ROBERT D GOURLEY (MD) – Ophthalmology Physician, NPI 1093704793

ROBERT D GOURLEY (MD) is a healthcare provider. based in Edmond, Oklahoma. specializing in OPHTHALMOLOGY. They hold the professional credentials MD. They hold a License No. 10888 (OK). The NPI Number for ROBERT D GOURLEY (MD) is 1093704793

Main info

Male
Sole Proprietor
51 Years Of Experience
Accepts Medicare Assignment
Name
ROBERT D GOURLEY (MD)
NPI
1093704793
Phone
(405) 341-4238
Address
920 S BRYANT AVE
Enumeration Date
17 October 2005
Last Update Date
13 November 2009

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Secondary Phone
4053414238
Graduation Year
1975 (51 years ago)
PAC ID
6305876194
Group Practice PAC ID
9133159924
Professional Enrollment ID
I20100427000553
Address ID
OK730345803ED920XXAVEX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

212 OPHTHALMOLOGY in OK

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Provider Addresses for ROBERT D GOURLEY (MD)

  • 920, South Bryant Avenue, Robtrice Professional Park, Edmond, Oklahoma County, Oklahoma, 73034, United States

    STE 100

    EDMOND, OK 730345797

    Phone: (405) 341-4238

    Fax: (405) 340-0269

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 20 Open Payments records for all available years, with a total value of $409.

Total Amount is formed as General ($409) + Research ($0) + Ownership ($0) = $409.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($272).

Total Amount

$409

General + Research + Ownership

Payments

20

Total payment records

General Amount

$409

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-04-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100427000553IOphthalmologyOKTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system684668$0
92012Established patient problem focused exam of visual system226192$0
92134Imaging of retina173132$0
99212Established patient office or other outpatient visit, 10-19 minutes158109$0
92136Measurement of corneal curvature and depth of eye15054$0
View full utilization report →

Insurance plans in this area (ZIP 73034)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9133159924View full group profile
NameSpecialtyState
O P T O M E T R YOK
Internal Medicine, OphthalmologyOK

Reviews

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Frequently asked questions

What federal number belongs to ROBERT D GOURLEY (MD)?
The federal identifier for ROBERT D GOURLEY (MD) is NPI 1093704793.
Is ROBERT D GOURLEY (MD) currently active in the NPI registry?
CMS-published data lists ROBERT D GOURLEY (MD) as an active registrant.
What kind of provider is ROBERT D GOURLEY (MD)?
The page reflects Ophthalmology Physician for ROBERT D GOURLEY (MD). Clinical services aligned with this taxonomy classification.
Where is ROBERT D GOURLEY (MD)'s primary listing?
We display Edmond, Oklahoma because that is what the record indicates for ROBERT D GOURLEY (MD).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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