Individual provider Active NPI

Jason C. Koschmeder, O.D.

  • Optometrist
  • Albuquerque, NM
National Provider Identifier
1083040547
Registry record updated Dec 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
660 Issued in NM
Practice address
5200 Eubank Blvd NE
Suite a-4
Albuquerque, NM 87111-1759
Phone
(505) 298-4419
Fax
(505) 298-0878
NPI assigned
Sep 16, 2013
Last updated
Dec 5, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 660 NM Primary

Addresses

Primary practice location

5200 Eubank Blvd NE
Suite a-4
Albuquerque, NM 87111-1759

Mailing address

8801 Horizon Blvd NE
Suite 360
Albuquerque, NM 87113-1533
Phone (505) 828-4923

Other identifiers 1

IdentifierTypeStateIssuer
78880386MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20140527000924 NM Practitioner - Optometry 3870716525 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Associates of New Mexico LTDGroup PAC ID 4486643616, 66 clinicians

Practice addresses (Care Compare)

1603 Main St SW
Suite Bandc
Los Lunas, NM 87031-8766
Phone (505) 866-0623

1740 Grande Blvd SE
Suite B
Rio Rancho, NM 87124-0300
Phone (505) 892-3434

2947 Rodeo Park Dr E
Santa Fe, NM 87505-6303
Phone (505) 983-6613

5200 Eubank Blvd NE
Suite A4
Albuquerque, NM 87111-1760
Phone (505) 298-4419

5757 Harper Dr NE
Albuquerque, NM 87109-3566
Phone (505) 888-5757

Merit-based Incentive Payment System (MIPS)

Final score
87.25 of 100Reported as group
Quality
87.66
Promoting interoperability
100
Improvement activities
40
Cost
69.84

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
660NMMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Associates of New Mexico LTD Optometrist CurrentSince Aug 4, 2014 Accepting new patients
Eye Associates of New Mexico LTD Optometrist CurrentSince Aug 4, 2014 Accepting new patients
Eye Associates of New Mexico LTD Optometrist Past Accepting new patients
Eye Associates of New Mexico, LTD. Optometrist Past Accepting new patients

Locations

4411 The 25 Way NE
Ste 325
Albuquerque, NM 87109
Phone (505) 823-4411

5200 Eubank Blvd NE
Ste A4
Albuquerque, NM 87111
Phone (505) 298-4419

5757 Harper Dr NE
Albuquerque, NM 87109
Phone (505) 888-5757

8801 Horizon Blvd NE
Ste 360
Albuquerque, NM 87113
Phone (505) 246-2622

311 E Nizhoni Blvd
Gallup, NM 87301
Phone (505) 722-2268

1603 Main St SW
Ste B
Los Lunas, NM 87031
Phone (505) 865-6100

1740 Grande Blvd SE
Ste B
Rio Rancho, NM 87124
Phone (505) 892-3434

2947 Rodeo Park Dr E
Santa Fe, NM 87505
Phone (505) 474-9880

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: jason.koschmeder.p1@direct.eyenm.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, 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": "1379289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417737600000",
    "number": "1083040547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8801 HORIZON BLVD NE",
            "address_2": "SUITE 360",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871131533",
            "telephone_number": "505-828-4923",
            "fax_number": "505-213-0103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 EUBANK BLVD NE",
            "address_2": "SUITE A-4",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871111759",
            "telephone_number": "505-298-4419",
            "fax_number": "505-298-0878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSCHMEDER",
        "first_name": "JASON",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-16",
        "last_updated": "2014-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NM",
            "license": "660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78880386",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.