Active NPI
Ryan Gegg, D.O.
- Otolaryngology/Facial Plastic Surgery Physician
- Santa Rosa Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology/Facial Plastic Surgery Physician
- License
- OS17209
- Practice address
- 141 Mack Bayou Loop Ste 102
Santa Rosa Beach, FL 32459-7194 - Phone
- (850) 797-6191
- Fax
- (850) 420-8342
- NPI assigned
- Jul 2, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | OS17209 | FL | |
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | DO.1715 | AL | |
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | OS17209 | FL | Primary |
Addresses
Primary practice location
141 Mack Bayou Loop Ste 102
Santa Rosa Beach, FL 32459-7194
Mailing address
141 Mack Bayou Loop Ste 102
Santa Rosa Beach, FL 32459-7194
Phone (850) 797-6191
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Michigan State University College of Osteopathic Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
141 Mack Bayou Loop
Suite 102
Santa Rosa Beach, FL 32459-7194
Phone (850) 812-5243
Hospital & facility affiliations
- Sacred Heart Hospital on the Emerald Coast
- Ascension Sacred Heart Bay
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.79 of 100
- Quality
- 64.42
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.88
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO.1715 | AL | MD | Otolaryngology/Facial Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Florida Surgeons, PA | Current | Accepting new patients | |
| North Florida Surgeons, PA | Current | Accepting new patients | |
| Emerald ENT Allergy Hearing and Facial Plastics LLC | Allergy & Immunology | Current | Accepting new patients |
| Hospital Authority of the City of Bainbridge and Decatur County | Past | Accepting new patients |
Locations
11945 San Jose Blvd
Ste 300
Jacksonville, FL 32223
11945 San Jose Blvd
Ste 102
Jacksonville, FL 32223
Phone (904) 268-3937
141 Mack Bayou Loop
Ste 102
Santa Rsa Bch, FL 32459
Phone (850) 267-0022
Interoperability endpoints
- rgegg@eeahafpl-fl.direct.office.nextgen.com
- ryan.gegg.1@9109.direct.athenahealth.com
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 and National Provider Directory roles.
-
- Otolaryngology/Facial Plastic Surgery Physician
- Santa Rosa Beach, FL
- NPI 1003584475
Allergy & Immunology
-
- Surgery Physician
- Jacksonville, FL
- NPI 1912953290
-
- Orthopaedic Surgery Physician
- Gulf Breeze, FL
- NPI 1871442053
-
- Multi-Specialty Clinic/Center
- Bainbridge, GA
- NPI 1053388256
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Miramar Beach, FL
- NPI 1558391771
-
- General Acute Care Hospital
- Panama City, FL
- NPI 1720078041
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652313600000",
"number": "1710241054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "141 MACK BAYOU LOOP STE 102",
"city": "SANTA ROSA BEACH",
"state": "FL",
"postal_code": "324597194",
"telephone_number": "850-797-6191",
"fax_number": "850-420-8342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "141 MACK BAYOU LOOP STE 102",
"city": "SANTA ROSA BEACH",
"state": "FL",
"postal_code": "324597194",
"telephone_number": "850-797-6191",
"fax_number": "850-420-8342"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEGG",
"first_name": "RYAN",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-02",
"last_updated": "2022-05-12",
"certification_date": "2022-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "FL",
"license": "OS17209",
"primary": false
},
{
"code": "207YX0905X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
"state": "AL",
"license": "DO.1715",
"primary": false
},
{
"code": "207YX0905X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
"state": "FL",
"license": "OS17209",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Rosa Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.