Individual provider Active NPI

Jameson Parker Dupree, M.D.

  • Ophthalmology Physician
  • Lexington, KY
National Provider Identifier
1760826895
Registry record updated Nov 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
50212 Issued in KY
Practice address
University of Kentucky
800 Rose St
Lexington, KY 40536
Phone
(859) 323-5867
NPI assigned
Apr 19, 2013
Last updated
Nov 17, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X R3191 KY
Ophthalmology Physician 207W00000X R3191 KY
Ophthalmology Physician 207W00000X 50212 KY Primary

Addresses

Primary practice location

University of Kentucky
800 Rose St
Lexington, KY 40536

Mailing address

2023 Professional Center Dr
Orange Park, FL 32073
Phone (904) 272-2020

Other practice location 1

120 N Eagle Creek Dr Ste 500
Lexington, KY 40509-1827
Phone (859) 263-3900

Other identifiers 4

IdentifierTypeStateIssuer
300015790MedicaidIN
0233837MedicaidOH
1760826895MedicaidWV
7100363420MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20190710001276 FL Practitioner - Ophthalmology 8921313933 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Florida College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harris Wilcox and Donovan PAGroup PAC ID 4981776333, 17 clinicians

Practice addresses (Care Compare)

2023 Professional Ctr Dr
Orange Park, FL 32073-4472
Phone (904) 272-2020

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery44

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R3191KYMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Harris Wilcox and Donovan PA Ophthalmology Current Accepting new patients
Harris Wilcox and Donovan PA Ophthalmology CurrentSince Aug 1, 2019 Accepting new patients
Harris Wilcox and Donovan P a Ophthalmology CurrentSince Aug 1, 2019 Accepting new patients
Richard a Eiferman, PSC Ophthalmology PastSince Jul 1, 2017 Accepting new patients

Locations

1855 Eastwest Pkwy
Fleming Isle, FL 32003

11790 San Jose Blvd
Jacksonville, FL 32223
Phone (904) 765-2020

2 Shircliff Way
Ste 120
Jacksonville, FL 32204
Phone (904) 619-2006

1615 County Road 220
Ste 140
Orange Park, FL 32003
Phone (904) 276-2020

2023 Professional Center Dr
Orange Park, FL 32073
Phone 9042722020234

Interoperability endpoints

  • Direct secure messaging: jdupree@clayeye.emadirect.md

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1366329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668643200000",
    "number": "1760826895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2023 PROFESSIONAL CENTER DR",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "32073",
            "telephone_number": "904-272-2020",
            "fax_number": "904-276-4386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF KENTUCKY",
            "address_2": "800 ROSE ST",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "40536",
            "telephone_number": "859-323-5867"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 N Eagle Creek Dr Ste 500",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405091827",
            "country_code": "US",
            "telephone_number": "859-263-3900",
            "fax_number": "859-263-3757",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUPREE",
        "first_name": "JAMESON",
        "middle_name": "PARKER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-19",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "KY",
            "license": "R3191",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KY",
            "license": "R3191",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KY",
            "license": "50212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300015790",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0233837",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1760826895",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100363420",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.