RONALD J BROCKMAN MD
NPI 1851498638
Ophthalmology in Thief River Falls, MN
Quality Rating: 95.62 out of 100 score
NPI Status: Active since September 20, 2006
Contact Information
1720 HIGHWAY 59 S
THIEF RIVER FALLS, MN
ZIP 56701
Phone: (218) 683-3937
- Individual
- Male
- Ophthalmology
- Accepts Insurance
- PECOS Enrolled
About RONALD BROCKMAN
This page provides the complete NPI Profile along with additional information for Ronald Brockman, a provider established in Thief River Falls, Minnesota with a medical specialization in Ophthalmology. The healthcare provider is registered in the NPI registry with number 1851498638 assigned on September 2006. The practitioner's primary taxonomy code is 207W00000X with license number 7037 (ND). The provider is registered as an individual and his NPI record was last updated 3 years ago.
- NPI
- 1851498638
- Provider Name
- RONALD J BROCKMAN MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1720 HIGHWAY 59 S THIEF RIVER FALLS, MN 56701
- Location Phone
- (218) 683-3937
- Mailing Address
- PO BOX 5074 SIOUX FALLS, SD 57117
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-20-2006
- Last Update Date
- 04-04-2022
- Code Navigator
Ophthalmologists like Ronald Brockman specialize in diagnosing and treating eye conditions. They may perform surgeries to correct vision issues or prevent vision loss due to diseases like glaucoma. Additionally, they can provide eyeglasses, prescribe contact lenses, and offer other vision-related services.
Location Map
Secondary Locations
- 4440 S Washington St - Altru Professional Center
Grand Forks, ND 58201
(701) 732-7000
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Ophthalmology
- Taxonomy Code
- 207W00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 7037
- License State
- ND
- Taxonomy Description
- An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BlueCare Gold $25 PCP Copay ($5 Value Based Drug List) - PPO
- BlueCare Silver $45 PCP Copay ($5 Value Based Drug List) - PPO
- BlueDirect Bronze 100 HSA Eligible ($7500 Deductible / $5 Preventive Drug List) - PPO
- BlueDirect Gold 90 HSA Eligible ($2600 Deductible / $5 Preventive Drug List) - PPO
- BlueDirect Silver 80 HSA Eligible ($3500 Deductible / $5 Preventive Drug List) - PPO
- BlueEssential Catastrophic 100 $9200 Deductible - PPO
- BlueValue Bronze $50 PCP Copay (Standardized plan) - PPO
- BlueValue Gold $30 PCP Copay (Standardized plan) - PPO
- BlueValue Silver $40 PCP Copay (Standardized plan) - PPO
- DakotaBlue Altru Gold ($5 Value Based Drug List) - PPO
- DakotaBlue Altru Silver ($5 Value Based Drug List) - PPO
- DakotaBlue Trinity Gold ($5 Value Based Drug List) - PPO
- DakotaBlue Trinity Silver ($5 Value Based Drug List) - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Ronald Brockman is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
New patient complete exam of visual system
Ultrasound scan to determine eye length and lens power
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
This service was performed 79 times for 79 patientsAn ultrasound scan for the eye is a safe, non-invasive procedure. It uses sound waves to create images of your eye's structure. This helps determine the length of your eye and the power of your lens, which is crucial for diagnosing eye conditions and planning surgeries.
This service was performed 90 times for 69 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 56701 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $127.61
- Minimum New Patient Price $56
- Maximum New Patient Price $168.28
- Average New Patient Copayment $31.9
- Minimum New Patient Copayment $14
- Maximum New Patient Copayment $42.07
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $69.74
- Minimum Established Patient Price $18.32
- Maximum Established Patient Price $138.04
- Average Established Patient Copayment $17.43
- Minimum Established Patient Copayment $4.58
- Maximum Established Patient Copayment $34.51
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Overall MIPS Quality Performance
The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 95.62, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
-
Final Score: 95.62 out of 100
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.
-
Quality Score: 92.61
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.
There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
-
Promoting Interoperability Score: 100
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.
The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. -
Improvement Activities Score: 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.
The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. -
Cost Score: 92.8
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. -
Cost Score: 92.8
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
Reviews for RONALD J BROCKMAN MD
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 8 | 5 | 1 | 4 | 9 | 8 | 6 | 3 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 10 | 1 | 8 | 9 | 16 | 6 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 1 + 0 + 1 + 8 + 9 + 1 + 6 + 6 + 6 + 24 = 72 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 72 = 8 | 8 | ||||||||
The NPI number 1851498638 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1588617633 | DR. NAWAL R. ABUL-KHOUDOUD M.D. Individual | Internal Medicine | 1720 HIGHWAY 59 S THIEF RIVER FALLS, MN 56701 (218) 681-4747 |
| 1245283787 | JOHN H IMSANDE CRNA Individual | Nurse Anesthetist, Certified Registered | 1720 HIGHWAY 59 S THIEF RIVER FALLS, MN 56701 (218) 681-4747 |
| 1023063328 | KRISTINE A ELLIOTT DC Individual | Chiropractor | 1720 HIGHWAY 59 S THIEF RIVER FALLS, MN 56701 (218) 681-4747 |
| 1144269325 | CAMMY L BAHNER MS-CCC-A Individual | Audiologist | 1720 HIGHWAY 59 S THIEF RIVER FALLS, MN 56701 (218) 671-4747 |
| 1528007630 | DUANE C BROWNING MD Individual | Family Medicine | 1720 HIGHWAY 59 S THIEF RIVER FALLS, MN 56701 (218) 681-4747 |
| 1912946732 | ELOISE MARIE CLARK MD Individual | Obstetrics & Gynecology | 1720 HIGHWAY 59 S THIEF RIVER FALLS, MN 56701 (218) 681-4747 |
| 1639111990 | DENISE L MCSHERRY DO Individual | Obstetrics & Gynecology | 1720 HIGHWAY 59 S THIEF RIVER FALLS, MN 56701 (218) 681-4747 |
| 1700812757 | WENDELL A WALL MD Individual | Obstetrics & Gynecology | 1720 HIGHWAY 59 S THIEF RIVER FALLS, MN 56701 (218) 681-4747 |
| 1356377386 | TWYLA J ASP CDE Individual | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 1720 HIGHWAY 59 S THIEF RIVER FALLS, MN 56701 (218) 681-4747 |
| 1306874920 | DAVID A ABRAHAM MD Individual | Otolaryngology | 1720 HIGHWAY 59 S THIEF RIVER FALLS, MN 56701 (218) 681-4747 |
| 1477584258 | MARK R SCHNEIDER MD Individual | Radiology (Diagnostic Radiology) | 1720 HIGHWAY 59 S THIEF RIVER FALLS, MN 56701 (218) 681-4747 |
| 1093746877 | KENT A TRONTVET CRNA Individual | Nurse Anesthetist, Certified Registered | 1720 HIGHWAY 59 S THIEF RIVER FALLS, MN 56701 (218) 681-4747 |
| 1356375448 | MATTHEW O LINBACK DPT Individual | Physical Therapist | 1720 HIGHWAY 59 S THIEF RIVER FALLS, MN 56701 (218) 681-4747 |
| 1871506410 | MICHELLE J HOFF PT Individual | Physical Therapist | 1720 HIGHWAY 59 S THIEF RIVER FALLS, MN 56701 (218) 681-4747 |
| 1184720013 | DR. CRAIG ROBERTS MICKELSON O.D. Individual | Optometrist | 1720 HIGHWAY 59 S THIEF RIVER FALLS, MN 56701 (218) 681-4747 |
| 1043302474 | SCOTT W PETRESCUE MD Individual | Family Medicine | 1720 HIGHWAY 59 S THIEF RIVER FALLS, MN 56701 (218) 684-4747 |
| 1407915101 | DAKOTA CLINIC LTD Organization | Durable Medical Equipment & Medical Supplies | 1720 HIGHWAY 59 S THIEF RIVER FALLS, MN 56701 (218) 681-4747 |
| 1366503641 | DAKOTA CLINIC LTD Organization | Clinic/Center (Ambulatory Surgical) | 1720 HIGHWAY 59 S THIEF RIVER FALLS, MN 56701 (218) 681-4747 |
| 1770635682 | CHANDRA S GOTTIPATI MBBS Individual | Family Medicine | 1720 HIGHWAY 59 S THIEF RIVER FALLS, MN 56701 (218) 681-4747 |
| 1164603460 | DESIREE M BERTILRUD NP Individual | Nurse Practitioner | 1720 HIGHWAY 59 S THIEF RIVER FALLS, MN 56701 (218) 681-4747 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1851498638, enumerated in the NPI registry as an "individual" on September 20, 2006
The provider is located at 1720 Highway 59 S Thief River Falls, Mn 56701 and the phone number is (218) 683-3937
The provider's speciality is Ophthalmology with taxonomy code 207W00000X
The provider might be accepting Accepts: Blue Cross Blue Shield of North Dakota. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences, uses technology to exchange and make use of healthcare information , coordinates care and seeks improvement of health outcomes.
Medicare beneficiaries should expect a typical cost of $127.61 with an average copayment of $31.9 for new patient appointments. Established patients should expect a typical charge of $69.74 and an average copayment of 17.43. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: New patient complete exam of visual system and Ultrasound scan to determine eye length and lens power.
This NPI record was last updated on September 20, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.