DR. GARY JOHN GYDUSH OD
NPI 1164501979
Optometrist in Lancaster, PA
About Dr. Gary John Gydush Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. GARY JOHN GYDUSH OD (NPI 1164501979) is an individual optometrist in Lancaster, Pennsylvania, licensed in Pennsylvania (OEG001513) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Gary John Gydush Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Gary Gydush reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lancaster, PA 17601
- Reassigned Medicare billing, Pennsylvania enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 17601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Gary Gydush's NPI number?
The NPI number for Gary Gydush is 1164501979. It was assigned to this individual provider in the NPPES registry on November 3, 2006.
Where is Gary Gydush located?
Gary Gydush practices at 1158 Park City Ctr, Lancaster, PA 17601. The listed phone number is (717) 393-4042.
What is Gary Gydush's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Gary Gydush enrolled in Medicare?
Yes. Gary Gydush is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Gary Gydush's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Gary Gydush reassigns Medicare benefits to (Lancaster, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gary Gydush's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Gary Gydush accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Gary Gydush 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 Gary Gydush was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Dr. Gary John Gydush, OD · NPI 1164501979
Optometrist provider in Lancaster, Pennsylvania. Individual provider, active in the CMS NPPES registry since November 3, 2006.
## Identity
- **NPI:** 1164501979 (Entity type: Individual)
- **Enumerated:** November 3, 2006
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** OEG001513 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 1158 PARK CITY CTR, Lancaster, PA 17601-2726
- **Phone:** (717) 393-4042
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** (NPI 1477551133, Lancaster, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 8, 2007
- **Other identifiers:** Medicare UPIN T90300 (PA); Medicare ID-Type Unspecified 583563JDZ (PA)
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Source: [NPI Profile](https://npiprofile.com/npi/1164501979) · Data from the CMS NPPES public registry.