Individual provider Active NPI

Scott L Geller, M.D.,P.A.

  • Ophthalmology Physician
  • Fort Myers, FL
National Provider Identifier
1609858711
Registry record updated May 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME0035800 Issued in FL
Practice address
4755 Summerlin Rd
Suite # 1
Fort Myers, FL 33919-1073
Phone
(239) 275-8222
Fax
(239) 275-9080
NPI assigned
Nov 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2016

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 ME0035800 FL Primary

Addresses

Primary practice location

4755 Summerlin Rd
Suite # 1
Fort Myers, FL 33919-1073

Mailing address

4755 Summerlin Rd
Suite # 1
Fort Myers, FL 33919-1073
Phone (239) 275-8222

Other identifiers 4

IdentifierTypeStateIssuer
36315OtherFLBCBS
623816OtherFLAETNA
1114036OtherFLCIGNA
066192900MedicaidFL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120313000026 FL Practitioner - Ophthalmology 8325151624 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Rush Medical College of Rush University, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4755 Summerlin Rd
Fort Myers, FL 33919-1073

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery66
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Scott L Geller MD PA CurrentSince Oct 1, 1980 Accepting new patients
Scott L. Geller MD, PA Ophthalmology CurrentSince Oct 1, 1980 Accepting new patients
Claudio a. Ferreira MD, Inc. Ophthalmology PastSince Jan 1, 2023 Accepting new patients

Locations

4755 Summerlin Rd
Ste 1
Fort Myers, FL 33919
Phone (239) 275-8222

29 Barkley Cir
Fort Myers, FL 33907
Phone (239) 719-0157

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462320000000",
    "number": "1609858711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4755 SUMMERLIN RD",
            "address_2": "SUITE # 1",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339191073",
            "telephone_number": "239-275-8222",
            "fax_number": "239-275-9080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4755 SUMMERLIN RD",
            "address_2": "SUITE # 1",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339191073",
            "telephone_number": "239-275-8222",
            "fax_number": "239-275-9080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GELLER",
        "first_name": "SCOTT",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "M.D.,P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-15",
        "last_updated": "2016-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME0035800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "36315",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "623816",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1114036",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "066192900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.