DR. GABOR G NEMETH M.D. NPI 1093704082

Ophthalmology in Louisville, KY

NPI 1093704082 Individual Male Years of Experience 40 Ophthalmology PECOS Enrolled Accepts Medicare Approved Payment Medicare Quality Reporting

About GABOR NEMETH

Gabor Nemeth is a provider established in Louisville, Kentucky and his medical specialization is ophthalmology with more than 40 years of experience. The NPI number of Gabor Nemeth is 1093704082 and was assigned on October 2005. The practitioner's primary taxonomy code is 207W00000X with license number 31581 (KY). The provider is registered as an individual and his NPI record was last updated 5 years ago.

Gabor Nemeth is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Gabor Nemeth is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The provider participated in Medicare's Quality Payment Program and the following quality measures were reported: age-related macular degeneration (amd): counseling on antioxidant supplement, age-related macular degeneration (amd): dilated macular examination, diabetes: eye exam, diabetic retinopathy: communication with the physician managing ongoing diabetes care, diabetic retinopathy: documentation of presence or absence of macular edema and level of severity of retinopathy, documentation of current medications in the medical record, e-prescribing, falls: screening for future fall risk, onc direct review attestation, patient-specific education, pneumococcal vaccination status for older adults, preventive care and screening: influenza immunization, preventive care and screening: tobacco use: screening and cessation intervention, preventive care and screening: tobacco use: screening and cessation intervention, primary open-angle glaucoma (poag): optic nerve evaluation, provide patient access, request/accept summary of care exclusion, secure messaging, security risk analysis, send a summary of care exclusion, use of high-risk medications in the elderly, use of high-risk medications in the elderly and use of qcdr for feedback reports that incorporate population health. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries.

NPI

1093704082

Provider NameDR. GABOR G NEMETH M.D.
Provider Location Address4139 CADILLAC CT SUITE 200 LOUISVILLE, KY 40213
Provider Mailing Address4139 CADILLAC CT STE. 200 LOUISVILLE, KY 40213
GenderMale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year1982
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date10-21-2005
Last Update Date11-21-2016


Primary Taxonomy

Taxonomy Code207W00000X
ClassificationOphthalmology
TypeAllopathic & Osteopathic Physicians
License No.31581
License StateKY
Taxonomy DescriptionAn 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.

Business Address

DR. GABOR G NEMETH M.D.
4139 CADILLAC CT
SUITE 200
LOUISVILLE, KY
ZIP 40213
Phone: (502) 473-4835
Fax: (502) 473-4836

Get Directions


Mailing Address

DR. GABOR G NEMETH M.D.
4139 CADILLAC CT
STE. 200
LOUISVILLE, KY
ZIP 40213
Phone: (502) 473-4835
Fax: (502) 473-4836



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID1850483579
PECOS Enrollment IDI20100129000164
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 358Eye and medical examination for diagnosis and treatment, established patient (HCPCS:92012)
  • 295Photography of the retina (HCPCS:92250)
  • 282Diagnostic imaging of optic nerve of eye (HCPCS:92133)
  • 274Measurement of field of vision during daylight conditions (HCPCS:92083)
  • 169Diagnostic imaging of retina (HCPCS:92134)
  • 116Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits (HCPCS:92014)
  • 14Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits (HCPCS:92004)

Quality Reporting

The following quality measures meets Medicare's statistical reporting standards for the year 2018. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Rate Number of Patients
Age-Related Macular Degeneration (AMD): Counseling on Antioxidant Supplement 67% 261
Percentage of patients aged 50 years and older with a diagnosis of age-related macular degeneration (AMD) or their caregiver(s) who were counseled within 12 months on the benefits and/or risks of the Age-Related Eye Disease Study (AREDS) formulation for preventing progression of AMD
Age-Related Macular Degeneration (AMD): Dilated Macular Examination 99% 261
Percentage of patients aged 50 years and older with a diagnosis of age-related macular degeneration (AMD) who had a dilated macular examination performed which included documentation of the presence or absence of macular thickening or geographic atrophy or hemorrhage AND the level of macular degeneration severity during one or more office visits within 12 months
Diabetes: Eye Exam 94% 326
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care 99% 158
Percentage of patients aged 18 years and older with a diagnosis of diabetic retinopathy who had a dilated macular or fundus exam performed with documented communication to the physician who manages the ongoing care of the patient with diabetes mellitus regarding the findings of the macular or fundus exam at least once within 12 months
Diabetic Retinopathy: Documentation of Presence or Absence of Macular Edema and Level of Severity of Retinopathy 97% 174
Percentage of patients aged 18 years and older with a diagnosis of diabetic retinopathy who had a dilated macular or fundus exam performed which included documentation of the level of severity of retinopathy and the presence or absence of macular edema during one or more office visits within 12 months
Documentation of Current Medications in the Medical Record 100% 3684
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration
e-Prescribing 100% 226
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
Falls: Screening for Future Fall Risk 35% 643
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
Patient-Specific Education 2% 774
The MIPS eligible clinician must use clinically relevant information from certified EHR technology to identify patient-specific educational resources and provide electronic access to those materials to at least one unique patient seen by the MIPS eligible clinician.
Pneumococcal Vaccination Status for Older Adults 75% 643
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
Preventive Care and Screening: Influenza Immunization 72% 888
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 100% 863
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 96% 821
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation 82% 676
Percentage of patients aged 18 years and older with a diagnosis of primary open-angle glaucoma (POAG) who have an optic nerve head evaluation during one or more office visits within 12 months
Provide Patient Access 61% 774
For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician ensures the patient's health information is available for the patient (or patient-authorized representative) to access using any application of their choice that is configured to meet the technical specifications of the Application Programing Interface (API) in the MIPS eligible clinician's certified EHR technology.
Secure Messaging 0% 774
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of certified EHR technology to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative).
Use of High-Risk Medications in the Elderly 0% "Inverse Quality Measure"
This is an inverse quality measure, a lower rate means the provider is rated better.
643
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication. 2) Percentage of patients who were ordered at least two of the same high-risk medication
Use of High-Risk Medications in the Elderly 0% "Inverse Quality Measure"
This is an inverse quality measure, a lower rate means the provider is rated better.
643
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication. 2) Percentage of patients who were ordered at least two of the same high-risk medication

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
F23597MEDICARE UPIN (02)
64315815MEDICAID (05)KY
0596601MEDICARE PIN (08)KY
0718601MEDICARE PIN (08)KY

Other Providers at the same location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1457457798HOUSECALLS OF AMERICA, INC.
Organization
Home Health4139 CADILLAC CT SUITE 100
LOUISVILLE, KY 40213
(502) 238-5150
1760607022 ROBERT I ORENDORF PT
Individual
Physical Therapist4139 CADILLAC CT
LOUISVILLE, KY 40213
(502) 238-5150
1801345111NEW VITALIS, LLC
Organization
Pharmacy (Compounding Pharmacy)4139 CADILLAC CT SUITE 201
LOUISVILLE, KY 40213
(502) 425-0500
1629528641DR. MICHAEL JESSE KELLIHAN PHARM.D.
Individual
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)4139 CADILLAC CT SUITE 201
LOUISVILLE, KY 40213
(502) 425-0500

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.