PARK AVENUE OCULOPLASTIC SURGEONS
NPI 1225162134
Specialist in Denver, CO
About Park Avenue Oculoplastic Surgeons NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PARK AVENUE OCULOPLASTIC SURGEONS (NPI 1225162134) is a healthcare organization registered as a specialist in Denver, Colorado and active in the NPI registry since March 2007. The organization lists Katie J Dubler, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Park Avenue Oculoplastic Surgeons is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Park Avenue Oculoplastic Surgeons, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (4)
Cincinnati, OH 45242
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jerry K Popham, MD PC's NPI number?
The NPI number for Jerry K Popham, MD PC is 1225162134. It was assigned to this organization in the NPPES registry on March 15, 2007. The provider is doing business as Park Avenue Oculoplastic Surgeons.
Where is Jerry K Popham, MD PC located?
Jerry K Popham, MD PC is located at 1800 Emerson St Suite 200, Denver, CO 80218. The listed phone number is (303) 468-8844.
What is Jerry K Popham, MD PC's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Jerry K Popham, MD PC enrolled in Medicare?
Yes. Jerry K Popham, MD PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Jerry K Popham, MD PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Ophthalmology, reassign their Medicare billing to Jerry K Popham, MD PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Jerry K Popham, MD PC accept?
Health plans from Blue Cross and Blue Shield of Kansas, Inc. and Blue Cross and Blue Shield of Nebraska list Jerry K Popham, MD PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Jerry K Popham, MD PC was last updated on May 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Park Avenue Oculoplastic Surgeons · NPI 1225162134
Specialist organization in Denver, Colorado. Organization record, active in the CMS NPPES registry since March 15, 2007.
## Identity
- **NPI:** 1225162134 (Entity type: Organization)
- **Enumerated:** March 15, 2007
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Legal business name:** Jerry K Popham, Md Pc
- **Organization subpart:** No
- **Authorized official:** Katie Dubler, OFFICE MANAGER
## Practice location
- **Address:** 1800 EMERSON ST, SUITE 200, Denver, CO 80218-1014
- **Phone:** (303) 468-8844 · **Fax:** (303) 468-8850
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians (Ophthalmology) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 22, 2008
- **Other identifiers:** Medicare ID-Type Unspecified C538788 (CO); Medicare PIN 772537 (KS)
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Source: [NPI Profile](https://npiprofile.com/npi/1225162134) · Data from the CMS NPPES public registry.