DR. JOHN MARK FRANKLIN MD
NPI 1629193933
Ophthalmology - Pediatric Ophthalmology and Strabismus Specialist in Lexington, KY
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
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Accepted 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. 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.
Medicare Billing Reassignments
2Medicare enrollment records show John Franklin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lexington, KY 40517
- Reassigned Medicare billing, Kentucky enrollment
- 1,502 clinicians in this Medicare group
Louisville, KY 40216
- Reassigned Medicare billing, Kentucky enrollment
- 32 clinicians in this Medicare group
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 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.
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, KYPhysician 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.
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.
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.
LEXINGTON, KY 40508
LEXINGTON, KY 40508
LEXINGTON, KY 40508
LEXINGTON, KY 40508
LEXINGTON, KY 40508
LEXINGTON, KY 40508
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.
Which organizations bill Medicare for John Franklin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Franklin reassigns Medicare benefits to 2 organizations: Kentucky Medical Services Foundation, Inc (Lexington, KY) and Commonwealth Of Kentucky (Louisville, KY). 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 John Franklin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Franklin accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee, Anthem Blue Cross and Blue Shield 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.
# Dr. John Mark Franklin, MD · NPI 1629193933
Pediatric Ophthalmology and Strabismus Specialist physician in Lexington, Kentucky. Individual provider, active in the CMS NPPES registry since March 20, 2007.
## Identity
- **NPI:** 1629193933 (Entity type: Individual)
- **Enumerated:** March 20, 2007
- **Primary specialty:** Ophthalmology - Pediatric Ophthalmology and Strabismus Specialist · taxonomy 207WX0110X
- **State license:** 44414 (Kentucky)
- **Sole proprietor:** No
## Practice location
- **Address:** 110 CONN TER STE 550, Lexington, KY 40508
- **Phone:** (859) 323-5867
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Kentucky Medical Services Foundation, Inc (NPI 1326091448, Lexington, KY); Commonwealth Of Kentucky (NPI 1326467986, Louisville, KY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Louisville School Of Medicine, class of 2006
## Record status
- **NPPES last updated:** July 6, 2018
- **Other identifiers:** Medicaid 7100163890 (KY)
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Source: [NPI Profile](https://npiprofile.com/npi/1629193933) · Data from the CMS NPPES public registry.