Individual provider Active NPI

John R Fitz, M.D.

  • Ophthalmology Physician
  • Farmington, MO
National Provider Identifier
1306815972
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD R2D32 Issued in MO
Practice address
140 Westmount Dr
Farmington, MO 63640-2970
Phone
(573) 756-2020
Fax
(573) 756-6997
NPI assigned
Mar 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD R2D32 MO Primary

Addresses

Primary practice location

140 Westmount Dr
Farmington, MO 63640-2970

Mailing address

140 Westmount Dr
Farmington, MO 63640-2970
Phone (573) 756-2020

Other identifiers 1

IdentifierTypeStateIssuer
202056719MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jfitz@pec.integrityemrdirect.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100305000630 MO Practitioner - Ophthalmology 8022043421 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Saint Louis University School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Precision Eye Care IncGroup PAC ID 4486689882, 3 clinicians

Practice addresses (Care Compare)

140 Westmount Dr
Farmington, MO 63640-2970
Phone (573) 756-2020

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery245

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD R2D32MOMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Surgery Center of Farmington, L.L.C. Current Accepting new patients
Surgery Center of Farmington, LLC Current Accepting new patients
Precision Eye Care, Inc. Ophthalmology CurrentSince Dec 31, 1991 Accepting new patients

Locations

140 Westmount Dr
Farmington, MO 63640
Phone (573) 756-2020

Organizations & group practices 3

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.

Hospital & facility affiliations 3

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": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1306815972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 WESTMOUNT DR",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636402970",
            "telephone_number": "573-756-2020",
            "fax_number": "573-756-6997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 WESTMOUNT DR",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636402970",
            "telephone_number": "573-756-2020",
            "fax_number": "573-756-6997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZ",
        "first_name": "JOHN",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2023-11-27",
        "certification_date": "2020-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MO",
            "license": "MD R2D32",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202056719",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jfitz@pec.integrityemrdirect.com",
            "affiliation": "Y",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "140 Westmount Dr",
            "city": "Farmington",
            "state": "MO",
            "country_code": "US",
            "postal_code": "636402970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Farmington, MO

Sources for this page

Verify at the official NPI Registry.