JOHN T PAJKA MD
NPI 1861469108
Ophthalmology in Lima, OH

Active since March 07, 2006PECOS EnrolledAccepts Medicare Assignment
98/100
CMS Quality Rating
855 W MARKET ST, STE A, LIMA, OH 45805(419) 228-7432(419) 228-5628 Get Directions Write a Review

NPPES record last updated: September 10, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1861469108
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameJOHN T PAJKACredential: MD
Location Address855 W MARKET ST, STE ALima, OH 45805
Mailing Address855 W Market St, Ste ALima, OH 45805 · (419) 228-7432 · Fax (419) 228-5628
Fax(419) 228-5628
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 1982
Enumeration DateMarch 7, 2006
Last NPPES UpdateSeptember 10, 2007
NPI 1861469108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in OH · 35055422P
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
855 W MARKET ST, Lima, OH 45805

Other Identifiers 3

Medicare ID-Type UnspecifiedPA0669361
Medicare UPINE57714
MedicaidL0675587OH

Accepted 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

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.

PECOS PAC ID547298960
PECOS Enrollment IDI20100922000665
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 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.

Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
9,013 services345 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
582 services362 patients
Complex removal of cataract with insertion of prosthetic lens 66982
This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.
463 services34 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.
370 services370 patients
Removal of recurring cataract in lens capsule using a laser 66821
This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.
154 services124 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.
148 services134 patients

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.

New Patient
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

98/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality95
Improvement Activities40
Cost100

Reported Quality Measures

Age-Related Macular Degeneration (AMD): Dilated Macular Examination
100%158 patients5/55-star benchmark: 100%
Cataract Surgery: Difference Between Planned and Final Refraction
100%188 patients5/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
100%43 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%1,262 patients5/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
100%48 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
6 suppliers15 claims15 services$53.06 avg. paid by Medicare
Sphere, bifocal, plano to plus or minus 4.00d, per lens V2200
Other-Vision, Hearing, and Speech Services · category OC000N
3 suppliers11 claims19 services$34.42 avg. paid by Medicare
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens V2203
Other-Vision, Hearing, and Speech Services · category OC000N
4 suppliers13 claims24 services$37.03 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Ophthalmology
855 W MARKET ST
LIMA, OH 45805
Clinical Medical Laboratory
855 W MARKET ST
LIMA, OH 45805
Clinic/Center (Ambulatory Surgical)
855 W MARKET ST
LIMA, OH 45805
Ophthalmology
855 W MARKET ST, STE A
LIMA, OH 45805
Ophthalmology
855 W MARKET ST, STE A
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.

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 with the weekly NPPES data releases published by CMS.