DR. BRETT MATTHEW GUDGEL M.D.
NPI 1497105811
Ophthalmology in Oregon City, OR

Active since June 16, 2016PECOS EnrolledAccepts Medicare Assignment
92.68/100
CMS Quality Rating
1306 DIVISION ST, OREGON CITY, OR 97045(503) 656-4221(503) 656-4249 Get Directions Write a Review

NPPES record last updated: November 17, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 17, 2021, Nov 2, 2021, Aug 10, 2021 and 6 more (9 updates tracked since 2016).

About Dr. Brett Matthew Gudgel M.d. NPPES

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

DR. BRETT MATTHEW GUDGEL M.D. (NPI 1497105811) is an individual ophthalmology provider in Oregon City, Oregon, licensed in Oregon (MD205372) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with Providence Milwaukie Hospital, and is a graduate of University Of Oklahoma College Of Medicine (2016).

NPPES Registry Identity

NPI1497105811
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. BRETT MATTHEW GUDGELCredential: M.D.
Location Address1306 DIVISION STOregon City, OR 97045-1523
Mailing Address1306 Division StOregon City, OR 97045-1523 · (918) 640-2948
Fax(503) 656-4249
Sole ProprietorNo
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 2016
Enumeration DateJune 16, 2016
Last NPPES UpdateNovember 17, 20219 updates tracked since enumeration
NPPES CertifiedNovember 17, 2021
NPI 1497105811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in OR · MD205372 Licensed in UT · 11685097-1205 Licensed in OK · 32820
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 11018880A (IN)
1306 DIVISION ST, Oregon City, OR 97045

Other Identifiers 2

Medicaid500794640OR
OtherR227471OR · Medicare

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

Dr. Brett Matthew Gudgel M.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 ID6901198662
PECOS Enrollment IDI20210708001913
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 13

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.
386 services371 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.
126 services115 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.
114 services80 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.
110 services105 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
100 services57 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
76 services46 patients

Hospital Affiliations CMS Care Compare

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

Providence Milwaukie Hospital

Acute Care Hospitals · Milwaukie, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number380082
Location10150 SE 32nd AvenueMilwaukie, OR 97222 · Clackamas County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97045 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
$134.16 typical visit price
range $58.99 – $176.88
Typical copayment $33.54 (range $14.74 – $44.22)
Most-billed visit code 99204
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
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.

92.68/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality99.19
Promoting Interoperability100
Improvement Activities40
Cost76.42

Other Providers at the Same Location NPPES 20

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

Ophthalmology
1306 DIVISION ST
OREGON CITY, OR 97045
Ophthalmology
1306 DIVISION ST
OREGON CITY, OR 97045
Ophthalmology
1306 DIVISION ST
OREGON CITY, OR 97045
Ophthalmology
1306 DIVISION ST
OREGON CITY, OR 97045
Ophthalmology
1306 DIVISION ST
OREGON CITY, OR 97045
Optometrist
1306 DIVISION ST
OREGON CITY, OR 97045
Ophthalmology
1306 DIVISION ST
OREGON CITY, OR 97045
Ophthalmology (Glaucoma Specialist)
1306 DIVISION ST
OREGON CITY, OR 97045

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 Brett Gudgel's NPI number?

The NPI number for Brett Gudgel is 1497105811. It was assigned to this individual provider in the NPPES registry on June 16, 2016.

Where is Brett Gudgel located?

Brett Gudgel practices at 1306 Division St, Oregon City, OR 97045. The listed phone number is (503) 656-4221.

What is Brett Gudgel's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Brett Gudgel enrolled in Medicare?

Yes. Brett Gudgel 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 Brett Gudgel accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Brett Gudgel 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 Brett Gudgel affiliated with any hospitals?

According to CMS data, Brett Gudgel is affiliated with Providence Milwaukie Hospital.

When was this NPI record last updated?

The NPPES record for Brett Gudgel was last updated on November 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.