Individual provider Active NPI

Gary Nathanael Wortz, MD

  • Ophthalmology Physician
  • Lexington, KY
National Provider Identifier
1710055041
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
40650 Issued in KY
Practice address
2353 Alexandria Dr Ste 260
Lexington, KY 40504-3208
Phone
(859) 224-2655
Fax
(859) 223-7147
NPI assigned
Dec 4, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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 40650 KY Primary

Addresses

Primary practice location

2353 Alexandria Dr Ste 260
Lexington, KY 40504-3208

Mailing address

2353 Alexandria Dr Ste 260
Lexington, KY 40504-3208
Phone (859) 224-2655

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20080723000591 KY Practitioner - Ophthalmology 9436222452 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Louisville School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lance S Ferguson MD PSCGroup PAC ID 4385625235, 7 clinicians

Practice addresses (Care Compare)

2353 Alexandria Dr
Suite 260
Lexington, KY 40504-3208
Phone (859) 224-2655

Merit-based Incentive Payment System (MIPS)

Final score
93.65 of 100Reported as group
Quality
100
Improvement activities
40
Cost
78.84

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1196

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
40650KYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ephraim McDowell Health Resource, Inc CurrentSince Aug 11, 2014 Accepting new patients
Lance S Ferguson MD PSC Ophthalmology CurrentSince Oct 6, 2014 Accepting new patients
Lance S Ferguson MD PSC Ophthalmology Current Accepting new patients
Ephraim McDowell Health Resource, Inc. CurrentSince Aug 11, 2014 Accepting new patients
Ephraim McDowell Health Resource, Inc. Current Accepting new patients

Locations

109 Daniel Dr
Danville, KY 40422
Phone (859) 236-3361

2353 Alexandria Dr
Ste 260
Lexington, KY 40504
Phone (859) 224-2655

2353 Alexandria Dr
Ste 350
Lexington, KY 40504
Phone (859) 224-2655

9780 Ormsby Station Rd
Ste 200
Louisville, KY 40223
Phone (502) 306-9551

110 Metker Trl
Stanford, KY 40484
Phone (606) 365-3360

Interoperability endpoints

  • Direct secure messaging: gwortz@directaddress.net

Organizations & group practices 5

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": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1710055041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2353 ALEXANDRIA DR STE 260",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405043208",
            "telephone_number": "859-224-2655",
            "fax_number": "859-223-7147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2353 ALEXANDRIA DR STE 260",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405043208",
            "telephone_number": "859-224-2655",
            "fax_number": "859-223-7147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORTZ",
        "first_name": "GARY",
        "middle_name": "NATHANAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2023-03-07",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KY",
            "license": "40650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.