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ERIC F OPHEIM DO
NPI 1437138385
Family Medicine in Grundy Center, IA

Active since January 10, 2006PECOS Enrolled
97.58/100
CMS Quality Rating
606 E 1ST ST, GRUNDY CENTER, IA 50638(319) 824-6945(319) 824-6947 Get Directions Write a Review

NPPES record last updated: October 22, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Eric F Opheim Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ERIC F OPHEIM DO (NPI 1437138385) is an individual family medicine provider in Grundy Center, Iowa, licensed in Iowa (03462) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1437138385
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameERIC F OPHEIMCredential: DO
Location Address606 E 1ST STGrundy Center, IA 50638-2046
Mailing Address606 E 1st StGrundy Center, IA 50638-2046 · (319) 824-6945 · Fax (319) 824-6947
Phone(319) 824-6945
Fax(319) 824-6947
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateJanuary 10, 2006
Last NPPES UpdateOctober 22, 2007
✔ NPI 1437138385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IA · 03462
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
606 E 1ST ST, Grundy Center, IA 50638
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Other Identifiers 5

Medicaid5239582IA
Medicare PINI12243IA
OtherP00174839IA · Rr Medicare
Medicare UPINH70192IA
Medicaid4239582IA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health, Oscar Insurance Company, Wellmark Health Plan of Iowa, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eric F Opheim Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4486542032
PECOS Enrollment IDI20260102000762
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Eric Opheim reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Des Moines River Physicians, LLC
48 mi
Emergency Medicine
204 N 4TH AVE E
Newton, IA 50208
  • Reassigned Medicare billing, Iowa enrollment
  • 110 clinicians in this Medicare group
NPI 1174907703 (641) 792-1273
Carris Health - Redwood LLC
190 mi
Emergency Medicine
101 CARING WAY
Redwood Falls, MN 56283
  • Reassigned Medicare billing, Minnesota enrollment
  • Also billed through NPI 1194206748 (Minnesota)
  • 183 clinicians in this Medicare group
NPI 1265914048 (507) 637-4500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50638 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

REBECCA S FRISCH PAC
Physician Assistant
606 E 1ST ST
GRUNDY CENTER, IA 50638
Grundy County (319) 824-6945
SPORTSPLUS PHYSICAL THERAPY GC LLC
Clinic/Center (Physical Therapy)
606 E 1ST ST
GRUNDY CENTER, IA 50638
Grundy County (319) 825-6636

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eric Opheim's NPI number?

The NPI number for Eric Opheim is 1437138385. It was assigned to this individual provider in the NPPES registry on January 10, 2006.

Where is Eric Opheim located?

Eric Opheim practices at 606 E 1st St, Grundy Center, IA 50638. The listed phone number is (319) 824-6945.

What is Eric Opheim's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Eric Opheim enrolled in Medicare?

Yes. Eric Opheim is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Eric Opheim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eric Opheim reassigns Medicare benefits to 2 organizations: Des Moines River Physicians, LLC (Newton, IA) and Carris Health - Redwood LLC (Redwood Falls, MN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Eric Opheim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Eric Opheim accept?

Health plans from Oscar Health, Oscar Insurance Company and Wellmark Health Plan of Iowa, Inc. list Eric Opheim as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Eric Opheim was last updated on October 22, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.