Individual provider Active NPI

Murry D. Westberg, OD

  • Optometrist
  • Park Rapids, MN
National Provider Identifier
1952361032
Registry record updated Dec 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3036 Issued in MN
Practice address
100 Huntsinger Ave
Park Rapids, MN 56470
Phone
(218) 732-3389
Fax
(218) 732-5994
NPI assigned
Mar 24, 2006
Last updated
Dec 3, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3036 MN Primary

Addresses

Primary practice location

100 Huntsinger Ave
Park Rapids, MN 56470

Mailing address

100 Huntsinger Ave
Park Rapids, MN 56470
Phone (218) 732-3389

Other identifiers 3

IdentifierTypeStateIssuer
P00344855OtherMNRR MEDICARE
275496700MedicaidMN
0516220001OtherMNDMERCB

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050728000282 MN Practitioner - Optometry 7113955485 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

100 Huntsinger Ave
Park Rapids, MN 56470-1326
Phone (218) 732-3389

Merit-based Incentive Payment System (MIPS)

Final score
88.32 of 100Reported as group
Quality
76.64
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery51

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Park Rapids Walker Eye Clinic OD PA Optometrist CurrentSince Aug 1, 2005 Accepting new patients
Park Rapids Walker Eye Clinic O.D., P.a. Optometrist CurrentSince Aug 1, 2005 Accepting new patients
Thrive With Vision, PLLC PastSince Feb 1, 2018 Accepting new patients
Midwest Family Eye Center Optometrist Past Accepting new patients

Locations

100 Huntsinger Ave
Park Rapids, MN 56470
Phone (218) 732-3389

206 Pleasant Ave S
Park Rapids, MN 56470
Phone (218) 732-3389

107 6th St S
Walker, MN 56484
Phone (218) 547-3666

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": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543795200000",
    "number": "1952361032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HUNTSINGER AVE",
            "city": "PARK RAPIDS",
            "state": "MN",
            "postal_code": "56470",
            "telephone_number": "218-732-3389",
            "fax_number": "218-732-5994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HUNTSINGER AVE",
            "city": "PARK RAPIDS",
            "state": "MN",
            "postal_code": "56470",
            "telephone_number": "218-732-3389",
            "fax_number": "218-732-5994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESTBERG",
        "first_name": "MURRY",
        "middle_name": "D.",
        "name_prefix": "Mr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2018-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00344855",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "275496700",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERCB",
            "identifier": "0516220001",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Park Rapids, MN

Sources for this page

Verify at the official NPI Registry.