Individual provider Active NPI

William James Gealy Jr., M.D.

  • Ophthalmology Physician
  • Templeton, CA
National Provider Identifier
1013922467
Registry record updated Jul 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G43671 Issued in CA
Practice address
234 Heather CT
Suite 102
Templeton, CA 93465
Phone
(805) 434-5970
Fax
(805) 434-5973
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X G43671 CA Primary

Addresses

Primary practice location

234 Heather CT
Suite 102
Templeton, CA 93465

Mailing address

234 Heather CT
Suite 102
Templeton, CA 93465-8765
Phone (805) 434-5970

Other identifiers 1

IdentifierTypeStateIssuer
00G436710MedicaidCA

Other names 1

  • W James Gealy Jr. Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101015001244 CA Practitioner - Ophthalmology 9133204480 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Yale University School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

689 Tank Farm Rd
Suite 100
San Luis Obispo, CA 93401-7078
Phone (805) 781-3937

Merit-based Incentive Payment System (MIPS)

Final score
90.95 of 100Reported as group
Quality
97.28
Improvement activities
40
Cost
73.46

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
43671CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
San Luis Obispo Eye Associates, a Medical Group Incorporated Ophthalmology CurrentSince Sep 16, 1995 Accepting new patients
San Luis Obispo Eye Associates, a Medical Group Inc Ophthalmology CurrentSince Sep 16, 1995 Accepting new patients
Dignity Community Care Past Accepting new patients
Doctors Medical Center of Modesto, Inc. Past Accepting new patients

Locations

910 E Stowell Rd
Santa Maria, CA 93454
Phone (805) 925-2637

689 Tank Farm Rd
Ste 100
Sn Luis Obisp, CA 93401
Phone (805) 781-3637

234 Heather Ct
Ste 102
Templeton, CA 93465
Phone (805) 434-5970

Interoperability endpoints

  • Direct secure messaging: wjames.gealy@direct.shepardeye.nextgenshare.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531353600000",
    "number": "1013922467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 HEATHER CT",
            "address_2": "SUITE 102",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "934658765",
            "telephone_number": "805-434-5970",
            "fax_number": "805-434-5973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 HEATHER CT",
            "address_2": "SUITE 102",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "93465",
            "telephone_number": "805-434-5970",
            "fax_number": "805-434-5973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEALY",
        "first_name": "WILLIAM",
        "middle_name": "JAMES",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2018-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G43671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G436710",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "W",
            "last_name": "GEALY",
            "middle_name": "JAMES",
            "suffix": "JR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Templeton, CA

Sources for this page

Verify at the official NPI Registry.