320-762-2166",
            "fax_number": "605-371-7199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RISTVEDT",
        "first_name": "DEBORAH",
        "middle_name": "GESS",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-14",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MN",
            "license": "54574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, MN

Sources for this page

Verify at the official NPI Registry.