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GERALD W. KOSS II O.D.
NPI 1528145257
Optometrist in Brunswick, GA

Active since November 01, 2006PECOS EnrolledAccepts Medicare Assignment
69.85/100
CMS Quality Rating
90 VILLAGE AT GLYNN PL, BRUNSWICK, GA 31525(912) 264-6000(912) 264-6080 Get Directions Write a Review

NPPES record last updated: January 8, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gerald W. Koss Ii O.d. NPPES

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

GERALD W. KOSS II O.D. (NPI 1528145257) is an individual optometrist in Brunswick, Georgia, licensed in Georgia (2249) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1528145257
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameGERALD W. KOSS IICredential: O.D.
Location Address90 VILLAGE AT GLYNN PLBrunswick, GA 31525-1993
Mailing Address90 Village At Glynn PlBrunswick, GA 31525-1993 · (912) 264-6000 · Fax (912) 264-6080
Phone(912) 264-6000
Fax(912) 264-6080
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateNovember 1, 2006
Last NPPES UpdateJanuary 8, 2014
✔ NPI 1528145257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in GA · 2249✔ Licensed in GA · OPT002249✔ Licensed in FL · 4033
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.
90 VILLAGE AT GLYNN PL, Brunswick, GA 31525
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Other Identifiers 4

Medicare NSC0270120002FL
Medicaid959951220AGA
Medicare PIN511I4110071GA
Medicaid959951220BGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas 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

Gerald W. Koss Ii 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 ID5395814297
PECOS Enrollment IDI20140924001554
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 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.

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.
465 services333 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.
458 services343 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.
385 services146 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.
354 services347 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.
321 services267 patients
Closure of tear duct opening using plug 68761
Closure of the tear duct opening using a plug is a procedure to address excessive tear production. A small device is inserted into the tear duct to block it, reducing tear flow and relieving symptoms. This is a safe, reversible process, often performed in-office.
253 services46 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31525 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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.

69.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality39.71
Improvement Activities40

Reported Quality Measures

Diabetes: Eye Exam
0%35 patients1/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
96%3,697 patients4/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
3%148 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
0%1,170 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.

DR. IAN BUCHLI O.D.
Optometrist
90 VILLAGE AT GLYNN PL
BRUNSWICK, GA 31525
Glynn County (912) 264-6000
OPTICAL ILLUSIONS, P.C.
Optometrist
90 VILLAGE AT GLYNN PL
BRUNSWICK, GA 31525
Glynn County (912) 264-6000

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 Gerald Koss's NPI number?

The NPI number for Gerald Koss is 1528145257. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Gerald Koss located?

Gerald Koss practices at 90 Village At Glynn Pl, Brunswick, GA 31525. The listed phone number is (912) 264-6000.

What is Gerald Koss's specialty?

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

Is Gerald Koss enrolled in Medicare?

Yes. Gerald Koss 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 Gerald Koss accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, BlueCross BlueShield of Tennessee and Florida Blue (BlueCross BlueShield FL) and 4 other insurers list Gerald Koss 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 Gerald Koss was last updated on January 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.