DR. SIDNEY LOY GULLEDGE III MD
NPI 1578533931
Ophthalmology in Raleigh, NC

Active since January 26, 2006PECOS Enrolled
4301 LAKE BOONE TRL, STE 200, RALEIGH, NC 27607(919) 782-5210 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Dr. Sidney Loy Gulledge Iii Md NPPES

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

DR. SIDNEY LOY GULLEDGE III MD (NPI 1578533931) is an individual ophthalmology provider in Raleigh, North Carolina, licensed in North Carolina (20908) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578533931
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. SIDNEY LOY GULLEDGE IIICredential: MD
Location Address4301 LAKE BOONE TRL, STE 200Raleigh, NC 27607-7507
Mailing Address4301 Lake Boone Trl, Ste 200Raleigh, NC 27607-7507 · (919) 782-5210 · Fax (919) 784-3384
Sole ProprietorNo
Enumeration DateJanuary 26, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1578533931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in NC · 20908
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.
4301 LAKE BOONE TRL, Raleigh, NC 27607

Other Identifiers 3

Medicaid8937876NC
Medicare ID-Type Unspecified202551NC
Medicare UPINC86364

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sidney Loy Gulledge Iii Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27607 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

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.

Psychiatry & Neurology (Psychiatry)
4301 LAKE BOONE TRL, STE 210
RALEIGH, NC 27607
Internal Medicine
4301 LAKE BOONE TRL, SUITE 208
RALEIGH, NC 27607
Psychiatry & Neurology (Psychiatry)
4301 LAKE BOONE TRL, SUITE 210
RALEIGH, NC 27607
Urology
4301 LAKE BOONE TRL, SUITE 300
RALEIGH, NC 27607
Allergy & Immunology
4301 LAKE BOONE TRL, SUITE 309
RALEIGH, NC 27607
Internal Medicine
4301 LAKE BOONE TRL, STE 208
RALEIGH, NC 27607
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
4301 LAKE BOONE TRL, STE 205
RALEIGH, NC 27607
Internal Medicine (Cardiovascular Disease)
4301 LAKE BOONE TRL, SUITE 309
RALEIGH, NC 27607

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 Sidney Gulledge's NPI number?

The NPI number for Sidney Gulledge is 1578533931. It was assigned to this individual provider in the NPPES registry on January 26, 2006.

Where is Sidney Gulledge located?

Sidney Gulledge practices at 4301 Lake Boone Trl Ste 200, Raleigh, NC 27607. The listed phone number is (919) 782-5210.

What is Sidney Gulledge's specialty?

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

Is Sidney Gulledge enrolled in Medicare?

Yes. Sidney Gulledge is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sidney Gulledge was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.