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JAMES JEROME GULLETT M.D.
NPI 1073748158
Ophthalmology in Georgetown, KY

Active since May 19, 2009PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
103 S BRADFORD LN, #102, GEORGETOWN, KY 40324(502) 863-3112(502) 863-3113 Get Directions Write a Review

NPPES record last updated: August 23, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About James Jerome Gullett M.d. NPPES

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

JAMES JEROME GULLETT M.D. (NPI 1073748158) is an individual ophthalmology provider in Georgetown, Kentucky, licensed in Kentucky (45851) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS, is affiliated with Georgetown Community Hospital, and is a graduate of University Of Louisville School Of Medicine (2009).

NPPES Registry Identity

NPI1073748158
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameJAMES JEROME GULLETTCredential: M.D.
Location Address103 S BRADFORD LN, #102Georgetown, KY 40324-2336
Mailing Address818 Montclair DrLexington, KY 40502-2263 · (606) 776-7946
Phone(502) 863-3112
Fax(502) 863-3113
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2009
Enumeration DateMay 19, 2009
Last NPPES UpdateAugust 23, 2013
✔ NPI 1073748158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in KY · 45851
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
103 S BRADFORD LN, Georgetown, KY 40324
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Accepted Insurance

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

James Jerome Gullett M.d. 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 ID6608019179
PECOS Enrollment IDI20130830000797
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 9

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 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.
421 services324 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
177 services101 patients
Ultrasound scan to determine eye length and lens power 76519
An ultrasound scan for the eye is a safe, non-invasive procedure. It uses sound waves to create images of your eye's structure. This helps determine the length of your eye and the power of your lens, which is crucial for diagnosing eye conditions and planning surgeries.
174 services103 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
45 services45 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).
42 services34 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.
38 services33 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Georgetown Community Hospital

Acute Care Hospitals · Georgetown, KY
OwnershipProprietary
CMS Certification Number180101
Location1140 Lexington RoadGeorgetown, KY 40324 · Scott County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40324 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
4 suppliers11 claims11 services$57.10 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

LANDMARK UROLOGY PSC
Urology
103 S BRADFORD LN, SUITE 101
GEORGETOWN, KY 40324
Scott County (502) 868-9748
WWR, PSC
Clinic/Center (Medical Specialty)
103 S BRADFORD LN
GEORGETOWN, KY 40324
Scott County (859) 321-1029
DR. WILLIAM W. RICHARDSON II M.D.
Ophthalmology
103 S BRADFORD LN
GEORGETOWN, KY 40324
Scott County (502) 863-3112
DR. STEFANIE ADAMS OD
Optometrist
103 S BRADFORD LN, SUITE 102
GEORGETOWN, KY 40324
Scott County (502) 863-3112

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 James Gullett's NPI number?

The NPI number for James Gullett is 1073748158. It was assigned to this individual provider in the NPPES registry on May 19, 2009.

Where is James Gullett located?

James Gullett practices at 103 S Bradford Ln #102, Georgetown, KY 40324. The listed phone number is (502) 863-3112.

What is James Gullett's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is James Gullett enrolled in Medicare?

Yes. James Gullett 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 James Gullett accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list James Gullett 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.

Is James Gullett affiliated with any hospitals?

According to CMS data, James Gullett is affiliated with Georgetown Community Hospital.

When was this NPI record last updated?

The NPPES record for James Gullett was last updated on August 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.