Jennifer Marie Bogucki, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

35.122338 Issued in OH

Practice address

1600 Gateway Cir
Grove City, OH 43123-8650

Phone

(614) 274-2020

Fax

(614) 272-8059

NPI assigned

Jan 1, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Ohio State University College of Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Physicians, LLCGroup PAC ID 6800207192, 36 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adena Fayette Medical Center Hospital, Washington CH, OH, CCN 361331

Merit-based Incentive Payment System (MIPS)

Final score

84.51 of 100Reported as group

Quality

79.46

Promoting interoperability

88

Improvement activities

40

Cost

78.92

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jennifer.bogucki.p27@direct.physinfo.nextgenshare.com
• Direct secure messaging: jbogucki1075967@direct.osumc.edu

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.

• Eye Physicians, LLC

  • Ophthalmology Physician
  • Columbus, OH
  • NPI 1740814516
  Medicare reassignment Care Compare group NPD
• Eye Physicians, LLC

  • Durable Medical Equipment & Medical Supplies
  • Westerville, OH
  • NPI 1619570991
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Adena Fayette Medical Center

  • Critical Access Hospital
  • Washington Court House, OH
  • NPI 1508978677
  Care Compare affiliation

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

{
    "created_epoch": "1230768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609372800000",
    "number": "1912143587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 GATEWAY CIR",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431238650",
            "telephone_number": "614-274-2020",
            "fax_number": "614-272-8059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 GATEWAY CIR",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431238650",
            "telephone_number": "614-274-2020",
            "fax_number": "614-272-8059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGUCKI",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-01",
        "last_updated": "2020-12-31",
        "certification_date": "2020-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35.122338",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MO",
            "license": "2012009706",
            "primary": false
        },
        {
            "code": "207WX0120X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Cornea and External Diseases Specialist",
            "state": "OH",
            "license": "35.122338",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jared William Bloom, DPT
• Danette M Bludnick, CRT
• Annette Karen Boer, MD
• Lexi Boggs, CDCA
• Zak Devin Boggs, MD
• Bolt Shipping LLC
• Bradley Alan Bolyard, PHARMD
• Emily Bommer
• Lisa Bonk, OTR/L
• Mia Elise Botkins, MPH, RD, LD

• Ophthalmology Physician in Grove City, OH
• Providers in Grove City, OH by specialty
• Ophthalmology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.