Individual provider Active NPI

Thomas John Clinch, MD

  • Ophthalmology Physician
  • Kearney, NE
National Provider Identifier
1568465987
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
22127 Issued in NE
Practice address
411 W. 39TH St.
Kearney, NE 68845
Phone
(308) 865-2760
Fax
(308) 865-2769
NPI assigned
May 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 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 22127 NE Primary

Addresses

Primary practice location

411 W. 39TH St.
Kearney, NE 68845

Mailing address

411 W. 39TH St.
Kearney, NE 68845
Phone (308) 865-2760

Other practice location 1

1305 US-6
Cambridge, NE 69022-0488
Phone (308) 697-3329

Other practice location 2

711 N Custer Ave
Grand Island, NE 68803-4311
Phone (308) 381-1781

Other practice location 3

300 E 12th St
Cozad, NE 69130-1505
Phone (308) 784-2261

Other practice location 4

1600 W 13th St
Lexington, NE 68850-1196
Phone (308) 324-5651

Other practice location 5

3610 Richmond Cir
Grand Island, NE 68803-3909
Phone (308) 384-6400

Other practice location 6

1113 Sherman St
Saint Paul, NE 68873-1546
Phone (308) 754-4421

Other practice location 7

1301 E H St
Mc Cook, NE 69001-3482
Phone (308) 345-2650

Other practice location 8

10 E 31st St
Kearney, NE 68847-2908
Phone (308) 865-7100

Other practice location 9

1401 E H St
Mc Cook, NE 69001-3589
Phone (308) 345-2650

Other practice location 10

727 E 1st St
Minden, NE 68959-1705
Phone (308) 832-3400

Other identifiers 1

IdentifierTypeStateIssuer
47054533500MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20100601000755 NE Practitioner - OphthalmologyPractitioner - Optometry 9638259849 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Nebraska College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kearney Eye Institute PCGroup PAC ID 7315935186, 7 clinicians

Practice addresses (Care Compare)

411 W 39TH St
Kearney, NE 68845-2805
Phone 30886527601004

Hospital & facility affiliations

  • Community Hospital Hospital, McCook, NE, CCN 281363
  • CHI Health Good Samaritan Hospital, Kearney, NE, CCN 280009
  • Tri Valley Health System Hospital, Cambridge, NE, CCN 281348

Merit-based Incentive Payment System (MIPS)

Final score
76.89 of 100Reported as group
Quality
83.59
Improvement activities
40
Cost
44.85

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1693
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22127NEMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kearney Eye Surgical Center, Inc. Current Accepting new patients
Kearney Eye Institute, P.C. Ophthalmology CurrentSince Jul 1, 2002 Accepting new patients
Kearney Eye Institute, P.C. Ophthalmology CurrentSince Jul 1, 2002 Accepting new patients
Harlan County Health System Past Accepting new patients

Locations

717 Brown St
Alma, NE 68920
Phone (308) 928-2151

300 E 12th St
Cozad, NE 69130
Phone (308) 784-2261

3610 Richmond Cir
Grand Island, NE 68803
Phone (308) 382-6856

711 N Custer Ave
Grand Island, NE 68803
Phone (308) 381-1781

411 W 39th St
Kearney, NE 68845
Phone (308) 865-2755

1301 E H St
McCook, NE 69001
Phone (308) 344-2650

1401 E H St
McCook, NE 69001
Phone (308) 344-4110

727 E 1st St
Minden, NE 68959
Phone (308) 832-1440

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 and National Provider Directory roles.

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": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1568465987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 W. 39TH ST.",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "68845",
            "telephone_number": "308-865-2760",
            "fax_number": "308-865-2769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 W. 39TH ST.",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "68845",
            "telephone_number": "308-865-2760",
            "fax_number": "308-865-2769"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1305 US-6",
            "address_purpose": "LOCATION",
            "city": "Cambridge",
            "state": "NE",
            "postal_code": "690220488",
            "country_code": "US",
            "telephone_number": "308-697-3329",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "711 N Custer Ave",
            "address_purpose": "LOCATION",
            "city": "Grand Island",
            "state": "NE",
            "postal_code": "688034311",
            "country_code": "US",
            "telephone_number": "308-381-1781",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 E 12th St",
            "address_purpose": "LOCATION",
            "city": "Cozad",
            "state": "NE",
            "postal_code": "691301505",
            "country_code": "US",
            "telephone_number": "308-784-2261",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 W 13th St",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "NE",
            "postal_code": "688501196",
            "country_code": "US",
            "telephone_number": "308-324-5651",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3610 Richmond Cir",
            "address_purpose": "LOCATION",
            "city": "Grand Island",
            "state": "NE",
            "postal_code": "688033909",
            "country_code": "US",
            "telephone_number": "308-384-6400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1113 Sherman St",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "NE",
            "postal_code": "688731546",
            "country_code": "US",
            "telephone_number": "308-754-4421",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1301 E H St",
            "address_purpose": "LOCATION",
            "city": "Mc Cook",
            "state": "NE",
            "postal_code": "690013482",
            "country_code": "US",
            "telephone_number": "308-345-2650",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 E 31st St",
            "address_purpose": "LOCATION",
            "city": "Kearney",
            "state": "NE",
            "postal_code": "688472908",
            "country_code": "US",
            "telephone_number": "308-865-7100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1401 E H St",
            "address_purpose": "LOCATION",
            "city": "Mc Cook",
            "state": "NE",
            "postal_code": "690013589",
            "country_code": "US",
            "telephone_number": "308-345-2650",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "727 E 1st St",
            "address_purpose": "LOCATION",
            "city": "Minden",
            "state": "NE",
            "postal_code": "689591705",
            "country_code": "US",
            "telephone_number": "308-832-3400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLINCH",
        "first_name": "THOMAS",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NE",
            "license": "22127",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47054533500",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearney, NE

Sources for this page

Verify at the official NPI Registry.