Active NPI
Gary R Hopen, M.D.
- Ophthalmology Physician
- Hollywood, FL
National Provider Identifier
1285741298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- ME0039576
- Practice address
- 3419 Johnson St.
Hollywood, FL 33021 - Phone
- (954) 989-2800
- Fax
- (954) 989-2873
- NPI assigned
- Aug 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 39576 | FL | |
| Ophthalmology Physician | 207W00000X | ME0039576 | FL | Primary |
Addresses
Primary practice location
3419 Johnson St.
Hollywood, FL 33021
Mailing address
P.O. Box 39209
Ft. Lauderdale, FL 33339
Phone (954) 851-9966
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004604 | Other | FL | AV MED |
| 062035100 | Medicaid | FL | |
| 180031909 | Other | FL | RAILROAD MEDICARE |
| 25043 | Other | FL | EMPLOYERS MUTUAL |
| 1026377 | Other | FL | AETNA |
| 94115 | Other | FL | BC/BS OF FL |
| 1675828 | Other | FL | CIGNA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | gary.hopenmd.p19@direct.eyefl.nextgenshare.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Jefferson Medical College of Thomas Jefferson University, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3419 Johnson St
Hollywood, FL 33021-5420
Phone (954) 989-2800
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.65 of 100
- Quality
- 80.46
- Promoting interoperability
- 88
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 72 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39576 | FL | MD | Ophthalmology Physician |
| ME0039576 | FL | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fort Lauderdale Eye Institute | Ophthalmology | Past | Accepting new patients |
| Hopen and Wolfe MD PA | Ophthalmology | Past | Accepting new patients |
Interoperability endpoints
- gary.hopenmd.p19@direct.eyefl.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
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 and National Provider Directory roles.
-
- Ophthalmology Physician
- Plantation, FL
- NPI 1770763799
-
- Ophthalmology Physician
- Plantation, FL
- NPI 1558475400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616371200000",
"number": "1285741298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 39209",
"city": "FT. LAUDERDALE",
"state": "FL",
"postal_code": "33339",
"telephone_number": "954-851-9966",
"fax_number": "954-318-7360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3419 JOHNSON ST.",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "33021",
"telephone_number": "954-989-2800",
"fax_number": "954-989-2873"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOPEN",
"first_name": "GARY",
"middle_name": "R",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-24",
"last_updated": "2021-03-22",
"certification_date": "2021-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "FL",
"license": "39576",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "FL",
"license": "ME0039576",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AV MED",
"identifier": "004604",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "062035100",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "180031909",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPLOYERS MUTUAL",
"identifier": "25043",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "1026377",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS OF FL",
"identifier": "94115",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1675828",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "gary.hopenmd.p19@direct.eyefl.nextgenshare.com",
"affiliation": "N",
"address_1": "3419 Johnson St.",
"city": "Hollywood",
"state": "FL",
"country_code": "US",
"postal_code": "33021",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; 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.