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DR. EMILY GUM OD
NPI 1780068395
Optometrist in Saint Louis, MO

Active since July 13, 2015PECOS EnrolledAccepts Medicare Assignment
79.29/100
CMS Quality Rating
4901 FOREST PARK AVE, 6TH FL, SAINT LOUIS, MO 63108(314) 362-3937(314) 362-3725 Get Directions Write a Review

NPPES record last updated: November 15, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 15, 2021, Nov 12, 2021, Mar 27, 2018 (3 updates tracked since 2018).

About Dr. Emily Gum Od NPPES

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

DR. EMILY GUM OD (NPI 1780068395) is an individual optometrist in Saint Louis, Missouri, licensed in Missouri (2015021541) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS and is a graduate of University Of Missouri St Louis - School Of Optometry (2015).

NPPES Registry Identity

NPI1780068395
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. EMILY GUMCredential: OD
Location Address4901 FOREST PARK AVE, 6TH FLSaint Louis, MO 63108-1495
Mailing Address660 S Euclid Ave, Cb 8096Saint Louis, MO 63110-1010 · (314) 362-3937 · Fax (314) 362-3725
Phone(314) 362-3937
Fax(314) 362-3725
Sole ProprietorNo
Medical School CMSUniversity Of Missouri St Louis - School Of OptometryGraduated 2015
Enumeration DateJuly 13, 2015
Last NPPES UpdateNovember 15, 20213 updates tracked since enumeration
✔ NPI 1780068395 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 MO · 2015021541
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.
4901 FOREST PARK AVE, Saint Louis, MO 63108
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan 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

Dr. Emily Gum Od 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 ID7315231974
PECOS Enrollment IDI20160804002738, I20160808002765
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 63108 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
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
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.

79.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.46
Promoting Interoperability100
Improvement Activities40
Cost59.51

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%22 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 20

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

DR. ERIN LEIGH DYER MD
General Practice
4901 FOREST PARK AVE, DIV IM GENERAL MED, STE 241
SAINT LOUIS, MO 63108
St. Louis City (314) 362-5060
DR. NICHOLE GALLEGOS ZEHNDER MD
General Practice
4901 FOREST PARK AVE, DIV IM GENERAL MED, STE 241
SAINT LOUIS, MO 63108
St. Louis City (314) 362-5060
MRS. NANCY J CIBULKA WHNP
Nurse Practitioner (Family)
4901 FOREST PARK AVE, STE 341
SAINT LOUIS, MO 63108
St. Louis City (314) 454-7882
DR. MARCIA J MCCABE PSYD
Psychologist
4901 FOREST PARK AVE, DEPT PSYCHIATRY, STE 441
SAINT LOUIS, MO 63108
St. Louis City (314) 286-1700
WASHINGTON UNIVERSITY
Clinic/Center (Multi-Specialty)
4901 FOREST PARK AVE
SAINT LOUIS, MO 63108
St. Louis City (314) 362-3937
DR. JING-WEI HUANG MD
Ophthalmology (Cornea and External Diseases Specialist)
4901 FOREST PARK AVE, DEPT OPHTHALMOLOGY, 6TH FL
SAINT LOUIS, MO 63108
St. Louis City (314) 362-3937
DR. JILLIAN MEI-LING LIU MD PHD
Ophthalmology (Cornea and External Diseases Specialist)
4901 FOREST PARK AVE, DEPT OPHTHALMOLOGY, 6TH FL
SAINT LOUIS, MO 63108
St. Louis City (314) 362-3937
DR. DAVID L EISENBERG MD
Obstetrics & Gynecology (Gynecology)
4901 FOREST PARK AVE, DIV OBGYN FAMILY PLANNING, STE 710
SAINT LOUIS, MO 63108
St. Louis City (314) 362-4211

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 Emily Gum's NPI number?

The NPI number for Emily Gum is 1780068395. It was assigned to this individual provider in the NPPES registry on July 13, 2015.

Where is Emily Gum located?

Emily Gum practices at 4901 Forest Park Ave 6th Fl, Saint Louis, MO 63108. The listed phone number is (314) 362-3937.

What is Emily Gum's specialty?

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

Is Emily Gum enrolled in Medicare?

Yes. Emily Gum 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 Emily Gum accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 9 other insurers list Emily Gum 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 Emily Gum was last updated on November 15, 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.