Gary T Brotherson, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MD030604 Issued in PA

Practice address

1801 West 8TH Street
Erie, PA 16505-4938

Phone

(814) 455-8004

Fax

(814) 456-6054

NPI assigned

Feb 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

OphthalmologyAlso: Optometry

Education

University of North Carolina at Chapel Hill School of Medicine, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gary T Brotherson MD IncGroup PAC ID 6406893056, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saint Vincent Hospital Hospital, Erie, PA, CCN 390009
• Upmc Hamot Hospital, Erie, PA, CCN 390063

Merit-based Incentive Payment System (MIPS)

Final score

22.34 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

74.48

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Gary T Brotherson MD Inc

  dba Niagara Eye Associates

  • Ophthalmology Physician
  • Erie, PA
  • NPI 1497788087
  Medicare reassignment Care Compare group NPD
• Gary T Brotherson MD Inc

  dba Niagara Eye Associates

  • Optometrist
  • Erie, PA
  • NPI 1801818810
  NPD Authorized official

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

• Saint Vincent Health Center

  • General Acute Care Hospital
  • Erie, PA
  • NPI 1861435042
  Care Compare affiliation
• Upmc Hamot

  • General Acute Care Hospital
  • Erie, PA
  • NPI 1487647590
  Care Compare affiliation
• Upmc Hamot

  • General Acute Care Hospital
  • Erie, PA
  • NPI 1538207394
  Care Compare affiliation

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

{
    "created_epoch": "1140048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474416000000",
    "number": "1932173754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 WEST 8TH STREET",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165054938",
            "telephone_number": "814-455-8004",
            "fax_number": "814-456-6054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 WEST 8TH STREET",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165054938",
            "telephone_number": "814-455-8004",
            "fax_number": "814-456-6054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROTHERSON",
        "first_name": "GARY",
        "middle_name": "T",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-16",
        "last_updated": "2016-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD030604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000973098001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Larissa Brooks
• Brookside Volunteer Fire Company
• Kayelyn Brophy
• Carole Brosius
• Bobbie Brotherson, DO
• Christina K Brown, M.D.
• Christina Marie Brown, PT, DPT
• Christopher Brown, EDS
• Debra K Brown, LCSW
• Dorothy Brown

• Ophthalmology Physician in Erie, PA
• Providers in Erie, PA by specialty
• Ophthalmology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2016; 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.

Verify at the official NPI Registry.