NPIMap

Individual provider Active NPI

John David Hyatt, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Ashland, OR
National Provider Identifier
1184696346
Registry record updated Jun 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
MD176865 Issued in OR
Practice address
246 Catalina Dr
Ashland, OR 97520-1624
Phone
(541) 488-3192
Fax
(541) 488-0646
NPI assigned
Feb 2, 2006
Last updated
Jun 20, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2017

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 45882 TN
Ophthalmology Physician 207W00000X 34419 SC
Ophthalmology Physician 207W00000X MD176865 OR
Retina Specialist (Ophthalmology) Physician 207WX0107X MD176865 OR Primary

Addresses

Primary practice location

246 Catalina Dr
Ashland, OR 97520-1624

Mailing address

246 Catalina Dr
Ashland, OR 97520-1624
Phone (541) 488-3192

Other identifiers 3

IdentifierTypeStateIssuer
P01236562OtherSCRAILROAD MEDICARE
500707611MedicaidOR
344194MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, OR, IN3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20120731000374 SC Practitioner - Ophthalmology 0648465682 Reassigns benefits to 7 organizations
I20160607002221 OR Practitioner - Ophthalmology 0648465682 Reassigns benefits to 1 organization
I20220126000284 IN Practitioner - Ophthalmology 0648465682 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Louisiana State University School of Medicine in New Orleans, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

246 Catalina Dr
Suite 1
Ashland, OR 97520-1624
Phone (541) 488-3192

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
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
MD176865ORMDOphthalmology Physician
34419SCMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Little River Medical Center, Inc. CurrentSince Nov 3, 2018 Accepting new patients
Little River Medical Center, Inc CurrentSince Nov 3, 2018 Accepting new patients
Little River Medical Center, Inc. CurrentSince Nov 3, 2018 Accepting new patients
Little River Medical Center, Inc. CurrentSince Nov 3, 2018 Accepting new patients
Retina & Vitreous Center of Southern Oregon, PC Ophthalmology Current Accepting new patients
Caresouth Carolina, Inc. Current Accepting new patients
Caresouth Carolina, Inc. CurrentSince Dec 17, 2018 Accepting new patients
Minuteclinic Diagnostics of Indiana, LLC CurrentSince Oct 27, 2021 Accepting new patients

Locations

9805 Geist Crossing Dr
Indianapolis, IN 46256
Phone (317) 577-1353

246 Catalina Dr
Ste 1
Ashland, OR 97520
Phone (541) 488-3192

545 Sumter Hwy
Bishopville, SC 29010
Phone (803) 484-5317

4303 Live Oak Dr
Little River, SC 29566
Phone (803) 839-3939

3817 Main St
Loris, SC 29569
Phone (843) 663-8297

3080 Highway 15-401 E
Mc Coll, SC 29570
Phone (843) 523-5751

3515 Caduceus Dr
Ste B
Myrtle Beach, SC 29588
Phone (843) 651-5689

4220 Carolina Exchange Dr
Myrtle Beach, SC 29579
Phone (843) 663-8013

7724 N Kings Hwy
Myrtle Beach, SC 29572
Phone (843) 839-3939

Organizations & group practices 10

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.

Hospital & facility affiliations 6

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": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497916800000",
    "number": "1184696346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 CATALINA DR",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975201624",
            "telephone_number": "541-488-3192",
            "fax_number": "541-488-0646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 CATALINA DR",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975201624",
            "telephone_number": "541-488-3192",
            "fax_number": "541-488-0646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYATT",
        "first_name": "JOHN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2017-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TN",
            "license": "45882",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "SC",
            "license": "34419",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OR",
            "license": "MD176865",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "OR",
            "license": "MD176865",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01236562",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500707611",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "344194",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, OR

Sources for this page

Verify at the official NPI Registry.