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GREGORY J. GOETZINGER OD
NPI 1013940477
Optometrist in Carthage, MO

Active since July 09, 2006PECOS EnrolledAccepts Medicare Assignment
94.26/100
CMS Quality Rating
215 E 3RD ST, CARTHAGE, MO 64836(417) 359-0600(417) 359-0601 Get Directions Write a Review

NPPES record last updated: October 7, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gregory J. Goetzinger Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREGORY J. GOETZINGER OD (NPI 1013940477) is an individual optometrist in Carthage, Missouri, licensed in Missouri (TO3101) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Missouri St Louis - School Of Optometry (1993).

NPPES Registry Identity

NPI1013940477
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameGREGORY J. GOETZINGERCredential: OD
Location Address215 E 3RD STCarthage, MO 64836-1661
Mailing Address215 E 3rd StCarthage, MO 64836-1661 · (417) 359-0600 · Fax (417) 359-0601
Phone(417) 359-0600
Fax(417) 359-0601
Sole ProprietorYes
Medical School CMSUniversity Of Missouri St Louis - School Of OptometryGraduated 1993
Enumeration DateJuly 9, 2006
Last NPPES UpdateOctober 7, 2008
✔ NPI 1013940477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in MO · TO3101
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
215 E 3RD ST, Carthage, MO 64836
Open in Google Maps ↗

Other Identifiers 4

Medicare ID-Type Unspecified000009382MO · Medicare
Medicare UPINU48286MO
Medicare NSC1219660001MO
Medicaid316731637MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Gregory J. Goetzinger Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1052488525
PECOS Enrollment IDI20080925000087
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
231 services222 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
162 services120 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
98 services63 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
72 services60 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
62 services57 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
58 services54 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64836 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$121.96 typical visit price
range $52.28 – $161.24
Typical copayment $30.49 (range $13.07 – $40.31)
Most-billed visit code 99204
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.53
Improvement Activities40

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
90%61 patients5/55-star benchmark: 87%
Diabetes: Eye Exam
98%173 patients4/55-star benchmark: 100%
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
73%63 patients3/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
91%1,660 patients4/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
100%101 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
0%571 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SGOH ACQUISITION, INC.
Clinic/Center (Rural Health)
215 E 3RD ST
CARTHAGE, MO 64836
Jasper County (417) 237-0604
BRIANNA MEYER R.D.H.
Dental Hygienist
215 E 3RD ST
CARTHAGE, MO 64836
Jasper County (417) 674-2141
MARGARET KLEIBOEKER FNP
Nurse Practitioner (Family)
215 E 3RD ST
CARTHAGE, MO 64836
Jasper County (417) 237-0604
MRS. SARAH NICHOLE BLACK RDH
Dental Hygienist
215 E 3RD ST, 215 E. 3RD ST
CARTHAGE, MO 64836
Jasper County (417) 674-2141
ASEFA K GEBRE PSYCH CAQ DMSC,PA-C
Physician Assistant
215 E 3RD ST
CARTHAGE, MO 64836
Jasper County (417) 237-0604

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gregory Goetzinger's NPI number?

The NPI number for Gregory Goetzinger is 1013940477. It was assigned to this individual provider in the NPPES registry on July 9, 2006.

Where is Gregory Goetzinger located?

Gregory Goetzinger practices at 215 E 3rd St, Carthage, MO 64836. The listed phone number is (417) 359-0600.

What is Gregory Goetzinger's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Gregory Goetzinger enrolled in Medicare?

Yes. Gregory Goetzinger is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Gregory Goetzinger accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Cox HealthPlans and Providence Health Plan list Gregory Goetzinger as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gregory Goetzinger was last updated on October 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.