Individual provider Active NPI

Jeffrey R Pyne, D.O.

  • Ophthalmology Physician
  • Panama City, FL
National Provider Identifier
1649204355
Registry record updated Feb 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
OS 6900 Issued in FL
Practice address
2500 Martin Luther King Jr Blvd
Panama City, FL 32405-4412
Phone
(850) 784-3937
Fax
(850) 522-9829
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2015

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 OS 6900 FL Primary

Addresses

Primary practice location

2500 Martin Luther King Jr Blvd
Panama City, FL 32405-4412

Mailing address

2500 Martin Luther King Jr Blvd
Panama City, FL 32405-4412
Phone (850) 784-3937

Other identifiers 3

IdentifierTypeStateIssuer
80970OtherFLBLUE CROSS & BLUE SHIELD
267365700MedicaidFL
P00028192OtherFLRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
92.67 of 100Reported as group
Quality
100
Improvement activities
40
Cost
75.56

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS 6900FLMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Center of North Florida, P.a. Ophthalmology Current Accepting new patients
Eye Center of North Florida, P.a. Ophthalmology CurrentSince Mar 1, 2002 Accepting new patients
Eye Center of North Florida, P.a. CurrentSince Mar 1, 2002 Accepting new patients
Stephen G Krates DO PC Ophthalmology Past Accepting new patients
Krates Eye Centers PLLC Ophthalmology PastSince May 7, 2024 Accepting new patients

Locations

2500 Martin Luther King Jr Blvd
Panama City, FL 32405
Phone (850) 522-7951

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424649600000",
    "number": "1649204355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 MARTIN LUTHER KING JR BLVD",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054412",
            "telephone_number": "850-784-3937",
            "fax_number": "850-522-9829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 MARTIN LUTHER KING JR BLVD",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054412",
            "telephone_number": "850-784-3937",
            "fax_number": "850-522-9829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PYNE",
        "first_name": "JEFFREY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2015-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "OS 6900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "80970",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "267365700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00028192",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.