NPIMap

Individual provider Active NPI

John C Moffitt, MD

  • Ophthalmology Physician
  • Chippewa Falls, WI
National Provider Identifier
1356514053
Registry record updated Dec 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
76154-20 Issued in WI
Practice address
2525 County Hwy I
Chippewa Falls, WI 54729-1422
Phone
(715) 723-9375
NPI assigned
Apr 2, 2008
Last updated
Dec 30, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 76154-20 WI Primary
Ophthalmology Physician 207W00000X 24758 NE

Addresses

Primary practice location

2525 County Hwy I
Chippewa Falls, WI 54729-1422

Mailing address

2525 County Hwy I
Chippewa Falls, WI 54729-1422
Phone (715) 723-9375

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jmoffitt339590@ewd.direct.hshs.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20211104000065 WI Practitioner - Ophthalmology 4789903162 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Uniformed Services Uhs Fe Hebert School of Med, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chippewa Valley Eye Clinic SCGroup PAC ID 0446395800, 5 clinicians

Practice addresses (Care Compare)

2525 County Hwy I
Chippewa Falls, WI 54729-1422
Phone (715) 723-9375

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.88 of 100Reported as group
Quality
94.46
Improvement activities
40
Cost
73.68

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery139

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Chippewa Valley Eye Clinic Chippewa Falls SC CurrentSince Dec 1, 2021 Accepting new patients
Chippewa Valley Eye Clinic SC Ophthalmology CurrentSince Dec 1, 2021 Accepting new patients
Independent Surgery Center LLC CurrentSince Nov 18, 2021 Accepting new patients
Independent Vision Group, LTD Ophthalmology Past Accepting new patients

Locations

2525 County Highway I
Chippewa Fls, WI 54729
Phone (715) 723-6520

2751 Commercial Blvd
Ste 7
Chippewa Fls, WI 54729
Phone (715) 738-1800

Organizations & group practices 4

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 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": "1207094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640822400000",
    "number": "1356514053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 COUNTY HWY I",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547291422",
            "telephone_number": "715-723-9375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 COUNTY HWY I",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547291422",
            "telephone_number": "715-723-9375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOFFITT",
        "first_name": "JOHN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-02",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WI",
            "license": "76154-20",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NE",
            "license": "24758",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmoffitt339590@ewd.direct.hshs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCT/TXT",
            "address_1": "2661 County Highway I",
            "city": "Chippewa Falls",
            "state": "WI",
            "country_code": "US",
            "postal_code": "547295407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chippewa Falls, WI

Sources for this page

Verify at the official NPI Registry.