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DR. JOHN MARK FRANKLIN MD
NPI 1629193933
Ophthalmology - Pediatric Ophthalmology and Strabismus Specialist in Lexington, KY

Active since March 20, 2007PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
110 CONN TER STE 550, LEXINGTON, KY 40508(859) 323-5867 Get Directions Write a Review

NPPES record last updated: July 6, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. John Mark Franklin Md NPPES

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

DR. JOHN MARK FRANKLIN MD (NPI 1629193933) is an individual pediatric ophthalmology and strabismus specialist in Lexington, Kentucky, licensed in Kentucky (44414) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with University Of Kentucky Hospital, and maintains a secondary practice location in Louisville.

NPPES Registry Identity

NPI1629193933
Entity TypeIndividualMale
Primary Taxonomy207WX0110X
Provider Legal NameDR. JOHN MARK FRANKLINCredential: MD
Location Address110 CONN TER STE 550Lexington, KY 40508
Mailing Address110 Conn Ter Ste 550Lexington, KY 40508-3206 · (859) 323-5867
Phone(859) 323-5867
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2006
Enumeration DateMarch 20, 2007
Last NPPES UpdateJuly 6, 2018
✔ NPI 1629193933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmology · Pediatric Ophthalmology and Strabismus SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0110X
License✔ Licensed in KY · 44414
Definition
An ophthalmologist who specializes in pediatric ophthalmology and strabismus management. The subspecialty includes the medical and surgical management of eye disorders found in children. Some of the more common disorders include amblyopia, strabismus, refractive error, cataract and glaucoma. These disorders may be related to neurological and endocrinological diseases, trauma, or aging changes in the extraocular muscles requiring medical, optical and surgical management.
110 CONN TER STE 550, Lexington, KY 40508
Open in Google Maps ↗

Secondary Practice Location 1

Location 13810 Springhurst Blvd # 100, Meridian BuildingLouisville, KY 40241-6100 · Phone (502) 897-9881 · Fax (502) 897-9824

Other Identifiers 1

Medicaid7100163890KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.Insurance ›

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 Mark Franklin 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 ID3274665898
PECOS Enrollment IDI20110701000127
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 6

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 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.
61 services45 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.
47 services41 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.
20 services18 patients
Realignment of horizontal eye muscle 67311
Realignment of horizontal eye muscle is a surgical procedure to correct strabismus, a condition where your eyes don't align properly. The surgeon adjusts the muscles that control eye movement, improving coordination and focus. This helps to restore normal eye alignment and functioning.
13 services13 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
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.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

University Of Kentucky Hospital

Acute Care Hospitals · Lexington, KY
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number180067
Location800 Rose StreetLexington, KY 40536 · Fayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40508 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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 as part of a group practice
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.

SHADEN HAMDY FATHY YASSIN MD
Ophthalmology (Retina Specialist)
110 CONN TER STE 550
LEXINGTON, KY 40508
Fayette County (859) 323-5867
KAREN SANTOS MCCLOUD OD
Optometrist
110 CONN TER STE 550
LEXINGTON, KY 40508
Fayette County (859) 323-5867
DR. PETER JOHN TIMONEY MBBCH
Ophthalmology (Ophthalmic Plastic and Reconstructive Surgery)
110 CONN TER STE 550
LEXINGTON, KY 40508
Fayette County (859) 323-5867
DR. CLAIRE ELIZABETH FRASER M.D., PH.D.
Ophthalmology (Retina Specialist)
110 CONN TER STE 550, UNIVERSITY OF KENTUCKY DEPT OF OPHTHALMOLOGY
LEXINGTON, KY 40508
Fayette County (859) 323-5867
MANOKAMNA AGARWAL MD
Ophthalmology (Cornea and External Diseases Specialist)
110 CONN TER STE 550
LEXINGTON, KY 40508
Fayette County (859) 323-5867
ELIZABETH GAMMELTOFT MD
Student in an Organized Health Care Education/Training Program
110 CONN TER STE 550
LEXINGTON, KY 40508
Fayette County (859) 218-2631
MATTHEW PFANNENSTIEL MD
Ophthalmology
110 CONN TER STE 550
LEXINGTON, KY 40508
Fayette County (859) 323-5867
AMANDA LIMBAUGH MARZOLF M.D.
Ophthalmology (Pediatric Ophthalmology and Strabismus Specialist)
110 CONN TER STE 550
LEXINGTON, KY 40508
Fayette County (859) 323-5867

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 Franklin's NPI number?

The NPI number for John Franklin is 1629193933. It was assigned to this individual provider in the NPPES registry on March 20, 2007.

Where is John Franklin located?

John Franklin practices at 110 Conn Ter Ste 550, Lexington, KY 40508. The listed phone number is (859) 323-5867.

What is John Franklin's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Pediatric Ophthalmology and Strabismus Specialist, with taxonomy code 207WX0110X.

Is John Franklin enrolled in Medicare?

Yes. John Franklin 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.

What insurance does John Franklin accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and Blue Cross and Blue Shield of Montana and 3 other insurers list John Franklin 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 John Franklin affiliated with any hospitals?

According to CMS data, John Franklin is affiliated with University Of Kentucky Hospital.

When was this NPI record last updated?

The NPPES record for John Franklin was last updated on July 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.