Individual provider Active NPI

Arthur Korotkin, M.D.

  • Ophthalmology Physician
  • Fort Collins, CO
National Provider Identifier
1023166345
Registry record updated Dec 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
45574 Issued in CO
Practice address
1725 E Prospect Rd
Fort Collins, CO 80525-1307
Phone
(970) 221-2222
Fax
(970) 221-4286
NPI assigned
Jan 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A90950 CA
Ophthalmology Physician 207W00000X 45574 CO Primary

Addresses

Primary practice location

1725 E Prospect Rd
Fort Collins, CO 80525-1307

Mailing address

1725 E Prospect Rd
Fort Collins, CO 80525-1307
Phone (970) 221-2222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, WY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070830000348 CO Practitioner - Ophthalmology 1052403276 Reassigns benefits to 1 organization
I20190715001849 WY Practitioner - Ophthalmology 1052403276 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Texas Southwestern Medical School at Dallas, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Center of Northern Colorado PCGroup PAC ID 5496644841, 67 clinicians

Practice addresses (Care Compare)

1725 E Prospect Rd
Fort Collins, CO 80525-1307
Phone (970) 221-2222

Merit-based Incentive Payment System (MIPS)

Final score
91.23 of 100Reported as group
Quality
84.06
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A90950CAMDOphthalmology Physician
45574COMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cheyenne Eye Clinic, LLC Ophthalmology CurrentSince Jul 8, 2019 Accepting new patients
Eye Center of Northern Colorado, P.C. Ophthalmology CurrentSince Sep 1, 2009 Accepting new patients
Cheyenne Ocular Surgery Past Accepting new patients
Surgery Center of Northern Colorado Past Accepting new patients

Locations

Dept 1061
Denver, CO 80256

1725 E Prospect Rd
Fort Collins, CO 80525
Phone (970) 221-2222

3151 Precision Dr
Fort Collins, CO 80528
Phone (970) 221-2222

1701 61st Ave
Greeley, CO 80634
Phone (970) 221-2222

2555 E 13th St
Ste 225
Loveland, CO 80537
Phone (970) 221-2222

6125 Sky Pond Dr
Ste 160
Loveland, CO 80538
Phone (970) 221-2222

1300 E 20th St
Cheyenne, WY 82001
Phone (307) 634-2020

Networks

  • CO HMO
  • CO HMO D-SNP
  • devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: arthur.korotkin.p1@direct.eyecenternoco.nextgenshare.com

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": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259798400000",
    "number": "1023166345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 E PROSPECT RD",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805251307",
            "telephone_number": "970-221-2222",
            "fax_number": "970-221-4286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 E PROSPECT RD",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805251307",
            "telephone_number": "970-221-2222",
            "fax_number": "970-221-4286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOROTKIN",
        "first_name": "ARTHUR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2009-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A90950",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CO",
            "license": "45574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.