Individual provider Active NPI

John David McCann, MD PHD

  • Ophthalmology Physician
  • Columbia, MO
National Provider Identifier
1326006917
Registry record updated Apr 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
2022037578 Issued in MO
Practice address
1410 Forum Katy Pkwy Ste 100
Columbia, MO 65203-6583
Phone
(573) 441-7070
Fax
(573) 441-2288
NPI assigned
May 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2024

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 2899121205 UT
Plastic and Reconstructive Surgery Physician 2086S0122X 2899121205 UT
Plastic and Reconstructive Surgery Physician 2086S0122X 2022037578 MO
Ophthalmology Physician 207W00000X 2022037578 MO Primary

Addresses

Primary practice location

1410 Forum Katy Pkwy Ste 100
Columbia, MO 65203-6583

Mailing address

1410 Forum Katy Pkwy Ste 100
Columbia, MO 65203-6583
Phone (573) 441-7070

Other identifiers 15

IdentifierTypeStateIssuer
100506327MedicaidNV
PAR TAX IDOtherGEHA
1057048OtherCCN
805502900MedicaidID
521709OtherDMBA
107030566101OtherUTIHC SELECT HEALTH
107030566101OtherIHC
5069010OtherAETNA
PAR TAX IDOtherBEECH STREET
114400600MedicaidWY
8806278OtherCIGNA
PAR TAX IDOtherMAILHANDLERS
015005OtherALTIUS
1057048OtherFIRST HEALTH
PAR TAX IDOtherBLUE CROSS OF CA

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
I20240318003256 MO Practitioner - Ophthalmology 9739165226 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Iowa, RJ & L Carver College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Timothy D McGarity MD PCGroup PAC ID 0941488928, 4 clinicians

Practice addresses (Care Compare)

1410 Forum Katy Pkwy
Suite 100
Columbia, MO 65203-6583
Phone (573) 441-7070

Merit-based Incentive Payment System (MIPS)

Final score
88.15 of 100Reported as group
Quality
86.6
Improvement activities
40
Cost
78.38

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2022037578MOMDPlastic and Reconstructive Surgery Physician
2899121205UTMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Timothy D McGarity MD PC Ophthalmology CurrentSince Jan 9, 2024 Accepting new patients
Columbia Orthopaedic Group, LLP Past Accepting new patients

Locations

1410 Forum Katy Pkwy
Ste 102
Columbia, MO 65203
Phone (573) 397-6556

1410 Forum Katy Pkwy
Ste 100
Columbia, MO 65203
Phone (573) 441-7070

1205 N Missouri St
Macon, MO 63552
Phone (660) 385-3151

Interoperability endpoints

  • Direct secure messaging: jmccann@restorationeyecare.intellechartdirect.net

Organizations & group practices 2

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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1326006917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 FORUM KATY PKWY STE 100",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652036583",
            "telephone_number": "573-441-7070",
            "fax_number": "573-441-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 FORUM KATY PKWY STE 100",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652036583",
            "telephone_number": "573-441-7070",
            "fax_number": "573-441-2288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCANN",
        "first_name": "JOHN",
        "middle_name": "DAVID",
        "credential": "MD PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "UT",
            "license": "2899121205",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "UT",
            "license": "2899121205",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "MO",
            "license": "2022037578",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MO",
            "license": "2022037578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100506327",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEHA",
            "identifier": "PAR TAX ID",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCN",
            "identifier": "1057048",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "805502900",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMBA",
            "identifier": "521709",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHC SELECT HEALTH",
            "identifier": "107030566101",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHC",
            "identifier": "107030566101",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5069010",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEECH STREET",
            "identifier": "PAR TAX ID",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114400600",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "8806278",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAILHANDLERS",
            "identifier": "PAR TAX ID",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALTIUS",
            "identifier": "015005",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "1057048",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF CA",
            "identifier": "PAR TAX ID",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

Verify at the official NPI Registry.