Individual provider Active NPI

Jeffrey L Kearfott, MD

  • Ophthalmology Physician
  • Springfield, OH
National Provider Identifier
1326269101
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
35055570K Issued in OH
Practice address
20 South Burnett
Springfield, OH 45505
Phone
(937) 325-6363
Fax
(937) 325-7262
NPI assigned
May 1, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 35055570K OH Primary

Addresses

Primary practice location

20 South Burnett
Springfield, OH 45505

Mailing address

20 South Burnett
Springfield, OH 45505
Phone (937) 325-6363

Other identifiers 2

IdentifierTypeStateIssuer
0778314MedicaidOH
000000018159OtherANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20100825000506 OH Practitioner - Ophthalmology 2860516002 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Wright State University Boonshoft School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

20 S Burnett Rd
Springfield, OH 45505-1489
Phone (937) 325-6363

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35055570KOHMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Valley Medical Center, LLC Current Accepting new patients
Kearfott Eye Group Inc Ophthalmology CurrentSince Jul 1, 1994 Accepting new patients

Locations

20 S Burnett Rd
Springfield, OH 45505
Phone (937) 325-6363

Interoperability endpoints

  • Direct secure messaging: jkearfott@direct.ovsurgical.com

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.

Hospital & facility affiliations 1

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": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326269101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 SOUTH BURNETT",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "45505",
            "telephone_number": "937-325-6363",
            "fax_number": "937-325-7262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 SOUTH BURNETT",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "45505",
            "telephone_number": "937-325-6363",
            "fax_number": "937-325-7262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEARFOTT",
        "first_name": "JEFFREY",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35055570K",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0778314",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000018159",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OH

Sources for this page

Verify at the official NPI Registry.