Individual provider Active NPI

Justin Travis Gagel, M.D.

  • Ophthalmology Physician
  • Lexington, KY
National Provider Identifier
1790216778
Registry record updated May 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
62873 Issued in TN
Practice address
900 S Limestone CTW 304
Lexington, KY 40536
Phone
(859) 323-9918
Fax
(859) 323-1197
NPI assigned
Mar 22, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 62873 TN Primary
Ophthalmology Physician 207W00000X R4397 KY

Addresses

Primary practice location

900 S Limestone CTW 304
Lexington, KY 40536

Mailing address

1932 Alcoa Hwy
Ste 255
Knoxville, TN 37920-1508
Phone (865) 244-2030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20210514001771 TN Practitioner - Ophthalmology 5799036604 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
East Tennessee State University Quillen College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Eye Specialists, P.C.Group PAC ID 0941278709, 15 clinicians

Practice addresses (Care Compare)

1932 Alcoa Hwy
Suite C255
Knoxville, TN 37920-1508
Phone (865) 244-2020

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 surgery254

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R4397KYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
University Eye Surgeons, P.C. CurrentSince Jul 1, 2021 Accepting new patients
University Eye Specialists, PC Ophthalmology CurrentSince Jul 1, 2021 Accepting new patients
Uk Healthcare Past Accepting new patients

Locations

2547 Willow Point Way
Knoxville, TN 37931
Phone (865) 244-2020

1932 Alcoa Hwy
Ste C255
Knoxville, TN 37920
Phone (865) 244-2020

1932 Alcoa Hwy
Ste 255
Knoxville, TN 37920
Phone (865) 244-2030

140 Capital Dr
Ste 120
Knoxville, TN 37922
Phone (865) 244-2020

622 Smithview Dr
Maryville, TN 37803
Phone (865) 244-2020

500 McFarland St
Ste A
Morristown, TN 37814
Phone (423) 581-2760

Interoperability endpoints

  • Direct secure messaging: jgagel21158@ukhcdirect.org
  • Direct secure messaging: jgagel@universityeye.direct.eyemdemr.com

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 and National Provider Directory roles.

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": "1490140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620604800000",
    "number": "1790216778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1932 ALCOA HWY",
            "address_2": "STE 255",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201508",
            "telephone_number": "865-244-2030",
            "fax_number": "865-684-1196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 S LIMESTONE CTW 304",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "40536",
            "telephone_number": "859-323-9918",
            "fax_number": "859-323-1197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAGEL",
        "first_name": "JUSTIN",
        "middle_name": "TRAVIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-22",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TN",
            "license": "62873",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KY",
            "license": "R4397",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.