CARL SCOTT GUTSHALL O.D.
NPI 1386718807
Optometrist in Oneill, NE
About Carl Scott Gutshall O.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARL SCOTT GUTSHALL O.D. (NPI 1386718807) is an individual optometrist in Oneill, Nebraska, licensed in Nebraska (987) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (1989).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Carl Scott Gutshall O.d. 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.
Medicare Billing Reassignment
Medicare enrollment records show Carl Gutshall reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Oneill, NE 68763
- Reassigned Medicare billing, Nebraska enrollment
- 3 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 68763 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 3
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 Carl Gutshall's NPI number?
The NPI number for Carl Gutshall is 1386718807. It was assigned to this individual provider in the NPPES registry on November 17, 2006.
Where is Carl Gutshall located?
Carl Gutshall practices at 214 N 10th St, Oneill, NE 68763. The listed phone number is (402) 336-2505.
What is Carl Gutshall's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Carl Gutshall enrolled in Medicare?
Yes. Carl Gutshall 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.
Which organization bills Medicare for Carl Gutshall's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carl Gutshall reassigns Medicare benefits to Gutshall Kohle Pelster Eyecare, LLC (Oneill, NE). 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 Carl Gutshall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Carl Gutshall accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Montana and 12 other insurers list Carl Gutshall 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 Carl Gutshall was last updated on July 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Carl Scott Gutshall, O.D. · NPI 1386718807
Optometrist provider in Oneill, Nebraska. Individual provider, active in the CMS NPPES registry since November 17, 2006.
## Identity
- **NPI:** 1386718807 (Entity type: Individual)
- **Enumerated:** November 17, 2006
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 987 (Nebraska)
- **Sole proprietor:** No
## Practice location
- **Address:** 214 N 10TH ST, Oneill, NE 68763-1604
- **Phone:** (402) 336-2505 · **Fax:** (402) 336-3506
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Gutshall Kohle Pelster Eyecare, LLC (NPI 1497817241, Oneill, NE), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Illinois College Of Optometry At Chicago, class of 1989
## Record status
- **NPPES last updated:** July 7, 2025
- **Other identifiers:** Medicaid 47076692800 (NE)
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Source: [NPI Profile](https://npiprofile.com/npi/1386718807) · Data from the CMS NPPES public registry.