Individual provider Active NPI

James Jerome Gullett, M.D.

  • Ophthalmology Physician
  • Georgetown, KY
National Provider Identifier
1073748158
Registry record updated Aug 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
45851 Issued in KY
Practice address
103 S Bradford LN
#102
Georgetown, KY 40324-2336
Phone
(502) 863-3112
Fax
(502) 863-3113
NPI assigned
May 19, 2009
Last updated
Aug 23, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2013

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 45851 KY Primary

Addresses

Primary practice location

103 S Bradford LN
#102
Georgetown, KY 40324-2336

Mailing address

818 Montclair Dr
Lexington, KY 40502-2263
Phone (606) 776-7946

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20130830000797 KY Practitioner - Ophthalmology 6608019179 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Louisville School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
WWR, PSCGroup PAC ID 8426051947, 3 clinicians

Practice addresses (Care Compare)

103 S Bradford LN
Georgetown, KY 40324-2336

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
20.18 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
67.25

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery191

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
WWR, PSC Ophthalmology CurrentSince Jul 29, 2013 Accepting new patients
Kentucky Medical Services Foundation, Inc Ophthalmology Past Accepting new patients
University of Kentucky Past Accepting new patients

Locations

103 S Bradford Ln
#102
Georgetown, KY 40324
Phone (502) 863-3112

103 S Bradford Ln
Ste 102
Georgetown, KY 40324
Phone (502) 863-3112

Organizations & group practices 3

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1242691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377216000000",
    "number": "1073748158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 MONTCLAIR DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405022263",
            "telephone_number": "606-776-7946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 S BRADFORD LN",
            "address_2": "#102",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403242336",
            "telephone_number": "502-863-3112",
            "fax_number": "502-863-3113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULLETT",
        "first_name": "JAMES",
        "middle_name": "JEROME",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-19",
        "last_updated": "2013-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KY",
            "license": "45851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, KY

Sources for this page

Verify at the official NPI Registry.