Individual provider Active NPI

Jon Kintner, M.D.

  • Ophthalmology Physician
  • North Bend, OR
National Provider Identifier
1437150265
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD15956 Issued in OR
Practice address
3585 Broadway St
North Bend, OR 97459-1251
Phone
(541) 756-2584
Fax
(541) 756-5783
NPI assigned
Aug 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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 MD15956 OR Primary

Addresses

Primary practice location

3585 Broadway St
North Bend, OR 97459-1251

Mailing address

3585 Broadway Ave
North Bend, OR 97459-1251
Phone (541) 756-2584

Other identifiers 1

IdentifierTypeStateIssuer
E55207OtherUPIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20100614000659 OR Practitioner - Ophthalmology 2961491956 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay Eye Clinic PCGroup PAC ID 0446249437, 4 clinicians

Practice addresses (Care Compare)

3585 Broadway Ave
North Bend, OR 97459-1251
Phone (541) 756-2587

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.05 of 100Reported as group
Quality
100
Improvement activities
40
Cost
86.63

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery54
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD15956ORMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Optical Laboratory Corp. PastSince Sep 8, 2003 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jkintner@bayeyeclinic.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 and National Provider Directory roles.

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": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1437150265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3585 BROADWAY AVE",
            "city": "NORTH BEND",
            "state": "OR",
            "postal_code": "974591251",
            "telephone_number": "541-756-2584",
            "fax_number": "541-756-5783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3585 BROADWAY ST",
            "city": "NORTH BEND",
            "state": "OR",
            "postal_code": "974591251",
            "telephone_number": "541-756-2584",
            "fax_number": "541-756-5783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINTNER",
        "first_name": "JON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2023-03-07",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OR",
            "license": "MD15956",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "E55207",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bend, OR

Sources for this page

Verify at the official NPI Registry.