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MR. JOHN T DVORAK MD
NPI 1902807985
Colon & Rectal Surgery in Lexington, KY

Active since August 02, 2005PECOS EnrolledAccepts Medicare Assignment
87.53/100
CMS Quality Rating
2620 WILHITE DR, LEXINGTON, KY 40503(859) 278-6031(859) 277-7015 Get Directions Write a Review

NPPES record last updated: September 24, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. John T Dvorak Md NPPES

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

MR. JOHN T DVORAK MD (NPI 1902807985) is an individual colon & rectal surgery provider in Lexington, Kentucky, licensed in Kentucky (36525) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Saint Joseph Hospital, and is a graduate of Geisel School Of Medicine At Dartmouth (1995).

NPPES Registry Identity

NPI1902807985
Entity TypeIndividualMale
Primary Taxonomy208C00000X
Provider Legal NameMR. JOHN T DVORAKCredential: MD
Location Address2620 WILHITE DRLexington, KY 40503-3385
Mailing Address2620 Wilhite DrLexington, KY 40503-3385 · (859) 278-6031 · Fax (859) 277-7015
Phone(859) 278-6031
Fax(859) 277-7015
Sole ProprietorNo
Medical School CMSGeisel School Of Medicine At DartmouthGraduated 1995
Enumeration DateAugust 2, 2005
Last NPPES UpdateSeptember 24, 2010
✔ NPI 1902807985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
License✔ Licensed in KY · 36525
Definition

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

2620 WILHITE DR, Lexington, KY 40503
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Other Identifiers 3

Medicaid64035256KY
Medicare ID-Type Unspecified0205606
Medicare UPINH35720

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

Mr. John T Dvorak 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 ID941495204
PECOS Enrollment IDI20101111001193
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 15

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.

Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito G0500
Moderate sedation is a method where a physician uses medication to help you relax during a gastrointestinal endoscopy. An independent trained observer will be present to monitor your vital signs and ensure your safety throughout the procedure. It's a common and safe practice.
170 services166 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
156 services89 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
68 services68 patients
New patient office or other outpatient visit, 45-59 minutes 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.
65 services65 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
56 services46 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
54 services53 patients

Hospital Affiliations CMS Care Compare 2

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

Saint Joseph Hospital

Acute Care Hospitals · Lexington, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180010
LocationOne Saint Joseph DriveLexington, KY 40504 · Fayette County
Emergency services

Baptist Health Lexington

Acute Care Hospitals · Lexington, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180103
Location1740 Nicholasville RoadLexington, KY 40503 · Fayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40503 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
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.

87.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97
Promoting Interoperability98
Improvement Activities40
Cost63.1

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
59%130 patients3/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
98%238 patients5/55-star benchmark: 85%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
98%666 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
95%840 patients4/55-star benchmark: 99%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
75%176 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
71%34 patients4/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
97%556 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
60%803 patients3/55-star benchmark: 97%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
56%176 patients3/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
15%505 patients1/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
21%270 patients1/55-star benchmark: 88%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients tobacco: 97% · 155 patients
99%155 patients
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
50%803 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
10%803 patients1/55-star benchmark: 89%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 176 patients
0%176 patients5/55-star benchmark: 100%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
13%803 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 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Ostomy pouch, closed, with barrier attached, with filter (1 piece), each A4416
DME-Orthotic Devices · category DF010N
1 supplier13 claims1,050 services$2.49 avg. paid by Medicare
Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each A4425
DME-Orthotic Devices · category DF010N
1 supplier12 claims360 services$3.45 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 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRUCE M BELIN MD
Colon & Rectal Surgery
2620 WILHITE DR
LEXINGTON, KY 40503
Fayette County (859) 278-6031
MR. DAVID J SVETICH MD
Colon & Rectal Surgery
2620 WILHITE DR
LEXINGTON, KY 40503
Fayette County (859) 278-6031
MR. JOHN M FOX MD
Colon & Rectal Surgery
2620 WILHITE DR
LEXINGTON, KY 40503
Fayette County (859) 278-6031
DR. CHARLES L PAPP MD
Colon & Rectal Surgery
2620 WILHITE DR
LEXINGTON, KY 40503
Fayette County (859) 278-6031
MS. NANCY B SWIGERT MA CCC SLP BRSS
Speech-Language Pathologist
2620 WILHITE DR, SWIGERT & ASSOCIATES INC STE 222
LEXINGTON, KY 40503
Fayette County (859) 277-1949
JULIE BOURNE WALLACE M.A., CCC/SLP
Speech-Language Pathologist
2620 WILHITE DR, SUITE 222
LEXINGTON, KY 40503
Fayette County (859) 277-1949
KRISTIN LEE WELSH MS, CCC/SLP
Speech-Language Pathologist
2620 WILHITE DR, SUITE 222
LEXINGTON, KY 40503
Fayette County (859) 277-1949
SHERRY JAYNES MCCLELLAN MS, CCC/SLP
Speech-Language Pathologist
2620 WILHITE DR, SUITE 222
LEXINGTON, KY 40503
Fayette County (859) 277-1949

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 Dvorak's NPI number?

The NPI number for John Dvorak is 1902807985. It was assigned to this individual provider in the NPPES registry on August 2, 2005.

Where is John Dvorak located?

John Dvorak practices at 2620 Wilhite Dr, Lexington, KY 40503. The listed phone number is (859) 278-6031.

What is John Dvorak's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is John Dvorak enrolled in Medicare?

Yes. John Dvorak 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.

Is John Dvorak affiliated with any hospitals?

According to CMS data, John Dvorak is affiliated with Saint Joseph Hospital and Baptist Health Lexington.

When was this NPI record last updated?

The NPPES record for John Dvorak was last updated on September 24, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.