Russell P Jayne, MD

Primary specialty

Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X

License

9106 Issued in NV

Practice address

6839 W Charleston Blvd
Las Vegas, NV 89117-1635

Phone

(702) 737-7258

Fax

(702) 454-7258

NPI assigned

Jul 5, 2005

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 2

Medicare fee-for-service enrollment

Enrolled in NV

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

Ophthalmology

Education

University of Oklahoma College of Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

95.88 of 100Reported as individual

Quality

91.75

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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 and National Provider Directory roles.

• Russell Jayne MD LTD

  dba The Retina Center at Las Vegas

  • Ophthalmology Physician
  • Las Vegas, NV
  • NPI 1669479663
  Medicare reassignment NPD Authorized official
• Summerlin Hospital Medical Center L L C

  dba Summerlin Hospital Medical Center

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1831189638
  NPD (past)
• Sunrise Hospital and Medical Center, LLC

  dba Sunrise Hospital and Medical Center

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1689611774
  NPD (past)
• R Jeffrey Parker MD a Professional Corporation

  dba Retina Consultants of Southern Utah

  • Ophthalmology Physician
  • St George, UT
  • NPI 1669410098
  NPD (past)

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1689671687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50708",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890160708",
            "telephone_number": "702-737-7258",
            "fax_number": "702-454-7258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6839 W CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891171635",
            "telephone_number": "702-737-7258",
            "fax_number": "702-454-7258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAYNE",
        "first_name": "RUSSELL",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-05",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NV",
            "license": "9106",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "NV",
            "license": "9106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00061198",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002018156",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shiranee Jayasooriya, M.D.
• Jasmin Elaine Jayme
• Jaymes D. Granata, MD PLLC (Battle Born Bone & Joint Center)
• Andrew David Jayne, DO
• Cheryl Jayne, M.D.
• Jayce Renee Jaynes, DO
• Jazmine Enterprises LLC (Covenant Hospice Care)
• Marsha Jazo
• Jazzy Wellness & Concierge LLC
• JC Medical Supplies Inc (JC Medical Supplies)

• Retina Specialist (Ophthalmology) Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Retina Specialist (Ophthalmology) Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; 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.