JACLYN BETH GURWIN (MD) – Ophthalmology Physician, NPI 1194107649
Ophthalmology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
388 OPHTHALMOLOGY in WI
Provider Addresses for JACLYN BETH GURWIN (MD)
7974 UW HEALTH CT
MIDDLETON, WI 535625531
Phone:
Type: Mailing
1025 REGENT ST
MADISON, WI 537151248
Phone: (608) 282-2000
Fax: (608) 282-2172
Type: Location
1018 W 9TH AVE STE 100
KING OF PRUSSIA, PA 194061225
Phone: (610) 337-1580
Fax: (610) 337-2133
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $463.
Total Amount is formed as General ($463) + Research ($0) + Ownership ($0) = $463.
Last reported payment date: 2024-10-16 • Largest payer in this snapshot: Alcon Vision LLC ($246).
Total Amount
$463
General + Research + Ownership
Payments
5
Total payment records
General Amount
$463
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alcon Vision LLC | $246 |
| Glaukos Corporation | $199 |
| Amgen Inc. | $17 |
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: 2021-09-23
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210923001651 | I | Ophthalmology | PA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 69 | 52 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 49 | 49 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 46 | 45 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 44 | 44 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 30 | 27 | $0 |
Insurance plans in this area (ZIP 53562)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | PA | |
| O P H T H A L M O L O G Y | MA | |
| O P H T H A L M O L O G Y | PA | |
| O P H T H A L M O L O G Y | PA | |
| - | PA | |
| O P H T H A L M O L O G Y | MA | |
| O P T O M E T R Y | PA | |
| O P T O M E T R Y | PA | |
| O P T O M E T R Y | FL | |
| O P H T H A L M O L O G Y | MD |
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