Individual provider Active NPI

John C Pokorny, M.D.

  • Ophthalmology Physician
  • Hays, KS
National Provider Identifier
1790767150
Registry record updated Feb 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
04-24729 Issued in KS
Practice address
2214 Canterbury Dr
Ste. 312
Hays, KS 67601-2375
Phone
(785) 628-8218
Fax
(785) 628-8617
NPI assigned
Nov 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2008

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 04-24729 KS Primary

Addresses

Primary practice location

2214 Canterbury Dr
Ste. 312
Hays, KS 67601-2375

Mailing address

PO Box 160
Hays, KS 67601-0160
Phone (785) 628-8218

Other identifiers 1

IdentifierTypeStateIssuer
611720MedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20050512000487 KS Practitioner - Ophthalmology 7416998117 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Kansas School of Med (KC/Wich/Sal), 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Specialists Associated, PAGroup PAC ID 5991758609, 2 clinicians

Practice addresses (Care Compare)

2214 Canterbury Dr
Suite 312
Hays, KS 67601-2375
Phone (785) 628-8218

Hospital & facility affiliations

  • Hays Medical Center Hospital, Hays, KS, CCN 170013
  • Phillips County Hospital Hospital, Phillipsburg, KS, CCN 171353

Merit-based Incentive Payment System (MIPS)

Final score
89.14 of 100Reported as group
Quality
96.73
Improvement activities
40
Cost
68.17

Merit-based Incentive Payment System (MIPS)

Final score
67.39 of 100Reported as group
Quality
41.8
Promoting interoperability
98
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery557

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-24729KSMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jerry K Popham, MD PC CurrentSince Aug 2, 2016 Accepting new patients
Juenemann Family Eyecare, PA PastSince Jan 1, 2001 Accepting new patients

Locations

2214 Canterbury Dr
Ste 312
Hays, KS 67601
Phone (785) 625-4363

Organizations & group practices 3

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": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203465600000",
    "number": "1790767150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 160",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676010160",
            "telephone_number": "785-628-8218",
            "fax_number": "785-628-8617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2214 CANTERBURY DR",
            "address_2": "STE. 312",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676012375",
            "telephone_number": "785-628-8218",
            "fax_number": "785-628-8617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POKORNY",
        "first_name": "JOHN",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2008-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KS",
            "license": "04-24729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "611720",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hays, KS

Sources for this page

Verify at the official NPI Registry.