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Active NPI 1528024452 Individual Practitioner Male Practitioner

Dr. Robert L Gise , MD

Ophthalmology • Worcester, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Robert Gise, MD is a certified Ophthalmology practicing in Worcester, MA. With approximately 51 years of clinical experience since completing medical education in 1975, Dr. Gise delivers high-quality medical care to the local community at 210 LINCOLN STREET.

Dr. Gise accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, photography of the retina, established patient problem focused exam of visual system. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

210 Lincoln Street

Worcester, MA 016052529

Telephone 5087554922
Fax 5087569918
Associated Practice Facility / Clinic
🏢 Cohen-Urdaneta Pllc Facility NPI 1558145243

Medicare Profile & Education

Medical School

Other

Graduation Year

1975

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Worcester, MA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
51 Yrs +23.4 yrs vs City Avg
City Avg: 27.6 Yrs
State Avg: 30.8 Yrs
Regional Practice Density
43 Specialists

Practicing in Worcester, MA (841 Statewide)

Telehealth Adoption Rate
2.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
63.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gise (51 Years) 51 Yrs
Worcester Specialty Average (27.6 Years) 27.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92014 Established patient complete exam of visual system
536 458 $333.06 $132.40
92250 Photography of the retina
185 167 $193.76 $38.32
92012 Established patient problem focused exam of visual system
127 76 $238.66 $94.19
92083 Exam of visual field with extended testing
59 50 $190.00 $65.95
92004 New patient complete exam of visual system
59 59 $384.41 $157.14
92133 Imaging of optic nerve
16 15 $130.00 $37.29
92060 Exam to measure eye deviation and range of motion
15 14 $160.00 $67.12

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License MA 39600

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
2067269 (MA)
Commercial Insurance / Payer ID United Health Care
0800341
Commercial Insurance / Payer ID Harvard Pilgrim Health Ca
15527
Commercial Insurance / Payer ID Network Health Plan
988733
Commercial Insurance / Payer ID Tufts Health Plan
039600
Commercial Insurance / Payer ID Evercare Uhc
0880401
Commercial Insurance / Payer ID Fallon Health Plan
4255 (MA)
Commercial Insurance / Payer ID Bs
N01801 (MA)
Commercial Insurance / Payer ID Us Health Care
4207
Commercial Insurance / Payer ID Neighborhood Health Plan
0004670

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Stanley Schikowitz , MD DO

Internal Medicine - Gastroenterology

NPI 1669575049

MDDO

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 29, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location October 29, 2014

Registered at 210 LINCOLN STREET, WORCESTER, MA 016052529 (Tel: 5087554922)

📍
Updated Business Mailing Address October 29, 2014

Registered at 210 LINCOLN ST, WORCESTER, MA 016052529 (Tel: 5087554922)

👤
Provider Name / Credentials Updated October 29, 2014

Recorded as ROBERT GISE, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 29, 2014

Ophthalmology (License #39600 in MA)

🟢
Initial NPI Registration & Enumeration April 20, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1528024452
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 20, 2006
Last Update: October 29, 2014
Sole Proprietor: Yes

Mailing Address

210 Lincoln St

Worcester, MA 016052529

Phone: 5087554922

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.