NPIMap

Individual provider Active NPI

John B Fassio, MD

  • Ophthalmology Physician
  • Park City, UT
National Provider Identifier
1689671638
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
262669-1205 Issued in UT
Practice address
2700 Homestead Rd
Park City, UT 84098-4857
Phone
(435) 658-3090
Fax
(435) 658-3094
NPI assigned
Jul 6, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 6778A WY
Ophthalmology Physician 207W00000X 262669-1205 UT Primary

Addresses

Primary practice location

2700 Homestead Rd
Park City, UT 84098-4857

Mailing address

2700 Homestead Rd
Park City, UT 84098-4857
Phone (435) 615-0435

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jfassio49450@direct.med.utah.edu Direct University of Utah

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040610001753 UT Practitioner - Ophthalmology 6709775901 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Louisville School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Utah Adult ServicesGroup PAC ID 0941525273, 1,758 clinicians

Practice addresses (Care Compare)

50 N Medical Dr
Salt Lake City, UT 84132-0100
Phone (801) 585-6387

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.77 of 100Reported as group
Quality
91.47
Promoting interoperability
100
Improvement activities
40
Cost
74.42

Merit-based Incentive Payment System (MIPS)

Final score
89.46 of 100Reported as group
Quality
90
Improvement activities
40
Cost
78.21

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
262669-1205UTMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Utah Adult Services Current Accepting new patients
University of Utah Pediatric Services CurrentSince May 1, 2024 Accepting new patients
University of Utah Adult Services CurrentSince May 1, 2024 Accepting new patients
Stacy R Smith MD PC Ophthalmology CurrentSince Jul 1, 2017 Accepting new patients
University of Utah Pediatric Services Current Accepting new patients
University of Utah Pediatric Services CurrentSince May 1, 2024 Accepting new patients
Bronson Lakeview Hospital Past Accepting new patients

Locations

1548 E 4500 S
Ste 105
Millcreek, UT 84117
Phone (801) 277-4690

2700 Homestead Rd
Park City, UT 84098
Phone (435) 658-1013

2700 Homestead Rd
Ste 30
Park City, UT 84098
Phone (435) 615-0435

1485 E 3900 S
Ste 100
Salt Lake Cty, UT 84124
Phone (801) 277-2062

4568 S Highland Dr
Ste 160
Slc, UT 84117
Phone (801) 277-4690

50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292

100 N Mario Capecchi Dr
Slc, UT 84113
Phone (801) 587-7109

190 Arrowhead Dr
Evanston, WY 82930
Phone (307) 789-3636

Interoperability endpoints

  • Direct secure messaging: jfassi01@yourcarecommunity.org
  • Direct secure messaging: jfassio49450@direct.med.utah.edu

Organizations & group practices 8

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 3

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": "1120608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1689671638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 HOMESTEAD RD",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840984857",
            "telephone_number": "435-615-0435",
            "fax_number": "435-658-3094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 HOMESTEAD RD",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840984857",
            "telephone_number": "435-658-3090",
            "fax_number": "435-658-3094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FASSIO",
        "first_name": "JOHN",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-06",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WY",
            "license": "6778A",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "UT",
            "license": "262669-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jfassio49450@direct.med.utah.edu",
            "affiliation": "Y",
            "affiliationName": "University of Utah",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "50 N Medical Dr",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841320001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Park City, UT

Sources for this page

Verify at the official NPI Registry.