NPIMap

Individual provider Active NPI

Jeffery M Taylor, MD

  • Ophthalmology Physician
  • Paducah, KY
National Provider Identifier
1356318547
Registry record updated Nov 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
39545 Issued in KY
Practice address
4630 Village Square Dr
Paducah, KY 42001-7502
Phone
(270) 442-1671
Fax
(270) 442-7307
NPI assigned
Mar 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2018

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 39545 KY Primary

Addresses

Primary practice location

4630 Village Square Dr
Paducah, KY 42001-7502

Mailing address

4630 Village Square Dr
Paducah, KY 42001-7502
Phone (270) 442-1671

Other identifiers 5

IdentifierTypeStateIssuer
000000372438OtherANTHEM BCBS
610706763OtherTRICARE
7100053130MedicaidKY
64103385MedicaidKY
P00226010OtherRAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050719001025 KY Practitioner - Ophthalmology 4587691753 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Iowa, RJ & L Carver College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Ophthalmology Group LLCGroup PAC ID 0840227013, 5 clinicians

Practice addresses (Care Compare)

4630 Village Square Dr
Suite 100
Paducah, KY 42001-7502
Phone (270) 443-4393

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.22 of 100Reported as group
Quality
100
Improvement activities
40
Cost
77.41

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery479

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
39545KYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Ophthalmology Group, LLC Ophthalmology CurrentSince Aug 1, 2005 Accepting new patients

Locations

1903 Broadway St
Paducah, KY 42001
Phone (270) 442-1671

4630 Village Square Dr
Paducah, KY 42001
Phone (270) 442-1671

4630 Village Square Dr
Ste 100
Paducah, KY 42001
Phone (270) 443-4393

Interoperability endpoints

  • Direct secure messaging: jtaylor@paducaheyes.intellechartdirect.net

Organizations & group practices 1

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 4

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": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542153600000",
    "number": "1356318547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4630 VILLAGE SQUARE DR",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420017502",
            "telephone_number": "270-442-1671",
            "fax_number": "270-442-7307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4630 VILLAGE SQUARE DR",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420017502",
            "telephone_number": "270-442-1671",
            "fax_number": "270-442-7307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "JEFFERY",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-07",
        "last_updated": "2018-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KY",
            "license": "39545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000372438",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "610706763",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100053130",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64103385",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00226010",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

Verify at the official NPI Registry.