Dr. Robert L Gise , MD
Ophthalmology • Worcester, MA
210 Lincoln Street
Worcester, MA 016052529
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on April 20, 2006; this date does not establish years in practice.
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Published CMS data list 997 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 92014 — Established patient complete exam of visual system: 536 service units.
- 92250 — Photography of the retina: 185 service units.
- 92012 — Established patient problem focused exam of visual system: 127 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 7 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 480 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Latanoprost — 186 prescription fills, including refills.
- Dorzolamide-Timolol (Dorzolamide Hcl/Timolol Maleat) — 66 prescription fills, including refills.
- Timolol Maleate — 57 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 9 records in the table · Guide: How to read Medicare Part D prescriber data
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Fewer Medicare Part B services than 80% of clinicians listed under Ophthalmology in Worcester, MA (2024, 25 clinicians with data). Median for this group: 2,109. Middle half: 1,103 to 2,727.
Fewer Medicare Part B services than 65% of clinicians listed under Ophthalmology in Massachusetts (2024, 482 clinicians with data). Median for this group: 1,836. Middle half: 620 to 3,509.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 863 in 2020 to 997 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
210 Lincoln Street
Worcester, MA 016052529
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
1975
What Public CMS Data Show
Ophthalmology: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
531 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $104,783 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
Paid by Medicare
About $71,498 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
30-day fills
1,037 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$30,268 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2019–2025.
Years since graduation
51 years (graduated 1975)
CMS Doctors and Clinicians data list 1975 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2006
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Gise has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Gise as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Worcester and Massachusetts
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Fewer Medicare Part B services than 80% of clinicians listed under Ophthalmology in Worcester, MA (2024, 25 clinicians with data). Median for this group: 2,109. Middle half: 1,103 to 2,727.
Fewer Medicare Part B services than 65% of clinicians listed under Ophthalmology in Massachusetts (2024, 482 clinicians with data). Median for this group: 1,836. Middle half: 620 to 3,509.
Medicare-allowed amount
A lower Medicare-allowed amount than 75% of clinicians listed under Ophthalmology in Worcester, MA (2024, 25 clinicians with data). Median for this group: $243,284. Middle half: $104,783 to $325,377.
A lower Medicare-allowed amount than 65% of clinicians listed under Ophthalmology in Massachusetts (2024, 482 clinicians with data). Median for this group: $194,367. Middle half: $57,908 to $416,629.
Paid by Medicare
A lower Medicare payment amount than 70% of clinicians listed under Ophthalmology in Worcester, MA (2024, 25 clinicians with data). Median for this group: $167,160. Middle half: $70,594 to $231,695.
A lower Medicare payment amount than 65% of clinicians listed under Ophthalmology in Massachusetts (2024, 482 clinicians with data). Median for this group: $144,463. Middle half: $40,965 to $304,911.
Medicare Part D prescriptions
Fewer Part D prescriptions than 65% of clinicians listed under Ophthalmology in Worcester, MA (2024, 27 clinicians with data). Median for this group: 897. Middle half: 330 to 2,736.
Fewer Part D prescriptions than 60% of clinicians listed under Ophthalmology in Massachusetts (2024, 517 clinicians with data). Median for this group: 764. Middle half: 219 to 2,063.
Part D drug cost
A lower Part D drug cost than 75% of clinicians listed under Ophthalmology in Worcester, MA (2024, 27 clinicians with data). Median for this group: $78,089. Middle half: $30,314 to $260,847.
A lower Part D drug cost than 60% of clinicians listed under Ophthalmology in Massachusetts (2024, 517 clinicians with data). Median for this group: $61,248. Middle half: $7,840 to $214,090.
40 active clinicians are listed under Ophthalmology with a practice address in Worcester, MA (792 in Massachusetts).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Worcester
2.5% of these 40 clinicians have the CMS telehealth indicator.
65% of these 40 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 16% from 863 in 2020 to 997 in 2024.
- 2020: 863
- 2021: 1,092
- 2022: 1,017
- 2023: 990
- 2024: 997
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Medicare-allowed amount
Medicare-allowed amount increased 20% from $87,357 in 2020 to $104,783 in 2024.
- 2020: $87,357
- 2021: $114,404
- 2022: $105,071
- 2023: $99,628
- 2024: $104,783
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Paid by Medicare
Paid by Medicare increased 27% from $56,257 in 2020 to $71,498 in 2024.
- 2020: $56,257
- 2021: $81,881
- 2022: $72,847
- 2023: $67,545
- 2024: $71,498
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Medicare Part D prescriptions
Medicare Part D prescriptions decreased 19% from 590 in 2020 to 480 in 2024.
- 2020: 590
- 2021: 498
- 2022: 440
- 2023: 407
- 2024: 480
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30-day fills
30-day fills decreased 15% from 1,220 in 2020 to 1,037 in 2024.
- 2020: 1,220
- 2021: 1,029
- 2022: 964
- 2023: 910
- 2024: 1,037
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Part D drug cost
Part D drug cost increased 26% from $23,994 in 2020 to $30,268 in 2024.
- 2020: $23,994
- 2021: $21,189
- 2022: $26,118
- 2023: $24,697
- 2024: $30,268
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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92014
Established patient complete exam of visual system
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536 | 458 | $333.06 | $132.40 |
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92250
Photography of the retina
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185 | 167 | $193.76 | $38.32 |
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92012
Established patient problem focused exam of visual system
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127 | 76 | $238.66 | $94.19 |
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92004
New patient complete exam of visual system
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59 | 59 | $384.41 | $157.14 |
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92083
Exam of visual field with extended testing
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59 | 50 | $190.00 | $65.95 |
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92133
Imaging of optic nerve
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16 | 15 | $130.00 | $37.29 |
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92060
Exam to measure eye deviation and range of motion
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15 | 14 | $160.00 | $67.12 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Latanoprost | Latanoprost | 186 | 13,453 | $3,490.92 | 58 |
| Dorzolamide-Timolol | Dorzolamide Hcl/Timolol Maleat | 66 | 4,736 | $1,706.70 | 24 |
| Timolol Maleate | Timolol Maleate | 57 | 3,744 | $767.56 | 18 |
| Brimonidine Tartrate | Brimonidine Tartrate | 57 | 3,622 | $2,807.44 | 17 |
| Dorzolamide Hcl | Dorzolamide Hcl | 40 | 2,845 | $1,232.28 | 16 |
| Rhopressa | Netarsudil Mesylate | 28 | 693 | $8,624.18 | — |
| Tobramycin | Tobramycin | 21 | 417 | $93.92 | 14 |
| Xalatan | Latanoprost | 13 | 330 | $3,918.91 | — |
| Restasis | Cyclosporine | 12 | 360 | $7,626.06 | — |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 207W00000X
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
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - OPHTHALMOLOGY
I20060419000538
MA
6507875564
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Career & Practice History
NPI enumerated April 20, 2006.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.
NPI Administrative Meta
Other Ophthalmology Specialists in Worcester
- Dr. George Peters, MD
- Dr. Elvisa Loshe, MD
- Dr. Shlomit Schaal, MD, PhD
- Dr. Bradley Daines, MD
- Dr. Lianna Valdes, MD
- Dr. Misha-Michelle Faustina, MD
Mailing Address
210 Lincoln St
Worcester, MA 016052529
Phone: 5087554922