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DR. MICHAEL GILLESPIE M.D.
NPI 1043426505
Surgery in Clinton, MD

Active since May 14, 2007PECOS EnrolledAccepts Medicare Assignment
80.17/100
CMS Quality Rating
7501 SURRATTS RD, SUITE 208, CLINTON, MD 20735(301) 877-7353(301) 877-5637 Get Directions Write a Review

NPPES record last updated: December 21, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Michael Gillespie M.d. NPPES

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

DR. MICHAEL GILLESPIE M.D. (NPI 1043426505) is an individual surgery provider in Clinton, Maryland, licensed in Maryland (D0071185) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Medstar Southern Maryland Hospital Center, and is a graduate of Rutgers R W Johnson Medical School (cam/new Bruns/pisc) (2004).

NPPES Registry Identity

NPI1043426505
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. MICHAEL GILLESPIECredential: M.D.
Location Address7501 SURRATTS RD, SUITE 208Clinton, MD 20735-3362
Mailing Address7501 Surratts Rd, Suite 208Clinton, MD 20735-3362 · (301) 877-7353 · Fax (301) 877-5637
Phone(301) 877-7353
Fax(301) 877-5637
Sole ProprietorNo
Medical School CMSRutgers R W Johnson Medical School (cam/new Bruns/pisc)Graduated 2004
Enumeration DateMay 14, 2007
Last NPPES UpdateDecember 21, 2016
✔ NPI 1043426505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in MD · D0071185
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Also ListedColon & Rectal SurgeryTaxonomy 208C00000X · License MD430441 (PA), D71185 (MD)
7501 SURRATTS RD, Clinton, MD 20735
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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

Dr. Michael Gillespie 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 ID5597944355
PECOS Enrollment IDI20160127001706
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 6

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.

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.
43 services43 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
31 services25 patients
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.
22 services22 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
20 services20 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
18 services15 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
16 services16 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Medstar Southern Maryland Hospital Center

Acute Care Hospitals · Clinton, MD
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210062
Location7503 Surratts RoadClinton, MD 20735 · Prince Georges County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20735 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
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.

80.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.69
Promoting Interoperability100
Improvement Activities40
Cost53.49

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409
DME-Orthotic Devices · category DF010N
1 supplier11 claims210 services$4.74 avg. paid by Medicare
Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each A5063
DME-Orthotic Devices · category DF010N
1 supplier13 claims260 services$2.22 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

DAVID YOUNG CRNA
Nurse Anesthetist, Certified Registered
7501 SURRATTS RD, 208B
CLINTON, MD 20735
Prince George's County (301) 877-1570
MEDSTAR SOUTHERN MARYLAND PHYSICIANS, LLC
Surgery (Vascular Surgery)
7501 SURRATTS RD, SUITE 208
CLINTON, MD 20735
Prince George's County (301) 877-7353
DR. LAURA OREDOLA HOUENOU MD
Obstetrics & Gynecology
7501 SURRATTS RD
CLINTON, MD 20735
Prince George's County (301) 877-7200
SURYAKANT J PATEL M.D.
Surgery
7501 SURRATTS RD, SUITE 303
CLINTON, MD 20735
Prince George's County (301) 868-8485
MICHAEL J JANOWITZ MD
Anesthesiology
7501 SURRATTS RD, STE 208B
CLINTON, MD 20735
Prince George's County (301) 877-1570
KIMBERLY K MCVICKER MD
Anesthesiology
7501 SURRATTS RD, STE 208B
CLINTON, MD 20735
Prince George's County (301) 877-1570
DR. GARY S STAPLES M.D.
Specialist
7501 SURRATTS RD
CLINTON, MD 20735
Prince George's County (301) 870-7001
RHONDA B FOWLER DPT
Physical Therapist
7501 SURRATTS RD, 301
CLINTON, MD 20735
Prince George's County (240) 842-1435

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 Michael Gillespie's NPI number?

The NPI number for Michael Gillespie is 1043426505. It was assigned to this individual provider in the NPPES registry on May 14, 2007.

Where is Michael Gillespie located?

Michael Gillespie practices at 7501 Surratts Rd Suite 208, Clinton, MD 20735. The listed phone number is (301) 877-7353.

What is Michael Gillespie's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Michael Gillespie enrolled in Medicare?

Yes. Michael Gillespie 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.

Is Michael Gillespie affiliated with any hospitals?

According to CMS data, Michael Gillespie is affiliated with Medstar Southern Maryland Hospital Center.

When was this NPI record last updated?

The NPPES record for Michael Gillespie was last updated on December 21, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.