Individual provider Active NPI

Gregory Warren Oldham, M.D.

  • Ophthalmology Physician
  • West Chester, PA
National Provider Identifier
1205065646
Registry record updated Oct 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD450544 Issued in PA
Practice address
915 Old Fern Hill Rd BLDG B Ste 200
West Chester, PA 19380-4269
Phone
(610) 696-1230
Fax
(610) 696-2341
NPI assigned
Jul 7, 2009
Last updated
Oct 10, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Glaucoma Specialist (Ophthalmology) Physician 207WX0009X MD450544 PA
Ophthalmology Physician 207W00000X MD450544 PA Primary

Addresses

Primary practice location

915 Old Fern Hill Rd BLDG B Ste 200
West Chester, PA 19380-4269

Mailing address

915 Old Fern Hill Rd BLDG B Ste 200
West Chester, PA 19380-4269
Phone (610) 696-1230

Other identifiers 2

IdentifierTypeStateIssuer
102929690MedicaidPA
P01374577OtherPARAILROAD MEDICARE

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20140714001490 PA Practitioner - Ophthalmology 4183849854 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Jefferson Medical College of Thomas Jefferson University, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chester County Eye Care Assoc PCGroup PAC ID 3375437502, 12 clinicians

Practice addresses (Care Compare)

1011 W Baltimore Pike
Suite 203
West Grove, PA 19390-9447
Phone (610) 696-1230

Merit-based Incentive Payment System (MIPS)

Final score
92.95 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
76.5

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery955

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD450544PAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chester County Eye Care Associates, PC Ophthalmology CurrentSince Jul 1, 2014 Accepting new patients
Chester County Eye Care Associates, PC Ophthalmology CurrentSince Jul 1, 2014 Accepting new patients
Chester County Eye Care Assoc PC Ophthalmology Current Accepting new patients

Locations

740 W Lincoln Hwy
Exton, PA 19341
Phone (610) 594-7444

915 Old Fern Hill Rd
Bldg B
West Chester, PA 19380
Phone (610) 696-1230

915 Old Fern Hill Rd
Ste 200
West Chester, PA 19380
Phone (610) 696-1230

915 Old Fern Hill Rd
Ste B200
West Chester, PA 19380

1011 W Baltimore Pike
Ste 203
West Grove, PA 19390
Phone (610) 696-1230

455 Woodview Rd
Ste 125
West Grove, PA 19390
Phone (610) 696-1230

Interoperability endpoints

  • Direct secure messaging: oldhamg@yourcarecommunity.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1246924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602288000000",
    "number": "1205065646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 OLD FERN HILL RD BLDG B STE 200",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193804269",
            "telephone_number": "610-696-1230",
            "fax_number": "610-918-0803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 OLD FERN HILL RD BLDG B STE 200",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193804269",
            "telephone_number": "610-696-1230",
            "fax_number": "610-696-2341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLDHAM",
        "first_name": "GREGORY",
        "middle_name": "WARREN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-07",
        "last_updated": "2020-10-10",
        "certification_date": "2020-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "PA",
            "license": "MD450544",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD450544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102929690",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01374577",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, PA

Sources for this page

Verify at the official NPI Registry.