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ROBERT L GISE MD
NPI 1528024452
Ophthalmology in Worcester, MA

Active since April 20, 2006PECOS EnrolledAccepts Medicare Assignment
98.53/100
CMS Quality Rating
210 LINCOLN STREET, WORCESTER, MA 01605(508) 755-4922(508) 756-9918 Get Directions Write a Review

NPPES record last updated: October 29, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Robert L Gise Md NPPES

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

ROBERT L GISE MD (NPI 1528024452) is an individual ophthalmology provider in Worcester, Massachusetts, licensed in Massachusetts (39600) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1975).

NPPES Registry Identity

NPI1528024452
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameROBERT L GISECredential: MD
Location Address210 LINCOLN STREETWorcester, MA 01605-2529
Mailing Address210 Lincoln StWorcester, MA 01605-2529 · (508) 755-4922 · Fax (508) 756-9918
Phone(508) 755-4922
Fax(508) 756-9918
Sole ProprietorYes
Medical School CMSOtherGraduated 1975
Enumeration DateApril 20, 2006
Last NPPES UpdateOctober 29, 2014
✔ NPI 1528024452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in MA · 39600
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.
210 LINCOLN STREET, Worcester, MA 01605
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Other Identifiers 14

Other4255MA · Fallon Health Plan
Other988733Network Health Plan
Medicare ID-Type UnspecifiedN01801
Other0004670Neighborhood Health Plan
OtherN01801MA · Bs
Medicare NSC0935770001
Other4207Us Health Care
Other4274763Aetna
Other0880401Evercare Uhc
Other0800341United Health Care
Other15527Harvard Pilgrim Health Ca
Other039600Tufts Health Plan
Medicare UPINA67716
Medicaid2067269MA

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

Robert L Gise Md 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 ID6507875564
PECOS Enrollment IDI20060419000538
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 7

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.
536 services458 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.
185 services167 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
127 services76 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.
59 services59 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.
59 services50 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).
16 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01605 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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.

98.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality97.06
Improvement Activities40

Reported Quality Measures

Diabetes: Eye Exam
100%146 patients5/55-star benchmark: 100%
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
90%41 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
99%1,969 patients4/55-star benchmark: 100%
Glaucoma Intraocular Pressure Reduction
97%127 patients
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
99%98 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 861 patients
Patients totalRate: 0% · 861 patients
0%861 patients5/55-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 2

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

COHEN-URDANETA PLLC
Dentist
210 LINCOLN STREET
WORCESTER, MA 01605
Worcester County (508) 793-2122
MR. STANLEY SCHIKOWITZ MD DO
Internal Medicine (Gastroenterology)
210 LINCOLN STREET
WORCESTER, MA 01605
Worcester County (508) 754-1956

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 Robert Gise's NPI number?

The NPI number for Robert Gise is 1528024452. It was assigned to this individual provider in the NPPES registry on April 20, 2006.

Where is Robert Gise located?

Robert Gise practices at 210 Lincoln Street, Worcester, MA 01605. The listed phone number is (508) 755-4922.

What is Robert Gise's specialty?

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

Is Robert Gise enrolled in Medicare?

Yes. Robert Gise 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.

When was this NPI record last updated?

The NPPES record for Robert Gise was last updated on October 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.