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PAUL A GILL O.D.
NPI 1447262076
Optometrist in Fort Wayne, IN

Active since August 12, 2006PECOS EnrolledAccepts Medicare Assignment
65.04/100
CMS Quality Rating
321 E WAYNE ST, FORT WAYNE, IN 46802(260) 424-5656(260) 424-4511 Get Directions Write a Review

NPPES record last updated: January 6, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Paul A Gill O.d. NPPES

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

PAUL A GILL O.D. (NPI 1447262076) is an individual optometrist in Fort Wayne, Indiana, licensed in Indiana (18002653A) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Indiana University - School Of Optometry (1993).

NPPES Registry Identity

NPI1447262076
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NamePAUL A GILLCredential: O.D.
Location Address321 E WAYNE STFort Wayne, IN 46802-2713
Mailing Address4835 Long Canon PlFort Wayne, IN 46804-6578
Phone(260) 424-5656
Fax(260) 424-4511
Sole ProprietorNo
Medical School CMSIndiana University - School Of OptometryGraduated 1993
Enumeration DateAugust 12, 2006
Last NPPES UpdateJanuary 6, 2011
✔ NPI 1447262076 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 IN · 18002653A
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.
321 E WAYNE ST, Fort Wayne, IN 46802
Open in Google Maps ↗

Other Identifiers 11

Medicare PIN209800NIN
Medicare PIN137730CIN
Medicaid200241660AIN
Other000000112751IN · Anthem
Medicare PIN905780OIN
Medicaid2904281OH
Medicare PIN410040576IN
Medicare PIN176220GIN
Medicare UPINU75940IN
Medicare PINP00447564IN
Medicare PIN252850BIN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Paul A Gill 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 ID3274629688
PECOS Enrollment IDI20071017000280
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 9

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.
240 services141 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.
211 services161 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.
204 services201 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).
108 services105 patients
Microfluid analysis of tears 83861
Microfluid analysis of tears involves collecting a small tear sample to examine its composition. This procedure can help detect health issues like dry eye disease, inflammation, or other eye conditions. It's a non-invasive, painless method for monitoring eye health.
84 services40 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.
83 services82 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46802 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

65.04/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality90.99
Promoting Interoperability0
Improvement Activities40

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
100%32 patients5/55-star benchmark: 87%
Diabetes: Eye Exam
100%283 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%2,264 patients5/55-star benchmark: 100%
Glaucoma Intraocular Pressure Reduction
94%460 patients
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
78%426 patients
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
100%404 patients
Provide Patients Electronic Access to Their Health Information
72%1,922 patients2/55-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 11

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

SURGICENTER GROUP LLC
Clinic/Center (Ambulatory Surgical)
321 E WAYNE ST
FORT WAYNE, IN 46802
Allen County (260) 422-5976
GREGORY F ZINK O.D.
Optometrist
321 E WAYNE ST
FORT WAYNE, IN 46802
Allen County (260) 424-5656
THE EYE CENTER OF FORT WAYNE, LLC
Ophthalmology
321 E WAYNE ST
FORT WAYNE, IN 46802
Allen County (260) 424-5656
DR. JOHN REX PARENT M.D.
Ophthalmology
321 E WAYNE ST
FORT WAYNE, IN 46802
Allen County (260) 424-5656
DML MOBILE ANESTHESIA , LLC
Anesthesiology
321 E WAYNE ST
FORT WAYNE, IN 46802
Allen County (260) 424-5656
EYE CENTER GROUP LLC
Ophthalmology
321 E WAYNE ST
FORT WAYNE, IN 46802
Allen County (260) 424-5656
MIDWEST EYE CONSULTANTS, PC
Optometrist
321 E WAYNE ST
FORT WAYNE, IN 46802
Allen County (260) 424-5656
THE EYE SURGICAL CENTER OF FORT WAYNE, LLC
Clinic/Center (Ambulatory Surgical)
321 E WAYNE ST
FORT WAYNE, IN 46802
Allen County (260) 422-5976

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 Paul Gill's NPI number?

The NPI number for Paul Gill is 1447262076. It was assigned to this individual provider in the NPPES registry on August 12, 2006.

Where is Paul Gill located?

Paul Gill practices at 321 E Wayne St, Fort Wayne, IN 46802. The listed phone number is (260) 424-5656.

What is Paul Gill's specialty?

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

Is Paul Gill enrolled in Medicare?

Yes. Paul Gill 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 Paul Gill accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Paul Gill 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 Paul Gill was last updated on January 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.