DR. GAUTAM MISHRA MD
NPI 1295723385
Ophthalmology in Harrisburg, PA

Q: What is Gautam Mishra's NPI number?

The NPI number for Gautam Mishra is 1295723385. It was assigned to this individual provider in the NPPES registry on October 12, 2005.

Q: What is Gautam Mishra's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Gautam Mishra was last updated on November 20, 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.

Active since October 12, 2005PECOS EnrolledAccepts Medicare Assignment

94.1/100

CMS Quality Rating

10 CAPITAL DRIVE, SUITE 300, HARRISBURG, PA 17110(717) 233-3937(717) 233-5715 Get Directions Write a Review

NPPES record last updated: November 20, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Gautam Mishra Md NPPES

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

DR. GAUTAM MISHRA MD (NPI 1295723385) is an individual ophthalmology provider in Harrisburg, Pennsylvania, licensed in Maryland (D61733) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Upmc Pinnacle Hospitals, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (1999).

NPPES Registry Identity

NPI1295723385

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameDR. GAUTAM MISHRACredential: MD

Location Address10 CAPITAL DRIVE, SUITE 300Harrisburg, PA 17110

Mailing Address10 Capital Drive, Suite 300Harrisburg, PA 17110 · (717) 233-3937 · Fax (717) 233-5715

Phone(717) 233-3937

Fax(717) 233-5715

Sole ProprietorNo

Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 1999

Enumeration DateOctober 12, 2005

Last NPPES UpdateNovember 20, 2013

✔ NPI 1295723385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in MD · D61733

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.

10 CAPITAL DRIVE, Harrisburg, PA 17110

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Other Identifiers 1

Medicare UPINH84482

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming, Highmark Blue Cross Blue Shield Delaware, Highmark Blue Cross Blue Shield West Virginia 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

Dr. Gautam Mishra 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 ID5698754984

PECOS Enrollment IDI20060814000026

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 14

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.

Measurement of corneal curvature and depth of eye 92136

This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.

381 services232 patients

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.

350 services336 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.

348 services187 patients

Established patient problem focused exam of visual system 92012

This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.

228 services151 patients

Removal of cataract with insertion of prosthetic lens 66984

222 services123 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

190 services190 patients

Removal of recurring cataract in lens capsule using a laser 66821

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

131 services94 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.

92 services91 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).

88 services87 patients

Ct scan of cornea 92025

A CT scan of the cornea is a non-invasive imaging test that uses X-rays to capture detailed pictures of your eye's cornea. It helps in diagnosing diseases or damage, planning for surgery, or evaluating the results of a treatment. It's a safe and painless procedure.

46 services37 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.

39 services39 patients

Imaging of front third of eye using a special microscope 92286

This procedure involves capturing detailed images of the front part of your eye using a specialized microscope. It helps in identifying any eye abnormalities or issues, improving the accuracy of diagnosis and treatment planning.

27 services27 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

22 services22 patients

New patient problem focused exam of visual system 92002

A new patient problem-focused exam of the visual system is a basic evaluation of your eyes and vision. It includes checking your eye movements, visual acuity, and general eye health. It helps detect any potential issues early for timely treatment.

18 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Upmc Pinnacle Hospitals

Acute Care Hospitals · Harrisburg, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390067

Location409 South Second StreetHarrisburg, PA 17104 · Dauphin County

Emergency services Birthing friendly

Milton S Hershey Medical Center

Acute Care Hospitals · Hershey, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390256

Location500 University DriveHershey, PA 17033 · Dauphin County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17110 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

$126.34 typical visit price

range $54.64 – $166.87

Typical copayment $31.58 (range $13.66 – $41.71)

Most-billed visit code 99204

Established Patient

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

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.

94.1/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

100

Improvement Activities

Cost

80.36

Reported Quality Measures

Cataracts: 20/40 or Better Visual Acuity within 90 Days Following Cataract Surgery

97%342 patients4/55-star benchmark: 100%

Diabetes: Eye Exam

100%283 patients5/55-star benchmark: 100%

Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care

94%78 patients4/55-star benchmark: 100%

Glaucoma Intraocular Pressure Reduction

81%206 patients

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 96% · 624 patients

Patients screened: 98% · 624 patients

43%23 patients2/55-star benchmark: 100%

Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care

99%222 patients

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 1,409 patients

Patients totalRate: 0% · 1,409 patients

0%1,409 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 7

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

DR. BRETT B ERNST MD

Ophthalmology

10 CAPITAL DRIVE, SUITE 300
HARRISBURG, PA 17110

Dauphin County (717) 233-3937

STRATIS GAYNER PLASTIC SURGERY

Plastic Surgery

10 CAPITAL DRIVE, SUITE 100
HARRISBURG, PA 17110

Dauphin County (717) 728-1700

SUSQUEHANNA OPTICAL INC

Eyewear Supplier

10 CAPITAL DRIVE, SUITE 300
HARRISBURG, PA 17110

Dauphin County (717) 238-7461

DR. SCOTT MATTHEW GAYNER M.D.

Otolaryngology (Facial Plastic Surgery)

10 CAPITAL DRIVE, SUITE 100
HARRISBURG, PA 17110

Dauphin County (717) 728-1700

DR. ALAN L SCHEIN MD

Ophthalmology

10 CAPITAL DRIVE, SUITE 300
HARRISBURG, PA 17110

Dauphin County (717) 233-3937

DR. JEFFREY D. MILLER OD

Optometrist

10 CAPITAL DRIVE, SUITE 300
HARRISBURG, PA 17110

Dauphin County (717) 233-3937

MR. JOHN PETER STRATIS M.D.

Specialist

10 CAPITAL DRIVE, SUITE 100
HARRISBURG, PA 17110

Dauphin County (717) 728-1700

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 Gautam Mishra's NPI number?

The NPI number for Gautam Mishra is 1295723385. It was assigned to this individual provider in the NPPES registry on October 12, 2005.

Where is Gautam Mishra located?

Gautam Mishra practices at 10 Capital Drive Suite 300, Harrisburg, PA 17110. The listed phone number is (717) 233-3937.

What is Gautam Mishra's specialty?

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

Is Gautam Mishra enrolled in Medicare?

Yes. Gautam Mishra 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 Gautam Mishra accept?

Health plans from Blue Cross Blue Shield of Wyoming, Highmark Blue Cross Blue Shield Delaware, Highmark Blue Cross Blue Shield West Virginia and Providence Health Plan list Gautam Mishra 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 Gautam Mishra affiliated with any hospitals?

According to CMS data, Gautam Mishra is affiliated with Upmc Pinnacle Hospitals and Milton S Hershey Medical Center.

When was this NPI record last updated?

The NPPES record for Gautam Mishra was last updated on November 20, 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.