Robert D Gourley, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

10888 Issued in OK

Practice address

920 S Bryant Ave
Ste 100
Edmond, OK 73034-5797

Phone

(405) 341-4238

Fax

(405) 340-0269

NPI assigned

Oct 17, 2005

Last updated

Nov 13, 2009By the provider in NPPES

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 OK

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

Specialty

Ophthalmology

Education

University of Texas Medical Branch at Galveston, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Edmond Regional Eye Associates IncGroup PAC ID 9133159924, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• O U Medical Center Hospital, Oklahoma City, OK, CCN 370093

Merit-based Incentive Payment System (MIPS)

Final score

94.73 of 100Reported as group

Quality

89.45

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rgourley59618@ouhealth.direct-ci.net
• Direct secure messaging: robertgourley@direct-address.net

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.

• Edmond Regional Eye Associates Inc

  • Ophthalmology Physician
  • Edmond, OK
  • NPI 1205949609
  Medicare reassignment Care Compare group NPD Authorized official

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

• Ou Medicine Inc.

  • General Acute Care Hospital
  • Oklahoma City, OK
  • NPI 1649794157
  Care Compare affiliation

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258070400000",
    "number": "1093704793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 S BRYANT AVE",
            "address_2": "STE 100",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730345797",
            "telephone_number": "405-341-4238",
            "fax_number": "405-340-0269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 S BRYANT AVE",
            "address_2": "STE 100",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730345797",
            "telephone_number": "405-341-4238",
            "fax_number": "405-340-0269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOURLEY",
        "first_name": "ROBERT",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-17",
        "last_updated": "2009-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OK",
            "license": "10888",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100212730A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gorman Counseling Services PC
• Mark W. Gorman, LPC
• Nic Gotcher, PHD, HSP
• Michelle Gottschalk
• Meghan Goucher
• Aaron Michael Gowens
• Cheryl Grace, M.S. CCC-SLP
• Gracehealth, PLLC
• Graham Dermatology Center, P.C.
• Blake Graham

• Ophthalmology Physician in Edmond, OK
• Providers in Edmond, OK by specialty
• Ophthalmology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2009; 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.