Individual provider Active NPI

John R Webster, MD

  • Diagnostic Radiology Physician
  • Farmington, NM
National Provider Identifier
1841284783
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD2011-0230 Issued in NM
Practice address
801 W Maple Street
Farmington, NM 87401
Phone
(505) 325-1572
Fax
(505) 327-4887
NPI assigned
Sep 7, 2005
Last updated
Jun 10, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 049846 GA
Diagnostic Radiology Physician 2085R0202X MD2011-0230 NM Primary

Addresses

Primary practice location

801 W Maple Street
Farmington, NM 87401

Mailing address

PO Box 2019
Farmington, NM 87499-2019
Phone (505) 325-1572

Other identifiers 1

IdentifierTypeStateIssuer
23925841MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, IN, KY, DE, NC5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20110627000120 NM Practitioner - Diagnostic Radiology 4688650179 Reassigns benefits to 1 organization
I20240814002919 IN Practitioner - Diagnostic Radiology 4688650179 Reassigns benefits to 1 organization
I20240905000459 KY Practitioner - Diagnostic Radiology 4688650179 Reassigns benefits to 1 organization
I20240927001389 DE Practitioner - Diagnostic Radiology 4688650179 Reassigns benefits to 1 organization
I20260219003015 NC Practitioner - Diagnostic Radiology 4688650179 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Mercer University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Evansville Radiology PCGroup PAC ID 6406826031, 31 clinicians
Four Corners Radiology Associates PCGroup PAC ID 7214928746, 8 clinicians

Practice addresses (Care Compare)

1305 N Elm St
Henderson, KY 42420-2783
Phone (270) 827-7700

29247 White Pine LN
Milton, DE 19968-3060
Phone (505) 325-1572

350 W Columbia St
Suite 420
Evansville, IN 47710-1782
Phone (812) 422-3254

55 Covered Bridge LN
Pisgah Forest, NC 28768-9137
Phone (812) 426-9394

801 W Maple St
Farmington, NM 87401-5630
Phone (505) 325-1572

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.57 of 100Reported as group
Quality
91.69
Improvement activities
40
Cost
70.45

Merit-based Incentive Payment System (MIPS)

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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Four Corners Radiology Associates PC Diagnostic Radiology CurrentSince May 9, 2011 Accepting new patients

Locations

801 W Maple St
Farmington, NM 87401
Phone (505) 325-5011

802 W Apache St
Farmington, NM 87401

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ei-four

Organizations & group practices 2

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.

Hospital & facility affiliations 8

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": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1841284783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2019",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874992019",
            "telephone_number": "505-325-1572",
            "fax_number": "505-327-4887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W MAPLE STREET",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "87401",
            "telephone_number": "505-325-1572",
            "fax_number": "505-327-4887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBSTER",
        "first_name": "JOHN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-07",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "049846",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NM",
            "license": "MD2011-0230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "23925841",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, NM

Sources for this page

Verify at the official NPI Registry.