Jerry Kirk Popham, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

DR27698 Issued in CO

Practice address

1800 Emerson St
#200
Denver, CO 80218-1014

Phone

(303) 468-8844

Fax

(303) 468-8850

NPI assigned

Jun 30, 2005

Last updated

Apr 8, 2013By 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO, KS2 enrollments

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 2

Specialty

Ophthalmology

Education

Sanford School of Medicine of University of South Dakota, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jerry K Popham, MD PCGroup PAC ID 2466427497, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Russell Regional Hospital Hospital, Russell, KS, CCN 171350
• Clara Barton Hospital Hospital, Hoisington, KS, CCN 171333

Merit-based Incentive Payment System (MIPS)

Final score

70.83 of 100Reported as group

Quality

41.67

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jerry.popham@khindirect.org
• Direct secure messaging: jpopham653776@direct.kuha.org

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.

• Jerry K Popham, MD PC

  dba Park Avenue OculoPlastic Surgeons

  • Specialist
  • Denver, CO
  • NPI 1225162134

  KS

  Medicare reassignment Care Compare group NPD
• Park Avenue Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Denver, CO
  • NPI 1689748758
  Medicare reassignment NPD Authorized official
• Park Avenue Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Denver, CO
  • NPI 1154328508
  NPD Authorized official
• Eye Specialists Associated, PA

  • Ophthalmology Physician
  • Hays, KS
  • NPI 1871518555
  NPD (past)

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

• The Clara Barton Hospital Association Inc Hoisington Kansas

  dba Clara Barton Surgical Services

  • Surgery Physician
  • Hoisington, KS
  • NPI 1255697728

  Hospital

  Care Compare affiliation
• The Clara Barton Hospital Association Inc Hoisington Kansas

  dba Clara Barton Surgical Services-GB

  • Surgery Physician
  • Great Bend, KS
  • NPI 1366700593

  Hospital

  Care Compare affiliation
• The Clara Barton Hospital Association Inc Hoisington Kansas

  dba Clara Barton Surgical Services-Orthopedics

  • Surgery Physician
  • Hoisington, KS
  • NPI 1851729438

  Hospital

  Care Compare affiliation
• The Clara Barton Hospital Association, Inc. Hoisington Kansas

  • Critical Access Hospital
  • Hoisington, KS
  • NPI 1114964111
  Care Compare affiliation
• The Clara Barton Hospital Association, Inc. Hoisington Kansas

  dba Clara Barton Medical Clinic - GB

  • Rural Health Clinic/Center
  • Great Bend, KS
  • NPI 1265816300

  Hospital

  Care Compare affiliation
• West Central Kansas Association Inc.

  dba Russell Regional Hospital

  • General Acute Care Hospital
  • Russell, KS
  • NPI 1417939729
  Care Compare affiliation

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365379200000",
    "number": "1588661920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 EMERSON ST",
            "address_2": "#200",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181014",
            "telephone_number": "303-468-8844",
            "fax_number": "303-468-8850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 EMERSON ST",
            "address_2": "#200",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181014",
            "telephone_number": "303-468-8844",
            "fax_number": "303-468-8850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPHAM",
        "first_name": "JERRY",
        "middle_name": "KIRK",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2013-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CO",
            "license": "DR27698",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KS",
            "license": "04-23793",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "98806033",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Virginia Hope Poor, LCSW
• Celia Pope
• John Pope Jr., M.D., M.S.
• Kate Pope
• Rachel M. Pope, MA, BCBA
• Liane Popkin, R.N.
• Stephen M Popkin, M.D.
• Anna Popp, PHARMD
• Kaitlyn J Popp, DC
• Katie Poppert, RN

• Ophthalmology Physician in Denver, CO
• Providers in Denver, CO by specialty
• Ophthalmology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2013; 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.