Gregory J. Goetzinger, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

TO3101 Issued in MO

Practice address

215 E 3Rd St
Carthage, MO 64836-1661

Phone

(417) 359-0600

Fax

(417) 359-0601

NPI assigned

Jul 9, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

University of Missouri St Louis - School of Optometry, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Carthage Vision Clinic LLCGroup PAC ID 1759601339, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

95.3 of 100Reported as individual

Quality

90.59

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles (1 of 4)

Locations

Networks

• devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d
• IA HMO
• IA HMO C-SNP

Interoperability endpoints

• Direct secure messaging: gregory.goetzinger@direct.revolutionehr.com

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.

• Carthage Vision Clinic LLC

  • Optometrist
  • Carthage, MO
  • NPI 1487047536

  MO, Optometrist

  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223337600000",
    "number": "1013940477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 E 3RD ST",
            "city": "CARTHAGE",
            "state": "MO",
            "postal_code": "648361661",
            "telephone_number": "417-359-0600",
            "fax_number": "417-359-0601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 E 3RD ST",
            "city": "CARTHAGE",
            "state": "MO",
            "postal_code": "648361661",
            "telephone_number": "417-359-0600",
            "fax_number": "417-359-0601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOETZINGER",
        "first_name": "GREGORY",
        "middle_name": "J.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-09",
        "last_updated": "2008-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "TO3101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "316731637",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ruben Garrido-Trujillo Jr.
• Asefa K Gebre, PSYCH CAQ DMSC,PA-C
• William Don George, M.D.
• Ashleigh Gibson
• Phoebe J Glover, LCSW
• Brenda Lee Gordon, MS CCCSLP
• Amy Michelle Gossen, P.T.
• Grace Theios, LLC
• H I S Unlimited, Inc.
• H I S Unlimited, Inc.

• All providers in Carthage, MO
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.