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DR. GARY W. FISHER OD PC
NPI 1437131364
Optometrist in Monticello, IA

Active since November 16, 2005PECOS EnrolledAccepts Medicare AssignmentCLIA 16D0386663 · Waiver
80.49/100
CMS Quality Rating
108 W 1ST ST, MONTICELLO, IA 52310(319) 465-5114(319) 465-5523 Get Directions Write a Review

NPPES record last updated: April 10, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Gary W. Fisher Od Pc NPPES

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

DR. GARY W. FISHER OD PC (NPI 1437131364) is an individual optometrist in Monticello, Iowa, licensed in Iowa (01615) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through August 31, 2026, and is a graduate of Illinois College Of Optometry At Chicago (1976).

NPPES Registry Identity

NPI1437131364
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. GARY W. FISHERCredential: OD PC
Location Address108 W 1ST STMonticello, IA 52310-1519
Mailing Address108 W 1st St, Po Box 228Monticello, IA 52310-1519 · (319) 465-5114 · Fax (319) 465-5523
Phone(319) 465-5114
Fax(319) 465-5523
Sole ProprietorYes
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 1976
Enumeration DateNovember 16, 2005
Last NPPES UpdateApril 10, 2008
✔ NPI 1437131364 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 IA · 01615
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.
108 W 1ST ST, Monticello, IA 52310
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Other Identifiers 4

Medicaid0128033IA
Medicare NSC0296620001IA
Medicare PIN12803IA
Medicare UPINT00803IA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan 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. Gary W. Fisher Od Pc 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 ID8123082427
PECOS Enrollment IDI20041116001082
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 16D0386663

Gary W Fisher Od · Monticello, IA
Active · expires Aug 31, 2026
CLIA Number16D0386663
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorGary W. Fisher
Laboratory Phone(319) 465-5114
Laboratory LocationGary W Fisher Od108 West First Street P O Box 228, Monticello, IA 52310
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 10

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.

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.
501 services490 patients
Photography of content of eyes 92285
Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.
491 services485 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.
484 services476 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.
457 services457 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.
245 services111 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.
130 services124 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52310 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
$122.23 typical visit price
range $52.96 – $161.40
Typical copayment $30.55 (range $13.24 – $40.35)
Most-billed visit code 99204
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
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.

80.49/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality60.99
Improvement Activities40

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
52%58 patients3/55-star benchmark: 87%
Diabetes: Eye Exam
79%312 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
89%1,914 patients4/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 95% · 237 patients
Patients screened: 95% · 237 patients
97%37 patients4/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
54%199 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
2 suppliers39 claims39 services$44.68 avg. paid by Medicare
Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens V2303
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers26 claims51 services$51.74 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.

SIGMA EYE, P.C.
Optometrist
108 W 1ST ST
MONTICELLO, IA 52310
Jones County (319) 465-5114
DR. ALLISON GRUWELL OD
Optometrist
108 W 1ST ST
MONTICELLO, IA 52310
Jones County (319) 465-5114
PHILLIP N FITCH OD PC
Optometrist
108 W 1ST ST
MONTICELLO, IA 52310
Jones County (319) 465-5114

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 Gary Fisher's NPI number?

The NPI number for Gary Fisher is 1437131364. It was assigned to this individual provider in the NPPES registry on November 16, 2005.

Where is Gary Fisher located?

Gary Fisher practices at 108 W 1st St, Monticello, IA 52310. The listed phone number is (319) 465-5114.

What is Gary Fisher's specialty?

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

Is Gary Fisher enrolled in Medicare?

Yes. Gary Fisher 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.

Does Gary Fisher hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 16D0386663) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Gary Fisher accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 5 other insurers list Gary Fisher 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 Gary Fisher was last updated on April 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.