Individual provider Active NPI

Guy Scott Mullin, M.D.

  • Ophthalmology Physician
  • Langhorne, PA
National Provider Identifier
1285680157
Registry record updated Dec 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD-058636L Issued in PA
Practice address
409 Executive Dr
Langhorne, PA 19047-8003
Phone
(215) 860-3400
Fax
(215) 860-8779
NPI assigned
May 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD-058636L PA Primary
Ophthalmology Physician 207W00000X MA-64061 NJ

Addresses

Primary practice location

409 Executive Dr
Langhorne, PA 19047-8003

Mailing address

409 Executive Dr
Langhorne, PA 19047-8003
Phone (215) 860-3400

Other identifiers 9

IdentifierTypeStateIssuer
1636160011OtherPACIGNA
2128908OtherPAAETNA
233004475OtherUNITED HEALTHCARE
P00027690OtherNJRAILROAD MEDICARE
0025581000OtherPAKEYSTONE
180036195OtherPARAILROAD MEDICARE
P1884042OtherOXFORD
1636160010OtherNJCIGNA
583196OtherNJAETNA

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
I20111122000592 PA Practitioner - Ophthalmology 4183655889 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Georgetown University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Newtown Laser and Eye InstituteGroup PAC ID 0042284267, 2 clinicians

Practice addresses (Care Compare)

409 Executive Dr
Langhorne, PA 19047-8003
Phone (215) 860-3400

Merit-based Incentive Payment System (MIPS)

Final score
92.23 of 100Reported as group
Quality
100
Improvement activities
40
Cost
74.1

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery268

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA-64061NJMDOphthalmology Physician
MD-058636LPAMDOphthalmology Physician

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480550400000",
    "number": "1285680157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 EXECUTIVE DR",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190478003",
            "telephone_number": "215-860-3400",
            "fax_number": "215-860-8779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 EXECUTIVE DR",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190478003",
            "telephone_number": "215-860-3400",
            "fax_number": "215-860-8779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLIN",
        "first_name": "GUY",
        "middle_name": "SCOTT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2016-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD-058636L",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "MA-64061",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1636160011",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2128908",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "233004475",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00027690",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE",
            "identifier": "0025581000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180036195",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P1884042",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1636160010",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "583196",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Langhorne, PA

Sources for this page

Verify at the official NPI Registry.