DR. JOHN ELMER PADDOCK MD
NPI 1265962872
Ophthalmology - Neuro-ophthalmology in New York, NY

Active since June 15, 2017PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1305 YORK AVE FL 11, NEW YORK, NY 10021(646) 962-2020(646) 962-0602 Get Directions Write a Review

NPPES record last updated: July 24, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 24, 2023, Apr 29, 2021, Jun 15, 2017 (3 updates tracked since 2017).

About Dr. John Elmer Paddock Md NPPES

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

DR. JOHN ELMER PADDOCK MD (NPI 1265962872) is an individual neuro-ophthalmology provider in New York, New York, licensed in New York (307714) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS, is affiliated with New York-presbyterian Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1265962872
Entity TypeIndividualMale
Primary Taxonomy207WX0109X
Provider Legal NameDR. JOHN ELMER PADDOCKCredential: MD
Location Address1305 YORK AVE FL 11New York, NY 10021-5663
Mailing Address1305 York Ave Fl 11New York, NY 10021-5663 · (646) 962-2020 · Fax (646) 962-0602
Fax(646) 962-0602
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateJune 15, 2017
Last NPPES UpdateJuly 24, 20233 updates tracked since enumeration
NPPES CertifiedJuly 24, 2023
NPI 1265962872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmology · Neuro-ophthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207WX0109X
License Licensed in NY · 307714
Definition

A neuro-ophthalmologist is a subspecialist of ophthalmology. This physician evaluates, treats, and studies disorders of the eye, orbit and nervous system having to do with interactions of the visual motor and visual sensory systems with the central nervous system. Neuro-ophthalmologists manage patients with complex and severe neuro-ophthalmological disorders.

Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License LP04092 (RI)
1305 YORK AVE FL 11, New York, NY 10021

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. John Elmer Paddock 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 ID4880963792
PECOS Enrollment IDI20210708001311
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.

Areas of Expertise CMS Part B claims 7

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.

Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
344 services262 patients
Exam to measure eye deviation and range of motion 92060
This is an eye exam that checks for any misalignment in your eyes, also known as deviation. It also assesses the movement range of your eyes. The procedure is painless and helps in detecting conditions like strabismus or other vision issues.
217 services129 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.
172 services149 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.
160 services129 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).
143 services109 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.
44 services44 patients

Hospital Affiliations CMS Care Compare

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

New York-Presbyterian Hospital

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330101
Location525 East 68th StreetNew York, NY 10065 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10021 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.8
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Ophthalmology (Retina Specialist)
1305 YORK AVE FL 11
NEW YORK, NY 10021
Ophthalmology (Glaucoma Specialist)
1305 YORK AVE FL 11
NEW YORK, NY 10021
Ophthalmology (Retina Specialist)
1305 YORK AVE FL 11
NEW YORK, NY 10021
Ophthalmology
1305 YORK AVE FL 11
NEW YORK, NY 10021
Ophthalmology (Neuro-ophthalmology)
1305 YORK AVE FL 11
NEW YORK, NY 10021
Ophthalmology
1305 YORK AVE FL 11
NEW YORK, NY 10021
Ophthalmology
1305 YORK AVE FL 11
NEW YORK, NY 10021
Ophthalmology (Cornea and External Diseases Specialist)
1305 YORK AVE FL 11
NEW YORK, NY 10021

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 John Paddock's NPI number?

The NPI number for John Paddock is 1265962872. It was assigned to this individual provider in the NPPES registry on June 15, 2017.

Where is John Paddock located?

John Paddock practices at 1305 York Ave Fl 11, New York, NY 10021. The listed phone number is (646) 962-2020.

What is John Paddock's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Neuro-ophthalmology, with taxonomy code 207WX0109X.

Is John Paddock enrolled in Medicare?

Yes. John Paddock 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.

Is John Paddock affiliated with any hospitals?

According to CMS data, John Paddock is affiliated with New York-Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for John Paddock was last updated on July 24, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.