DR. JONATHAN M HERSHEY M.D.
NPI 1811992563
Ophthalmology - Retina Specialist in Milwaukee, WI
NPI Status: Active since June 18, 2005
Contact Information
2600 N MAYFAIR RD STE 901
MILWAUKEE, WI
ZIP 53226
Phone: (414) 774-3484
Fax: (414) 778-3445
- Individual
- Male
- Ophthalmology
- Retina Specialist
- Medicare Quality Reporting
About JONATHAN HERSHEY
This page provides the complete NPI Profile along with additional information for Jonathan Hershey, a provider established in Milwaukee, Wisconsin with a medical specialization in Ophthalmology, focusing in retina specialist . The healthcare provider is registered in the NPI registry with number 1811992563 assigned on June 2005. The practitioner's primary taxonomy code is 207WX0107X with license number 33271 (WI). The provider is registered as an individual and his NPI record was last updated 3 years ago.
- NPI
- 1811992563
- Provider Name
- DR. JONATHAN M HERSHEY M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2600 N MAYFAIR RD STE 901 MILWAUKEE, WI 53226
- Location Phone
- (414) 774-3484
- Location Fax
- (414) 778-3445
- Mailing Address
- 2600 N MAYFAIR RD STE 901 MILWAUKEE, WI 53226
- Mailing Phone
- (414) 774-3484
- Mailing Fax
- (414) 778-3445
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-18-2005
- Last Update Date
- 03-07-2023
- Code Navigator
Location Map
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
Ophthalmology Retina Specialist
- Taxonomy Code
- 207WX0107X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 33271
- License State
- WI
- Taxonomy Description
- An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207W00000X | Allopathic & Osteopathic Physicians | Ophthalmology | 33271 (WI) |
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 |
|---|---|---|---|
| 31820900 | MEDICAID (05) | WI | |
| 10758215 | OTHER (01) | CAQH | |
| 33271 | OTHER (01) | WI | WI STATE MEDICAL LICENSE |
| 000000047625 | OTHER (01) | AMERICAN ACADEMY OF OPHTHALMOLOGY |
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Diabetes: Eye Exam | 100% | 62 |
| Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period | ||
| Pneumococcal Vaccination Status for Older Adults | 89% | 276 |
| Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine | ||
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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 1811992563, we treat the final digit (3) 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 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 67 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1811992563, enumerated as an "individual" on June 18, 2005.
The provider is located at 2600 N MAYFAIR RD STE 901 MILWAUKEE, WI 53226 and the phone number is (414) 774-3484.
Ophthalmology with taxonomy code 207WX0107X and a focus in Retina Specialist.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
