CARL SCOTT GUTSHALL O.D.
NPI 1386718807
Optometrist in Oneill, NE

Active since November 17, 2006PECOS EnrolledAccepts Medicare Assignment
93.69/100
CMS Quality Rating
214 N 10TH ST, ONEILL, NE 68763(402) 336-2505(402) 336-3506 Get Directions Write a Review

NPPES record last updated: July 7, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 7, 2025, Apr 11, 2024, Apr 3, 2023 and 1 more (4 updates tracked since 2023).

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

NPI1386718807
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameCARL SCOTT GUTSHALLCredential: O.D.
Location Address214 N 10TH STOneill, NE 68763-1604
Mailing AddressPo Box 378Oneill, NE 68763-0378 · (402) 336-2505 · Fax (402) 336-3506
Fax(402) 336-3506
Sole ProprietorNo
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 1989
Enumeration DateNovember 17, 2006
Last NPPES UpdateJuly 7, 20254 updates tracked since enumeration
NPPES CertifiedJuly 7, 2025
NPI 1386718807 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 NE · 987
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.

214 N 10TH ST, Oneill, NE 68763

Other Identifiers 1

Medicaid47076692800NE

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

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.

PECOS PAC ID6103926969
PECOS Enrollment IDI20070709000302
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 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.
467 services456 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.
340 services316 patients
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.
209 services150 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.
138 services123 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.
73 services73 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.
52 services52 patients

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.

New Patient
$121.35 typical visit price
range $52.69 – $160.21
Typical copayment $30.33 (range $13.17 – $40.05)
Most-billed visit code 99204
Established Patient
$66.00 typical visit price
range $16.90 – $131.25
Typical copayment $16.50 (range $4.22 – $32.81)
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.

93.69/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.38
Improvement Activities40

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
100%125 patients5/55-star benchmark: 87%
Diabetes: Eye Exam
96%221 patients4/55-star benchmark: 100%
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
96%46 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
89%2,188 patients4/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 98% · 350 patients
98%350 patients
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
97%74 patients
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.

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.

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier18 claims18 services$48.48 avg. paid by Medicare
Sphere, trifocal, plano to plus or minus 4.00d, per lens V2300
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier16 claims31 services$47.53 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Optometrist
214 N 10TH ST
ONEILL, NE 68763
Optometrist
214 N 10TH ST
ONEILL, NE 68763
Optometrist
214 N 10TH ST
ONEILL, NE 68763

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.

What insurance does Carl Gutshall accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Avera Health Plans and 7 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 with the weekly NPPES data releases published by CMS.