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GREGORY MICHAEL SULKOWSKI M.D.
NPI 1811102080
Ophthalmology in Louisville, KY

Active since May 11, 2007PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1169 EASTERN PKWY STE 3427, LOUISVILLE, KY 40217(502) 353-1986(502) 458-7666 Get Directions Write a Review

NPPES record last updated: October 29, 2020. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Oct 29, 2020, Sep 30, 2020, Jul 16, 2020 (3 updates tracked since 2020).

About Gregory Michael Sulkowski M.d. NPPES

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

GREGORY MICHAEL SULKOWSKI M.D. (NPI 1811102080) is an individual ophthalmology provider in Louisville, Kentucky, licensed in Illinois (125047693) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS and is a graduate of Harvard Medical School (2004).

NPPES Registry Identity

NPI1811102080
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameGREGORY MICHAEL SULKOWSKICredential: M.D.
Location Address1169 EASTERN PKWY STE 3427Louisville, KY 40217-1420
Mailing Address1169 Eastern Pkwy Ste 3427Louisville, KY 40217-1420 · (502) 353-1986 · Fax (502) 458-7666
Phone(502) 353-1986
Fax(502) 458-7666
Sole ProprietorYes
Medical School CMSHarvard Medical SchoolGraduated 2004
Enumeration DateMay 11, 2007
Last NPPES UpdateOctober 29, 20203 updates tracked since enumeration
NPPES CertifiedOctober 29, 2020
✔ NPI 1811102080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in IL · 125047693
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.
1169 EASTERN PKWY STE 3427, Louisville, KY 40217
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Gregory Michael Sulkowski 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 ID8022163583
PECOS Enrollment IDI20100928000670
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 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.
1,126 services514 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.
674 services414 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).
511 services500 patients
Exam of the internal drainage system of eye 92020
This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.
132 services131 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
82 services82 patients
Ultrasound scan of cornea to determine thickness 76514
An ultrasound scan of the cornea is a non-invasive procedure that uses sound waves to measure the thickness of your cornea. This helps in diagnosing certain eye conditions and planning treatments. No discomfort or pain is typically experienced.
54 services54 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40217 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Age-Related Macular Degeneration (AMD): Dilated Macular Examination
100%63 patients5/55-star benchmark: 100%
Diabetes: Eye Exam
100%199 patients5/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
1%209 patients5/55-star benchmark: 98%
Documentation of Current Medications in the Medical Record
100%3,471 patients5/55-star benchmark: 100%
Glaucoma Intraocular Pressure Reduction
93%1,479 patients
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 100% · 1,005 patients
Patients screened: 100% · 1,005 patients
100%44 patients5/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
100%674 patients
Provide Patients Electronic Access to Their Health Information
99%1,437 patients4/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,070 patients
Patients totalRate: 0% · 1,070 patients
0%1,070 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

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

LOUISVILLE GLAUCOMA, PLLC
Ophthalmology
1169 EASTERN PKWY STE 3427
LOUISVILLE, KY 40217
Jefferson County (502) 353-1986

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 Gregory Sulkowski's NPI number?

The NPI number for Gregory Sulkowski is 1811102080. It was assigned to this individual provider in the NPPES registry on May 11, 2007.

Where is Gregory Sulkowski located?

Gregory Sulkowski practices at 1169 Eastern Pkwy Ste 3427, Louisville, KY 40217. The listed phone number is (502) 353-1986.

What is Gregory Sulkowski's specialty?

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

Is Gregory Sulkowski enrolled in Medicare?

Yes. Gregory Sulkowski 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 Gregory Sulkowski accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Gregory Sulkowski 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 Gregory Sulkowski was last updated on October 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.