Jaclyn Beth Gurwin, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MD473326 Issued in PA

Practice address

1018 W 9TH Ave Ste 100
King of Prussia, PA 19406-1225

Phone

(610) 337-1580

Fax

(610) 337-2133

NPI assigned

Jun 22, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Electronic endpoints 3

Medicare fee-for-service enrollment

Enrolled in PA

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

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Delaware Valley Vision Associates Group Practice, LLCGroup PAC ID 6002833753, 14 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

90.18 of 100Reported as group

Quality

93.25

Promoting interoperability

97

Improvement activities

40

Cost

76.51

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jaclyn.gurwin.p6@direct.omnieyeservices.nextgenshare.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.

• Delaware Valley Vision Associates Group Practice, LLC

  • Ophthalmology Physician
  • King of Prussia, PA
  • NPI 1902907371
  Medicare reassignment Care Compare group NPD
• Erie Retinal Surgery, Inc.

  • Ophthalmology Physician
  • Erie, PA
  • NPI 1457313868
  NPD (past)
• Ludwick Eye Center, LTD

  • Ophthalmology Physician
  • Chambersburg, PA
  • NPI 1063499531
  NPD (past)

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

{
    "created_epoch": "1434931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1194107649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1018 W 9TH AVE STE 100",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194061225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1018 W 9TH AVE STE 100",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194061225",
            "telephone_number": "610-337-1580",
            "fax_number": "610-337-2133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GURWIN",
        "first_name": "JACLYN",
        "middle_name": "BETH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-22",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "WI",
            "license": "71271-20",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WI",
            "license": "71271-20",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD473326",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194107649",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jgurwin311509@direct-ehr-ssmhc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "jgurwin311509@direct-ehr-ssmhc.com",
            "address_1": "1025 Regent St",
            "city": "Madison",
            "state": "WI",
            "country_code": "US",
            "postal_code": "537151248",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "1025 Regent St",
            "city": "Madison",
            "state": "WI",
            "country_code": "US",
            "postal_code": "537151248",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jgurwin1048600@direct.uwhealth.org",
            "affiliation": "N",
            "address_1": "2880 University Ave",
            "city": "Madison",
            "state": "WI",
            "country_code": "US",
            "postal_code": "537053644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Donna Dipetra Griffiths, BCABA
• Danielle Grossi
• Linda Guckin
• John Gabriel Guillama, DPT
• Gulph Mills Chiropractic Center, PC
• Meredith Hagan, BCBA
• Melissa Haggerty
• Nicole Haigler
• Jenifer M Haines, OT
• Refa Haj

• Ophthalmology Physician in King of Prussia, PA
• Providers in King of Prussia, PA by specialty
• Ophthalmology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; 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.