Individual provider Active NPI

Gina Rachelle Cottle, M.D.

  • Ophthalmology Physician
  • Austin, TX
National Provider Identifier
1407963432
Registry record updated Nov 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
M7304 Issued in TX
Practice address
3944 RR 620 S BLDG 8 Ste 222
Austin, TX 78738-7000
Phone
(125) 263-1113
Fax
(125) 263-1119
NPI assigned
Aug 24, 2006
Last updated
Nov 17, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2020

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 M7304 TX Primary

Addresses

Primary practice location

3944 RR 620 S BLDG 8 Ste 222
Austin, TX 78738-7000

Mailing address

3944 RR 620 S BLDG 8 Ste 222
Austin, TX 78738-7000
Phone (125) 263-1113

Other identifiers 2

IdentifierTypeStateIssuer
8S5182OtherTXBCBS OF TEXAS INDIVIDUAL #
189952801MedicaidTX

Other names 1

  • Dr. Gina Cottle Jayawant Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20080109000584 TX Practitioner - Ophthalmology 8921061185 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Virginia Commonwealth University, School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lake Austin Eye PLLCGroup PAC ID 9436305406, 2 clinicians

Practice addresses (Care Compare)

3944 RR 620
BLDG 8 Suite 222
Austin, TX 78738-7000
Phone (512) 263-1113

Merit-based Incentive Payment System (MIPS)

Final score
97.26 of 100Reported as group
Quality
94.53
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery191

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M7304TXMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Falconhead Surgery Center LLC Current Accepting new patients
DRS. Feagin, Gee and Dahl, P.C. Ophthalmology PastSince Jul 1, 2012 Accepting new patients
Coastal Eye Group, P.C. Ophthalmology Past Accepting new patients

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": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1407963432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3944 RR 620 S BLDG 8 STE 222",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787387000",
            "telephone_number": "125-263-1113",
            "fax_number": "125-263-1119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3944 RR 620 S BLDG 8 STE 222",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787387000",
            "telephone_number": "125-263-1113",
            "fax_number": "125-263-1119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTTLE",
        "first_name": "GINA",
        "middle_name": "RACHELLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-24",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "M7304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TEXAS INDIVIDUAL #",
            "identifier": "8S5182",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "189952801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GINA",
            "last_name": "JAYAWANT",
            "middle_name": "COTTLE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.