DR. JOHN G KUBLIN MD
NPI 1427002203
Ophthalmology in Marquette, MI
NPI Status: Active since May 19, 2006
Contact Information
1414 W FAIR AVE
SUITE 150
MARQUETTE, MI
ZIP 49855
Phone: (906) 226-2531
Fax: (906) 226-7555
- Individual
- Male
- Ophthalmology
- Medicare Quality Reporting
About JOHN KUBLIN
This page provides the complete NPI Profile along with additional information for John Kublin, a provider established in Marquette, Michigan with a medical specialization in Ophthalmology. The healthcare provider is registered in the NPI registry with number 1427002203 assigned on May 2006. The practitioner's primary taxonomy code is 207W00000X with license number JK024282 (MI). The provider is registered as an individual and his NPI record was last updated 16 years ago.
- NPI
- 1427002203
- Provider Name
- DR. JOHN G KUBLIN MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1414 W FAIR AVE SUITE 150 MARQUETTE, MI 49855
- Location Phone
- (906) 226-2531
- Location Fax
- (906) 226-7555
- Mailing Address
- 1414 W FAIR AVE SUITE 150 MARQUETTE, MI 49855
- Mailing Phone
- (906) 226-2531
- Mailing Fax
- (906) 226-7555
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-19-2006
- Last Update Date
- 12-29-2009
- Code Navigator
Ophthalmologists like John Kublin specialize in diagnosing and treating eye conditions. They may perform surgeries to correct vision issues or prevent vision loss due to diseases like glaucoma. Additionally, they can provide eyeglasses, prescribe contact lenses, and offer other vision-related services.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Ophthalmology
- Taxonomy Code
- 207W00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- JK024282
- License State
- MI
- Taxonomy Description
- An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 180524991 | OTHER (01) | MI | BLUE CROSS |
| A77599 | MEDICARE UPIN (02) | MI | |
| 2018470 | MEDICAID (05) | MI | |
| P43000001 | MEDICARE PIN (08) | MI |
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Age-Related Macular Degeneration (AMD): Counseling on Antioxidant Supplement | 80% | 87 |
| Percentage of patients aged 50 years and older with a diagnosis of age-related macular degeneration (AMD) or their caregiver(s) who were counseled within 12 months on the benefits and/or risks of the Age-Related Eye Disease Study (AREDS) formulation for preventing progression of AMD | ||
| Age-Related Macular Degeneration (AMD): Dilated Macular Examination | 82% | 87 |
| Percentage of patients aged 50 years and older with a diagnosis of age-related macular degeneration (AMD) who had a dilated macular examination performed which included documentation of the presence or absence of macular thickening or geographic atrophy or hemorrhage AND the level of macular degeneration severity during one or more office visits within 12 months | ||
| Diabetes: Eye Exam | 93% | 60 |
| Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period | ||
| Documentation of Current Medications in the Medical Record | 99% | 625 |
| Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration | ||
| e-Prescribing | 100% | 242 |
| At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology. | ||
| Implementation of Use of Specialist Reports Back to Referring Clinician or Group to Close Referral Loop | Yes | N/A |
| Performance of regular practices that include providing specialist reports back to the referring individual MIPS eligible clinician or group to close the referral loop or where the referring individual MIPS eligible clinician or group initiates regular inquiries to specialist for specialist reports which could be documented or noted in the EHR technology. | ||
| Medication Reconciliation | 99% | 128 |
| The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician. | ||
| Patient-Specific Education | 92% | 824 |
| The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician. | ||
| Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation | 95% | 107 |
| Percentage of patients aged 18 years and older with a diagnosis of primary open-angle glaucoma (POAG) who have an optic nerve head evaluation during one or more office visits within 12 months | ||
| Provide Patient Access | 85% | 824 |
| At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information. | ||
| Secure Messaging | 0% | 824 |
| For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative) during the performance period. | ||
| Security Risk Analysis | Yes | N/A |
| Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process. | ||
| Specialized Registry Reporting | Yes | N/A |
| The MIPS eligible clinician is in active engagement to submit data to specialized registry. To earn a 5 % bonus in the promoting interoperability performance category score for submitting to one or more public health or clinical data registries also attest to PI_TRANS_PHCDRR_3_MULTI. | ||
| Use of High-Risk Medications in the Elderly | 0% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 348 |
| Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication. 2) Percentage of patients who were ordered at least two of the same high-risk medication | ||
| Use of QCDR to promote standard practices, tools and processes in practice for improvement in care coordination | Yes | N/A |
| Participation in a Qualified Clinical Data Registry, demonstrating performance of activities that promote use of standard practices, tools and processes for quality improvement (e.g., documented preventative screening and vaccinations that can be shared across MIPS eligible clinician or groups). | ||
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 2 | 7 | 0 | 0 | 2 | 2 | 0 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 4 | 7 | 0 | 0 | 4 | 2 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 4 + 7 + 0 + 0 + 4 + 2 + 0 + 24 = 47 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 47 = 3 | 3 | ||||||||
The NPI number 1427002203 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1821090994 | JOHN P BARTLETT M.D. Individual | Internal Medicine | 1414 W FAIR AVE STE 201 MARQUETTE, MI 49855 (906) 225-4500 |
| 1336143601 | CARY M. BJORK M.D. Individual | Internal Medicine | 1414 W FAIR AVE STE 201 MARQUETTE, MI 49855 (906) 225-4500 |
| 1811991250 | MARTHA J SHORT M.D. Individual | Internal Medicine | 1414 W FAIR AVE STE 201 MARQUETTE, MI 49855 (906) 225-4500 |
| 1447254883 | LESLIE A. ROBB M.D. Individual | Internal Medicine | 1414 W FAIR AVE STE 201 MARQUETTE, MI 49855 (906) 225-4500 |
| 1174527519 | ISLAM K QUASEM M.D. Individual | Internal Medicine | 1414 W FAIR AVE STE 201 MARQUETTE, MI 49855 (906) 225-4500 |
| 1962402750 | MICHAEL K CONLEY MD Individual | Specialist | 1414 W FAIR AVE SUITE 247 MARQUETTE, MI 49855 (906) 225-4480 |
| 1235121427 | ERIC J ROSE DO Individual | Preventive Medicine (Occupational Medicine) | 1414 W FAIR AVE STE 35 MARQUETTE, MI 49855 (906) 225-4555 |
| 1063404804 | EDITH ELAINE WEATHERFORD CPNP Individual | Nurse Practitioner (Pediatrics) | 1414 W FAIR AVE #226 MARQUETTE, MI 49855 (906) 225-3925 |
| 1457345126 | JEFFREY F GEPHART MD Individual | Internal Medicine (Infectious Disease) | 1414 W FAIR AVE STE 111 MARQUETTE, MI 49855 (906) 225-7601 |
| 1003800640 | MR. STEVEN M GUALDONI PAC Individual | Physician Assistant | 1414 W FAIR AVE STE 332 MARQUETTE, MI 49855 (906) 225-3922 |
| 1124012661 | MR. DANIEL J ARNOLD MD Individual | Internal Medicine (Hematology) | 1414 W FAIR AVE SUITE 332 MARQUETTE, MI 49855 (906) 225-3922 |
| 1487648028 | MR. AARON P SCHOLNIK MD Individual | Internal Medicine (Hematology) | 1414 W FAIR AVE SUITE 332 MARQUETTE, MI 49855 (906) 225-3922 |
| 1457346967 | JOHN R WALLACE MD Individual | Internal Medicine (Infectious Disease) | 1414 W FAIR AVE SUITE 111 MARQUETTE, MI 49855 (906) 225-7601 |
| 1689669848 | KATHERINE HOULE NP Individual | Nurse Practitioner (Primary Care) | 1414 W FAIR AVE STE 344 MARQUETTE, MI 49855 (906) 225-3910 |
| 1326039462 | LISA M LONG MD Individual | Family Medicine | 1414 W FAIR AVE STE 36 MARQUETTE, MI 49855 (906) 225-3864 |
| 1780675827 | ROBERT J LORINSER MD Individual | Family Medicine | 1414 W FAIR AVE SUITE 36 MARQUETTE, MI 49855 (906) 225-3864 |
| 1861483901 | STUART K JOHNSON DO Individual | Family Medicine | 1414 W FAIR AVE STE 36 MARQUETTE, MI 49855 (906) 225-3864 |
| 1730170879 | KEVIN L PIGGOTT MD Individual | Family Medicine | 1414 W FAIR AVE STE 36 MARQUETTE, MI 49855 (906) 225-3864 |
| 1710978853 | FREDERICK PAUL HOENKE MD Individual | Family Medicine | 1414 W FAIR AVE STE 36 MARQUETTE, MI 49855 (906) 225-3864 |
| 1750372892 | HENDRIK C VANDENENDE MD Individual | Family Medicine | 1414 W FAIR AVE STE 36 MARQUETTE, MI 49855 (906) 225-3864 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1427002203, enumerated in the NPI registry as an "individual" on May 19, 2006
The provider is located at 1414 W Fair Ave Suite 150 Marquette, Mi 49855 and the phone number is (906) 226-2531
The provider's speciality is Ophthalmology with taxonomy code 207W00000X
The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on May 19, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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