ETHAN JOSEPH GERSTEIN OD
NPI 1386330603
Optometrist in Okmulgee, OK

Active since April 11, 2023PECOS EnrolledAccepts Medicare Assignment
1101 S BELMONT AVE, OKMULGEE, OK 74447(918) 300-1480 Get Directions Write a Review

NPPES record last updated: January 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 3, 2025, Apr 11, 2023 (2 updates tracked since 2023).

About Ethan Joseph Gerstein Od NPPES

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

ETHAN JOSEPH GERSTEIN OD (NPI 1386330603) is an individual optometrist in Okmulgee, Oklahoma, licensed in Oklahoma (3222) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS, is affiliated with Creek Nation Community Hospital, and is a graduate of Southern College Of Optometry (2023).

NPPES Registry Identity

NPI1386330603
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameETHAN JOSEPH GERSTEINCredential: OD
Location Address1101 S BELMONT AVEOkmulgee, OK 74447-6315
Mailing Address203 S Riverfront Dr Apt 102Jenks, OK 74037-5676 · (615) 939-1778
Sole ProprietorNo
Medical School CMSSouthern College Of OptometryGraduated 2023
Enumeration DateApril 11, 2023
Last NPPES UpdateJanuary 3, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 3, 2025
NPI 1386330603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in OK · 3222
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
1101 S BELMONT AVE, Okmulgee, OK 74447

Accepted 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

Ethan Joseph Gerstein Od 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 ID5799147252
PECOS Enrollment IDI20230815002721, I20230901002698
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 4

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.
53 services43 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.
32 services29 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.
24 services24 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.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Creek Nation Community Hospital

Critical Access Hospitals · Okemah, OK
OwnershipTribal
CMS Certification Number371333
Location1800 E CoplinOkemah, OK 74859 · Okfuskee County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74447 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
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
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.

Other Providers at the Same Location NPPES 14

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

Peer Specialist
1101 S BELMONT AVE
OKMULGEE, OK 74447
Nurse Practitioner (Obstetrics & Gynecology)
1101 S BELMONT AVE, STE. 105
OKMULGEE, OK 74447
Peer Specialist
1101 S BELMONT AVE
OKMULGEE, OK 74447
Pediatrics
1101 S BELMONT AVE, STE 205
OKMULGEE, OK 74447
Nurse Practitioner (Pediatrics)
1101 S BELMONT AVE, STE 205
OKMULGEE, OK 74447
Counselor (Professional)
1101 S BELMONT AVE
OKMULGEE, OK 74447
Otolaryngology
1101 S BELMONT AVE, SUITE 101
OKMULGEE, OK 74447
Nurse Practitioner (Pediatrics)
1101 S BELMONT AVE, STE 205
OKMULGEE, OK 74447

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 Ethan Gerstein's NPI number?

The NPI number for Ethan Gerstein is 1386330603. It was assigned to this individual provider in the NPPES registry on April 11, 2023.

Where is Ethan Gerstein located?

Ethan Gerstein practices at 1101 S Belmont Ave, Okmulgee, OK 74447. The listed phone number is (918) 300-1480.

What is Ethan Gerstein's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Ethan Gerstein enrolled in Medicare?

Yes. Ethan Gerstein 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 Ethan Gerstein accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Medica, Mending Health and Oscar Insurance Company list Ethan Gerstein 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 Ethan Gerstein affiliated with any hospitals?

According to CMS data, Ethan Gerstein is affiliated with Creek Nation Community Hospital.

When was this NPI record last updated?

The NPPES record for Ethan Gerstein was last updated on January 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.