Elliot Lawrence Korn, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

R6E34 Issued in MO

Practice address

1715 Deer Tracks TRL Ste 130
Saint Louis, MO 63131-1854

Phone

(314) 567-1856

Fax

(314) 527-2425

NPI assigned

Sep 29, 2005

Last updated

Mar 14, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MO

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

Specialty

OphthalmologyAlso: Plastic and Reconstructive Surgery

Education

Saint Louis University School of Medicine, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

63.33 of 100Reported as individual

Quality

26.67

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Elliot L Korn MD Inc

  • Ophthalmology Physician
  • Saint Louis, MO
  • NPI 1023231677
  Medicare reassignment NPD Authorized official
• Advanced Sight Center, Inc.

  • Ophthalmology Physician
  • Washington, MO
  • NPI 1992725709
  Medicare reassignment

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647216000000",
    "number": "1649267253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 DEER TRACKS TRL STE 130",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631311854",
            "telephone_number": "314-567-1856",
            "fax_number": "314-527-2425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 DEER TRACKS TRL STE 130",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631311854",
            "telephone_number": "314-567-1856",
            "fax_number": "314-527-2425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORN",
        "first_name": "ELLIOT",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-29",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MO",
            "license": "R6E34",
            "primary": true
        },
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "MO",
            "license": "R6E34",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "R51061708",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202318507",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin M Korenblat, MD
• Phillip Erwin Korenblat, M.D.
• Elizabeth Koritz, LPC
• Vasilisa Alexandra Kormendi, MD
• Theresa C Kormos, MSN, RN
• Valarie Kornblet, CNC
• Helen S Kornblum, MD
• Kimbell Kornu, M.D.
• Linsey L Kornya, CPM
• Erin Korobey, MSN, APRN, FNP-C

• Ophthalmology Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Ophthalmology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.