Individual provider Active NPI

Gavin Arthur Gorrell, MD

  • Ophthalmology Physician
  • Santa Fe, NM
National Provider Identifier
1366928574
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD2022-0431 Issued in NM
Practice address
2947 Rodeo Park Dr E
Santa Fe, NM 87505-6303
Phone
(505) 983-6613
Fax
(505) 986-9984
NPI assigned
Jul 11, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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 MD2022-0431 NM Primary

Addresses

Primary practice location

2947 Rodeo Park Dr E
Santa Fe, NM 87505-6303

Mailing address

8801 Horizon Blvd NE Ste 360
Albuquerque, NM 87113-1563
Phone (505) 828-4923

Other identifiers 2

IdentifierTypeStateIssuer
35670029MedicaidNM
2G1824OtherNMMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20220721002597 NM Practitioner - Ophthalmology 2365770294 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of New Mexico School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Associates of New Mexico LTDGroup PAC ID 4486643616, 66 clinicians

Practice addresses (Care Compare)

2947 Rodeo Park Dr E
Santa Fe, NM 87505-6303
Phone (505) 983-6613

Merit-based Incentive Payment System (MIPS)

Final score
87.25 of 100Reported as group
Quality
87.66
Promoting interoperability
100
Improvement activities
40
Cost
69.84

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery580

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Associates of New Mexico LTD Ophthalmology CurrentSince Aug 1, 2022 Accepting new patients
Eye Associates of New Mexico LTD Ophthalmology CurrentSince Aug 1, 2022 Accepting new patients
Eye Associates of New Mexico, LTD. Ophthalmology Past Accepting new patients

Locations

8801 Horizon Blvd NE
Ste 360
Albuquerque, NM 87113
Phone (505) 246-2622

5757 Harper Dr NE
Albuquerque, NM 87109
Phone (505) 888-5757

1817 Wellspring Ave SE
Ste A
Rio Rancho, NM 87124
Phone (505) 892-3434

1740 Grande Blvd SE
Ste B
Rio Rancho, NM 87124
Phone (505) 892-3434

1606 SE Main St
Roswell, NM 88203
Phone (575) 624-0370

2947 Rodeo Park Dr E
Santa Fe, NM 87505
Phone (505) 474-9880

8380 Cerrillos Rd
Ste 300
Santa Fe, NM 87507
Phone (505) 375-8955

Interoperability endpoints

  • Direct secure messaging: gavin.gorrell.p1@direct.eyenm.nextgenshare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1531267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1366928574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8801 HORIZON BLVD NE STE 360",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871131563",
            "telephone_number": "505-828-4923",
            "fax_number": "505-213-0103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2947 RODEO PARK DR E",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875056303",
            "telephone_number": "505-983-6613",
            "fax_number": "505-986-9984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORRELL",
        "first_name": "GAVIN",
        "middle_name": "ARTHUR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-11",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NM",
            "license": "MD2022-0431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "35670029",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "2G1824",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.