JOHN T PAJKA MD
NPI 1861469108
Ophthalmology in Lima, OH
About John T Pajka Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN T PAJKA MD (NPI 1861469108) is an individual ophthalmology provider in Lima, Ohio, licensed in Ohio (35055422P) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of Ohio State University College Of Medicine (1982).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
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
John T Pajka 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 Reassignment
Medicare enrollment records show John Pajka reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lima, OH 45805
- Reassigned Medicare billing, Ohio enrollment
- 8 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 13
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 45805 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.
Reported Quality Measures
Referred Medical Equipment & Supplies CMS DME claims 3
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LIMA, OH 45805
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 Pajka's NPI number?
The NPI number for John Pajka is 1861469108. It was assigned to this individual provider in the NPPES registry on March 7, 2006.
Where is John Pajka located?
John Pajka practices at 855 W Market St Ste A, Lima, OH 45805. The listed phone number is (419) 228-7432.
What is John Pajka's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is John Pajka enrolled in Medicare?
Yes. John Pajka 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 organization bills Medicare for John Pajka's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Pajka reassigns Medicare benefits to Pajka Eye Center Inc (Lima, OH). The 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 Pajka's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Pajka accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 3 other insurers list John Pajka 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.
When was this NPI record last updated?
The NPPES record for John Pajka was last updated on September 10, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# John T Pajka, MD · NPI 1861469108
Ophthalmology physician in Lima, Ohio. Individual provider, active in the CMS NPPES registry since March 7, 2006.
## Identity
- **NPI:** 1861469108 (Entity type: Individual)
- **Enumerated:** March 7, 2006
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **State license:** 35055422P (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 855 W MARKET ST, STE A, Lima, OH 45805
- **Phone:** (419) 228-7432 · **Fax:** (419) 228-5628
## 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:** Pajka Eye Center Inc (NPI 1831167097, Lima, OH), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Ohio State University College Of Medicine, class of 1982
## Record status
- **NPPES last updated:** September 10, 2007
- **Other identifiers:** Medicare ID-Type Unspecified PA0669361; Medicare UPIN E57714; Medicaid L0675587 (OH)
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Source: [NPI Profile](https://npiprofile.com/npi/1861469108) · Data from the CMS NPPES public registry.