Gary Nathanael Wortz, MD
Individual provider Active NPI Ophthalmology Physician · Lexington, KY
NPI 1710055041 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1710055041
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Ophthalmology Physician 207W00000X
- License
- 40650 (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
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- 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 PSC
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 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 78.84
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1196 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080723000591 | KY | Practitioner - Ophthalmology | 9436222452 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40650 | KY | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lance S Ferguson MD PSC | Ophthalmology | Current |
Accepting new patients |
| Ephraim McDowell Health Resource, Inc | Current |
Accepting new patients | |
| Lance S Ferguson MD PSC | Ophthalmology | Current | Accepting new patients |
| Ephraim McDowell Health Resource, Inc. | Current |
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
- gwortz@directaddress.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 40650 | KY | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000571982 | Other | KY | ANTHEM |
| 9293157 | Other | KY | AETNA |
| 7100063600 | Medicaid | KY | |
| 40650 | Other | KY | KY MEDICAL LICENSE |
| 0744160 | Other | KY | CIGNA |
| ME104362 | Other | FL | MEDICAL LICENSE |
Other providers in Lexington, KY
- Paula A Works
- Cynthia Lee Worley
- Robert Michael Cook Worthing
- Matthew S Worthy
- Brayden Thomas Wortz
- David A. Wrede
- Mary Jo Wright Ray
- Alexander Jacob Wright
- Allison Stewart Wright
- Amy L Wright
All providers in Lexington, KY · Ophthalmology Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.