John J Destafeno, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MD431622 Issued in PA

Practice address

915 Old Fern Hill Rd BLDG B Ste 200
West Chester, PA 19380-4269

Phone

(610) 696-1230

Fax

(610) 696-2341

NPI assigned

Oct 16, 2006

Last updated

Oct 9, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA

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

Albany Medical College of Union University, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chester County Eye Care Assoc PCGroup PAC ID 3375437502, 12 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

92.95 of 100Reported as group

Quality

100

Promoting interoperability

100

Improvement activities

40

Cost

76.5

Merit-based Incentive Payment System (MIPS)

Final score

87.34 of 100Reported as group

Quality

80.85

Promoting interoperability

100

Improvement activities

40

Cost

76.95

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Chester County Eye Care Assoc PC

  • Ophthalmology Physician
  • West Chester, PA
  • NPI 1588666200
  Medicare reassignment Care Compare group NPD
• Wills Eye Ophthalmology Clinic, Inc

  • Ophthalmology Physician
  • Philadelphia, PA
  • NPI 1184624009
  Medicare reassignment NPD
• Chester County Eye Care Associates, PC

  • Ophthalmology Physician
  • West Grove, PA
  • NPI 1124353172
  NPD
• Chester County Eye Care Associates, PC

  • Ophthalmology Physician
  • Kennett Square, PA
  • NPI 1154486116
  NPD
• Cataract and Primary Eye Care Service, LP

  • Ophthalmology Physician
  • Philadelphia, PA
  • NPI 1417991720
  NPD (past)

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602201600000",
    "number": "1912097171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 OLD FERN HILL RD BLDG B STE 200",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193804269",
            "telephone_number": "610-696-1230",
            "fax_number": "610-918-0803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 OLD FERN HILL RD BLDG B STE 200",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193804269",
            "telephone_number": "610-696-1230",
            "fax_number": "610-696-2341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESTAFENO",
        "first_name": "JOHN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "2005-00363",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD431622",
            "primary": true
        },
        {
            "code": "207WX0108X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Uveitis and Ocular Inflammatory Disease",
            "state": "PA",
            "license": "MD431622",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5901401",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1019183240001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roxanne Depaul, PH.D.
• Taylor Dermond
• Pragnesh Desai, RPH
• Desimone Enterprises, LLC (VirtuHear)
• Colleen Deskis
• Nicole Pullia Devault, LPC
• Julie Develin
• Devereux Cidds Donovan
• Devereux Foundation
• Devereux Foundation

• Ophthalmology Physician in West Chester, PA
• Providers in West Chester, PA by specialty
• Ophthalmology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2020; 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.