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JACLYN BETH GURWIN MD
NPI 1194107649
Ophthalmology in King Of Prussia, PA

Active since June 22, 2015PECOS EnrolledAccepts Medicare Assignment
90.48/100
CMS Quality Rating
1018 W 9TH AVE STE 100, KING OF PRUSSIA, PA 19406(610) 337-1580(610) 337-2133 Get Directions Write a Review

NPPES record last updated: February 8, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 8, 2022, Sep 15, 2021, Jan 14, 2021 and 3 more (6 updates tracked since 2019).

About Jaclyn Beth Gurwin Md NPPES

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

JACLYN BETH GURWIN MD (NPI 1194107649) is an individual ophthalmology provider in King Of Prussia, Pennsylvania, licensed in Pennsylvania (MD473326) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1194107649
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameJACLYN BETH GURWINCredential: MD
Location Address1018 W 9TH AVE STE 100King Of Prussia, PA 19406-1225
Mailing Address1018 W 9th Ave Ste 100King Of Prussia, PA 19406-1225
Phone(610) 337-1580
Fax(610) 337-2133
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJune 22, 2015
Last NPPES UpdateFebruary 8, 20226 updates tracked since enumeration
NPPES CertifiedFebruary 8, 2022
✔ NPI 1194107649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses✔ Licensed in PA · MD473326✔ Licensed in WI · 71271-20
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.
Also ListedOphthalmology · Ophthalmic Plastic and Reconstructive SurgeryTaxonomy 207WX0200X · License 71271-20 (WI)
1018 W 9TH AVE STE 100, King Of Prussia, PA 19406
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Other Identifiers 1

Medicaid1194107649WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Jaclyn Beth Gurwin Md 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 ID1951606375
PECOS Enrollment IDI20210923001651
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 11

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.
167 services115 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.
91 services86 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
81 services81 patients
Exam of visual field with intermediate testing 92082
An exam of the visual field with intermediate testing is a procedure that checks your peripheral (side) vision. It helps to identify blind spots which could be a sign of eye diseases. This non-invasive test is painless and quick.
73 services71 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.
63 services63 patients
Removal of growth of eyelid 67840
The removal of an eyelid growth is a procedure performed to eliminate abnormal tissue from your eyelid. It's generally a quick, outpatient treatment. The doctor numbs your eyelid, carefully removes the growth, and may stitch the area if necessary. This can help maintain eye health and vision.
42 services37 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19406 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

90.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality98.89
Promoting Interoperability100
Improvement Activities40
Cost69.39

Other Providers at the Same Location NPPES

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

VICTORIA SHUST OD
Optometrist
1018 W 9TH AVE STE 100
KING OF PRUSSIA, PA 19406
Montgomery County (610) 337-1580

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 Jaclyn Gurwin's NPI number?

The NPI number for Jaclyn Gurwin is 1194107649. It was assigned to this individual provider in the NPPES registry on June 22, 2015.

Where is Jaclyn Gurwin located?

Jaclyn Gurwin practices at 1018 W 9th Ave Ste 100, King Of Prussia, PA 19406. The listed phone number is (610) 337-1580.

What is Jaclyn Gurwin's specialty?

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

Is Jaclyn Gurwin enrolled in Medicare?

Yes. Jaclyn Gurwin 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 Jaclyn Gurwin accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Jaclyn Gurwin 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 Jaclyn Gurwin was last updated on February 8, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.