Maximilian Psolka, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MD61291718 Issued in WA

Practice address

4878 S Highland Dr
Holladay, UT 84117-6007

Phone

(801) 272-8861

NPI assigned

Aug 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL, OR, WA, CO4 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 4

Specialty

Ophthalmology

Education

Uniformed Services Uhs Fe Hebert School of Med, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sight Partners Physicians PCGroup PAC ID 6002728532, 59 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Olympic Medical Center Hospital, Port Angeles, WA, CCN 500072

Merit-based Incentive Payment System (MIPS)

Final score

89.74 of 100Reported as group

Quality

88.73

Promoting interoperability

100

Improvement activities

40

Cost

77.08

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mpsolka@nwes.intellechartdirect.net
• Direct secure messaging: maximilianpsolka@eyestx.imwdirect.com

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.

• Sight Partners Physicians, P.C.

  • Ophthalmology Physician
  • Bellingham, WA
  • NPI 1376613075
  Medicare reassignment Care Compare group NPD
• Bend Memorial Clinic PC

  • Family Medicine Physician
  • Bend, OR
  • NPI 1699827477

  Ophthalmology

  Medicare reassignment NPD
• Chelan County Public Hospital District No 2

  • Critical Access Hospital
  • Chelan, WA
  • NPI 1578568853
  Medicare reassignment NPD
• Rocky Mountain Eye Center Inc a Colorado Provider Network

  • Ophthalmology Physician
  • Pueblo, CO
  • NPI 1073567459
  Medicare reassignment NPD
• University of Florida Jacksonville Physicians, Inc.

  • Internal Medicine Physician
  • Jacksonville, FL
  • NPI 1144276452
  Medicare reassignment NPD
• Bend Memorial Clinic PC

  • Clinical Medical Laboratory
  • Bend, OR
  • NPI 1972144913
  NPD
• Chelan County Public Hospital Dist No 2

  • Critical Access Hospital
  • Chelan, WA
  • NPI 1831358696
  NPD
• Chelan County Public Hospital District No 2

  • Rural Health Clinic/Center
  • Chelan, WA
  • NPI 1124438312
  NPD
• Rocky Mountain Eye Center Inc a Colorado Provider Network

  • Eyewear Supplier
  • Pueblo, CO
  • NPI 1699837658

  Ophthalmology

  NPD
• Russell Rowe, MD, PA

  • Dermatology Physician
  • Gatesville, TX
  • NPI 1922658897
  NPD
• Sight Partners Physicians PC

  • Multi-Specialty Clinic/Center
  • Colville, WA
  • NPI 1801781802
  NPD
• Sight Partners Physicians, P.C.

  • Ophthalmology Physician
  • Seattle, WA
  • NPI 1689674517
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Clallam County Public Hospital District 2

  • General Acute Care Hospital
  • Port Angeles, WA
  • NPI 1306845557
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651622400000",
    "number": "1255441952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4878 S HIGHLAND DR",
            "city": "HOLLADAY",
            "state": "UT",
            "postal_code": "841176007",
            "telephone_number": "801-272-8861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4878 S HIGHLAND DR",
            "city": "HOLLADAY",
            "state": "UT",
            "postal_code": "841176007",
            "telephone_number": "801-272-8861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PSOLKA",
        "first_name": "MAXIMILIAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IN",
            "license": "01047658A",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D70499",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WA",
            "license": "MD61291718",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "UT",
            "license": "1143296-1205",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036676500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Evert Theodore Pierce
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• Pinnacle Recovery Center LLC
• Precision Dental Care, Inc.
• Precision Psychological Services PLLC
• Purple Coffee Therapy
• Q Porschatis LCSW, LLC
• R Brady Perdue DDS, PLLC
• Roxanne Settareh Rahimi, LCSW
• Sara Rae Rands, ACMHC

• Ophthalmology Physician in Holladay, UT
• Providers in Holladay, UT by specialty
• Ophthalmology Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.