DR. JOHN M. MELNYK O.D.
NPI 1366430860
Optometrist in Columbus, OH


Quality Rating: 47.28 out of 100 score

NPI Status: Active since October 10, 2005

Contact Information

915 OLENTANGY RIVER RD
COLUMBUS, OH
ZIP 43212
Phone: (614) 293-8116
Fax: (614) 293-3555

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  • Individual
  • Male
  • Optometrist

About JOHN MELNYK

This page provides the complete NPI Profile along with additional information for John Melnyk, a provider established in Columbus, Ohio with a medical specialization in Optometrist. The healthcare provider is registered in the NPI registry with number 1366430860 assigned on October 2005. The practitioner's primary taxonomy code is 152W00000X with license number OPT.6056-THER (OH). The provider is registered as an individual and his NPI record was last updated 5 years ago.

NPI
1366430860
Provider Name
DR. JOHN M. MELNYK O.D.
Gender
Male
Entity Type
Individual
Location Address
915 OLENTANGY RIVER RD COLUMBUS, OH 43212
Location Phone
(614) 293-8116
Location Fax
(614) 293-3555
Mailing Address
700 ACKERMAN RD STE 2120 COLUMBUS, OH 43202
Mailing Phone
(614) 293-8116
Mailing Fax
(614) 293-3555
Is Sole Proprietor?
No
Enumeration Date
10-10-2005
Last Update Date
03-19-2021
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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

Optometrist

Taxonomy Code
152W00000X
Type
Eye and Vision Services Providers
License No.
OPT.6056-THER
License State
OH
Taxonomy Description
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

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.

*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
0058834MEDICAID (05)OH 

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Established patient office or other outpatient visit, 10-19 minutes

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

This service was performed 16 times for 14 patients

Established patient office or other outpatient visit, 20-29 minutes

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.

This service was performed 20 times for 18 patients

Established patient office or other outpatient visit, 30-39 minutes

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.

This service was performed 103 times for 97 patients

Exam of visual field with extended testing

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.

This service was performed 42 times for 37 patients

Imaging of optic nerve

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).

This service was performed 29 times for 25 patients

Imaging of retina

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.

This service was performed 53 times for 51 patients

New patient office or other outpatient visit, 45-59 minutes

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.

This service was performed 41 times for 41 patients

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 47.28, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 47.28 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 0

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: 100

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 20

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: 49.27

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: 49.27

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1366430860, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
6
Unchanged
Pos 5
4
Doubled → 8
Pos 6
3
Unchanged
Pos 7
0
Doubled → 0
Pos 8
8
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 4 → 8 0 → 0 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 1 + 2 + 6 + 8 + 3 + 0 + 8 + 1 + 2 + 24 = 60

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 60 is 60. The difference is the calculated check digit.

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1366430860.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Otolaryngology
915 OLENTANGY RIVER RD, SUITE 4000
COLUMBUS, OH 43212
Otolaryngology
915 OLENTANGY RIVER RD
COLUMBUS, OH 43212
General Acute Care Hospital
915 OLENTANGY RIVER RD, SUITE 2100
COLUMBUS, OH 43212
Audiologist
915 OLENTANGY RIVER RD, SUITE 4000
COLUMBUS, OH 43212
Otolaryngology
915 OLENTANGY RIVER RD, SUITE 4000
COLUMBUS, OH 43212
Otolaryngology
915 OLENTANGY RIVER RD, ROOM 4034
COLUMBUS, OH 43212
General Acute Care Hospital (Critical Access)
915 OLENTANGY RIVER RD
COLUMBUS, OH 43212
Medical Genetics (Clinical Genetics (M.D.))
915 OLENTANGY RIVER RD, 5TH FLOOR, DEPARTMENT OF OPHTHALMOLOGY
COLUMBUS, OH 43212
Occupational Therapist
915 OLENTANGY RIVER RD, SUITE 3200
COLUMBUS, OH 43212
Otolaryngology (Otology & Neurotology)
915 OLENTANGY RIVER RD, 4TH FLOOR
COLUMBUS, OH 43212
Otolaryngology
915 OLENTANGY RIVER RD, 4TH FLOOR
COLUMBUS, OH 43212
Urology
915 OLENTANGY RIVER RD, SUITE 2000
COLUMBUS, OH 43212
Otolaryngology
915 OLENTANGY RIVER RD
COLUMBUS, OH 43212
Otolaryngology
915 OLENTANGY RIVER RD
COLUMBUS, OH 43212
Optometrist
915 OLENTANGY RIVER RD, 5TH FLOOR
COLUMBUS, OH 43212
Optometrist
915 OLENTANGY RIVER RD
COLUMBUS, OH 43212
Nurse Practitioner (Adult Health)
915 OLENTANGY RIVER RD, SUITE 2100
COLUMBUS, OH 43212
Ophthalmology
915 OLENTANGY RIVER RD, 5TH FLOOR
COLUMBUS, OH 43212
Physician Assistant (Surgical)
915 OLENTANGY RIVER RD, SUITE 2100
COLUMBUS, OH 43212
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
915 OLENTANGY RIVER RD
COLUMBUS, OH 43212

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366430860, enumerated as an "individual" on October 10, 2005.

The provider is located at 915 OLENTANGY RIVER RD COLUMBUS, OH 43212 and the phone number is (614) 293-8116.

Optometrist with taxonomy code 152W00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.