DR. MAXIMILIAN PSOLKA MD
NPI 1255441952
Ophthalmology in Holladay, UT

Q: What is Maximilian Psolka's NPI number?

The NPI number for Maximilian Psolka is 1255441952. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Q: What is Maximilian Psolka's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Maximilian Psolka was last updated on May 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since August 30, 2006PECOS EnrolledAccepts Medicare Assignment

84.62/100

CMS Quality Rating

4878 S HIGHLAND DR, HOLLADAY, UT 84117(801) 272-8861 Get Directions Write a Review

NPPES record last updated: May 4, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 4, 2022, Dec 11, 2019 (2 updates tracked since 2019).

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About Dr. Maximilian Psolka Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MAXIMILIAN PSOLKA MD (NPI 1255441952) is an individual ophthalmology provider in Holladay, Utah, licensed in Washington (MD61291718) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Olympic Medical Center, and is a graduate of Uniformed Services Uhs Fe Hebert School Of Med (1995).

NPPES Registry Identity

NPI1255441952

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameDR. MAXIMILIAN PSOLKACredential: MD

Location Address4878 S HIGHLAND DRHolladay, UT 84117-6007

Mailing Address4878 S Highland DrHolladay, UT 84117-6007 · (801) 272-8861

Phone(801) 272-8861

Sole ProprietorNo

Medical School CMSUniformed Services Uhs Fe Hebert School Of MedGraduated 1995

Enumeration DateAugust 30, 2006

Last NPPES UpdateMay 4, 20222 updates tracked since enumeration

NPPES CertifiedMay 4, 2022

✔ NPI 1255441952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

Licenses✔ Licensed in WA · MD61291718✔ Licensed in IN · 01047658A✔ Licensed in MD · D70499✔ Licensed in UT · 1143296-1205

Definition

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.

4878 S HIGHLAND DR, Holladay, UT 84117

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Other Identifiers 1

Medicaid036676500MD

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Maximilian Psolka Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6608921523

PECOS Enrollment IDI20220518000727

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Maximilian Psolka reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rocky Mountain Eye Center, Inc. A Colorado Provider Network

385 mi

Optometrist

901 SELL AVE
Canon City, CO 81212

Reassigned Medicare billing, Colorado enrollment
16 clinicians in this Medicare group

NPI 1831251891 (719) 275-7481

Bend Memorial Clinic PC

536 mi

Family Medicine

1501 NE MEDICAL CENTER DR
Bend, OR 97701

Reassigned Medicare billing, Oregon enrollment
317 clinicians in this Medicare group

NPI 1699827477 (541) 382-2811

Sight Partners Physicians, P.C.

552 mi

Ophthalmology

16010 E INDIANA AVE
Spokane Valley, WA 99216

Reassigned Medicare billing, Washington enrollment
Medicare enrollment name: Sight Partners Physicians PC
64 clinicians in this Medicare group

NPI 1255005526 (509) 928-8040

Chelan County Public Hospital District No 2

639 mi

Rural Health

110 S APPLE BLOSSOM DR
Chelan, WA 98816

Reassigned Medicare billing, Washington enrollment
154 clinicians in this Medicare group

NPI 1124438312 (509) 682-3300

University Of Florida Jacksonville Physicians Inc

1,832 mi

Nephrology

655 W 8TH ST, UFJP NEPHROLOGY
Jacksonville, FL 32209

Reassigned Medicare billing, Florida enrollment
1,456 clinicians in this Medicare group

NPI 1295995561 (904) 244-3660

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 13

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Measurement of corneal curvature and depth of eye 92136

This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.

1,328 services785 patients

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

1,114 services605 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

943 services514 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

808 services808 patients

Removal of recurring cataract in lens capsule using a laser 66821

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

535 services372 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

308 services300 patients

Ct scan of cornea 92025

A CT scan of the cornea is a non-invasive imaging test that uses X-rays to capture detailed pictures of your eye's cornea. It helps in diagnosing diseases or damage, planning for surgery, or evaluating the results of a treatment. It's a safe and painless procedure.

210 services210 patients

Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye 66991

This is a two-part eye procedure. First, a cloudy lens (cataract) is removed from its outer layer and replaced with an artificial lens to improve vision. Second, a drainage device is inserted into the front part of the eye to manage fluid levels, preventing pressure build-up.

128 services72 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

112 services112 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

110 services110 patients

Complex removal of cataract with insertion of prosthetic lens 66982

This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.

43 services33 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

18 services18 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Olympic Medical Center

Acute Care Hospitals · Port Angeles, WA

4/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number500072

Location939 Caroline StPort Angeles, WA 98362 · Clallam County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84117 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$125.70 typical visit price

range $54.34 – $166.03

Typical copayment $31.42 (range $13.58 – $41.50)

Most-billed visit code 99204

Established Patient

$68.01 typical visit price

range $17.23 – $135.20

Typical copayment $17.00 (range $4.30 – $33.80)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.62/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

100

Promoting Interoperability

Improvement Activities

Cost

50.4

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 Maximilian Psolka's NPI number?

The NPI number for Maximilian Psolka is 1255441952. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Maximilian Psolka located?

Maximilian Psolka practices at 4878 S Highland Dr, Holladay, UT 84117. The listed phone number is (801) 272-8861.

What is Maximilian Psolka's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Maximilian Psolka enrolled in Medicare?

Yes. Maximilian Psolka is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Maximilian Psolka's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maximilian Psolka reassigns Medicare benefits to 5 organizations: Rocky Mountain Eye Center, Inc. A Colorado Provider Network (Canon City, CO), Bend Memorial Clinic PC (Bend, OR), Sight Partners Physicians, P.C. (Spokane Valley, WA), Chelan County Public Hospital District No 2 (Chelan, WA) and University Of Florida Jacksonville Physicians Inc (Jacksonville, FL). Each 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 Maximilian Psolka's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Maximilian Psolka accept?

Health plans from Ambetter Health, Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Maximilian Psolka 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.

Is Maximilian Psolka affiliated with any hospitals?

According to CMS data, Maximilian Psolka is affiliated with Olympic Medical Center.

When was this NPI record last updated?

The NPPES record for Maximilian Psolka was last updated on May 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.