Jared Yadon Kohlbacher, DPM

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

POD1089 Issued in ME

Practice address

140 Academy St Ste 10
Presque Isle, ME 04769-3102

Phone

(207) 764-3734

NPI assigned

Sep 7, 2011

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

New York College of Podiatric Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Aroostook Medical CenterGroup PAC ID 1153233663, 117 clinicians

East Grand Health Center IncGroup PAC ID 4284642950, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northern Light a R Gould Hospital Hospital, Presque Isle, ME, CCN 200018
• Cary Medical Center Hospital, Caribou, ME, CCN 200031
• Northern Maine Medical Center Hospital, Fort Kent, ME, CCN 201317

Merit-based Incentive Payment System (MIPS)

Final score

88.33 of 100Reported as group

Quality

71.56

Promoting interoperability

96

Improvement activities

40

Cost

76.21

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• East Grand Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Danforth, ME
  • NPI 1467489666
  Medicare reassignment Care Compare group NPD
• The Aroostook Medical Center

  dba Northern Light A.R. Gould Hospital

  • General Acute Care Hospital
  • Presque Isle, ME
  • NPI 1396858999
  Medicare reassignment Care Compare group NPD
• Northern Maine Medical Center

  • Critical Access Hospital
  • Fort Kent, ME
  • NPI 1568465144
  Medicare reassignment NPD
• Northern Maine Medical Center

  dba St John Valley Pharmacy

  • Community/Retail Pharmacy
  • Fort Kent, ME
  • NPI 1952303422
  NPD
• The Aroostook Medical Center

  dba Northern Light Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Presque Isle, ME
  • NPI 1982723037
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• City of Caribou

  dba Cary Medical Center

  • General Acute Care Hospital
  • Caribou, ME
  • NPI 1780615492
  Care Compare affiliation
• Northern Maine Medical Center

  dba NMMC Medical Office Building

  • Multi-Specialty Clinic/Center
  • Fort Kent, ME
  • NPI 1144073297

  Hospital

  Care Compare affiliation
• Northern Maine Medical Center

  • Multi-Specialty Clinic/Center
  • Madawaska, ME
  • NPI 1285487330

  Hospital

  Care Compare affiliation
• Northern Maine Medical Center

  • Critical Access Hospital
  • Fort Kent, ME
  • NPI 1568465144
  Care Compare affiliation
• The Aroostook Medical Center

  dba Northern Light A.R. Gould Hospital

  • General Acute Care Hospital
  • Presque Isle, ME
  • NPI 1396858999
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1315353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1386925055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 MOOSE RIDGE RD",
            "city": "MAPLETON",
            "state": "ME",
            "postal_code": "047574156",
            "telephone_number": "207-768-8309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 ACADEMY ST STE 10",
            "city": "PRESQUE ISLE",
            "state": "ME",
            "postal_code": "047693102",
            "telephone_number": "207-764-3734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHLBACHER",
        "first_name": "JARED",
        "middle_name": "YADON",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-07",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "ME",
            "license": "POD1089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leanna Kimball, MHRT-CSP
• Kindness in Development Services, LLC
• Amy King, RN, WCC
• Evgeny Kirsanov, M.D.
• Steven K Knox, PHARM D
• Paul Barry Krivitsky, M.D.
• Jada Sue Kuhn, CCC-SLP
• Ashley E Lajoie, MOT, OTR/L
• Cassidy L. Lajoie, MSOT, OTR/L
• James R Lambert, MD

• Foot Surgery Podiatrist in Presque Isle, ME
• Providers in Presque Isle, ME by specialty
• Foot Surgery Podiatrist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.