Individual provider Active NPI

Steven Worthen Mortenson, M.D.

  • Ophthalmology Physician
  • Prescott, AZ
National Provider Identifier
1962473595
Registry record updated Apr 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
22728 Issued in AZ
Practice address
3192 Willow Creek Rd
Prescott, AZ 86301-6610
Phone
(928) 778-3950
NPI assigned
Jan 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2016

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 22728 AZ Primary

Addresses

Primary practice location

3192 Willow Creek Rd
Prescott, AZ 86301-6610

Mailing address

3192 Willow Creek Rd
Prescott, AZ 86301-6610
Phone (928) 778-3950

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20100825001018 AZ Practitioner - Ophthalmology 1759385420 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Utah School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwestern Eye Center LTDGroup PAC ID 1850296989, 116 clinicians

Practice addresses (Care Compare)

1600 Willow Creek Rd
Prescott, AZ 86301-1108
Phone (928) 776-7477

Hospital & facility affiliations

  • Yavapai Regional Medical Center Hospital, Prescott, AZ, CCN 030012

Merit-based Incentive Payment System (MIPS)

Final score
88.66 of 100Reported as group
Quality
84.9
Promoting interoperability
100
Improvement activities
40
Cost
77.31

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery369
Melanoma (skin cancer) excision1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southwestern Eye Center, LTD CurrentSince Sep 1, 2018 Accepting new patients
Southwestern Eye Center, LTD CurrentSince Sep 1, 2018 Accepting new patients
Southwestern Eye Center LTD Ophthalmology Current Accepting new patients

Locations

41810 N Venture Dr
Ste E152
Anthem, AZ 85086
Phone (623) 584-9295

3003 Highway 95
Ste 63
Bullhead City, AZ 86442
Phone (928) 763-7555

399 W Palomino Rd
Chino Valley, AZ 86323
Phone (928) 636-5504

270 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 634-4202

5285 W Bell Rd
Ste 110
Glendale, AZ 85308
Phone (602) 903-0922

4760 E Falcon Dr
Ste 101
Mesa, AZ 85215
Phone (480) 985-7400

3192 Willow Creek Rd
Prescott, AZ 86301
Phone (928) 445-1234

1600 Willow Creek Rd
Prescott, AZ 86301
Phone (928) 608-5500

3223 N Windsong Dr
Prescott Vly, AZ 86314
Phone (928) 772-1510

13624 W Camino del Sol
Ste 200
Sun City West, AZ 85375
Phone (623) 546-6599

5632 E 5th St
Tucson, AZ 85711
Phone (520) 584-8888

2149 W 24th St
Yuma, AZ 85364
Phone (928) 726-1100

Interoperability endpoints

  • Direct secure messaging: steven.mortenson@direct.avp.nextgenshare.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460073600000",
    "number": "1962473595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3192 WILLOW CREEK RD",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863016610",
            "telephone_number": "928-778-3950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3192 WILLOW CREEK RD",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863016610",
            "telephone_number": "928-778-3950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORTENSON",
        "first_name": "STEVEN",
        "middle_name": "WORTHEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-31",
        "last_updated": "2016-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "22728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

Verify at the official NPI Registry.