Individual provider Active NPI

Qing Ge, M.D., PH.D.

  • Ophthalmology Physician
  • Port Orange, FL
National Provider Identifier
1225053192
Registry record updated May 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME96155 Issued in FL
Practice address
3641 South Clyde Morris Blvd
Suite 500
Port Orange, FL 32129-2357
Phone
(386) 788-6198
Fax
(386) 788-4616
NPI assigned
Jul 13, 2006
Last updated
May 27, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2011

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 ME96155 FL Primary

Addresses

Primary practice location

3641 South Clyde Morris Blvd
Suite 500
Port Orange, FL 32129-2357

Mailing address

3641 South Clyde Morris Blvd
Suite 500
Port Orange, FL 32129-2357
Phone (386) 788-6198

Other identifiers 1

IdentifierTypeStateIssuer
277580800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070209000135 FL Practitioner - OphthalmologyPractitioner - Optometry 3173525888 Receives reassigned benefits from 6 practitioners
Practice locations: Ormond Beach, FL; Port Orange, FL
O20100930056372 FL DME Supplier - Physician - Optometrist 5799984431 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Port Orange, FL

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare profile

Medicare Care Compare
Specialty
OphthalmologyAlso: Optometry
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1425 Hand Ave
Suite N
Ormond Beach, FL 32174-1136
Phone (386) 673-3344

3641 S Clyde Morris Blvd
Suite 500
Port Orange, FL 32129-2357
Phone (386) 788-6198

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery432

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME96155FLMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Eye Clinic Ophthalmology PastSince Jan 1, 1990 Accepting new patients
Qing Ge PastSince Jan 1, 1990 Accepting new patients

Networks

  • Freedom Health HMO Network

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Organizations & group practices 4

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306454400000",
    "number": "1225053192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3641 SOUTH CLYDE MORRIS BLVD",
            "address_2": "SUITE 500",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321292357",
            "telephone_number": "386-788-6198",
            "fax_number": "386-788-4616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3641 SOUTH CLYDE MORRIS BLVD",
            "address_2": "SUITE 500",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321292357",
            "telephone_number": "386-788-6198",
            "fax_number": "386-788-4616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GE",
        "first_name": "QING",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2011-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME96155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "277580800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orange, FL

Sources for this page

Verify at the official NPI Registry.