Individual provider Active NPI

Carl Scott Gutshall, O.D.

  • Optometrist
  • O'Neill, NE
National Provider Identifier
1386718807
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
987 Issued in NE
Practice address
214 N 10TH St
Oneill, NE 68763-1604
Phone
(402) 336-2505
Fax
(402) 336-3506
NPI assigned
Nov 17, 2006
Last updated
Jul 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 987 NE Primary

Addresses

Primary practice location

214 N 10TH St
Oneill, NE 68763-1604

Mailing address

PO Box 378
Oneill, NE 68763-0378
Phone (402) 336-2505

Other identifiers 1

IdentifierTypeStateIssuer
47076692800MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070709000302 NE Practitioner - Optometry 6103926969 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gutshall Kohle Pelster Eyecare LLCGroup PAC ID 9931209798, 3 clinicians

Practice addresses (Care Compare)

214 N 10TH St
Oneill, NE 68763-1604
Phone (402) 336-2505

Merit-based Incentive Payment System (MIPS)

Final score
96.53 of 100Reported as group
Quality
93.06
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery71

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
987NEMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Gutshall Kohle Pelster Eyecare, LLC Optometrist CurrentSince May 21, 2007 Accepting new patients

Locations

214 N 10th St
Oneill, NE 68763
Phone (402) 336-2505

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, 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": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1386718807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 378",
            "city": "ONEILL",
            "state": "NE",
            "postal_code": "687630378",
            "telephone_number": "402-336-2505",
            "fax_number": "402-336-3506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 N 10TH ST",
            "city": "ONEILL",
            "state": "NE",
            "postal_code": "687631604",
            "telephone_number": "402-336-2505",
            "fax_number": "402-336-3506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTSHALL",
        "first_name": "CARL",
        "middle_name": "SCOTT",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47076692800",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in O'Neill, NE

Sources for this page

Verify at the official NPI Registry.