CLIFFORD L GELMAN MD
NPI 1083688782
Surgery in Pismo Beach, CA

Active since February 17, 2006PECOS EnrolledAccepts Medicare Assignment
67.43/100
CMS Quality Rating
921 OAK PARK BLVD, SUITE 201, PISMO BEACH, CA 93449(805) 546-0411(805) 473-4891 Get Directions Write a Review

NPPES record last updated: February 23, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Clifford L Gelman Md NPPES

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

CLIFFORD L GELMAN MD (NPI 1083688782) is an individual surgery provider in Pismo Beach, California, licensed in California (144049) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and is a graduate of Rush Medical College Of Rush University (1989).

NPPES Registry Identity

NPI1083688782
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameCLIFFORD L GELMANCredential: MD
Location Address921 OAK PARK BLVD, SUITE 201Pismo Beach, CA 93449-3264
Mailing Address921 Oak Park Blvd, Suite 201Pismo Beach, CA 93449-3264 · (805) 546-0411 · Fax (805) 473-4891
Fax(805) 473-4891
Sole ProprietorNo
Medical School CMSRush Medical College Of Rush UniversityGraduated 1989
Enumeration DateFebruary 17, 2006
Last NPPES UpdateFebruary 23, 2021
NPPES CertifiedFebruary 23, 2021
NPI 1083688782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses Licensed in CA · 144049 Licensed in FL · ME73383
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.

921 OAK PARK BLVD, Pismo Beach, CA 93449

Other Identifiers 2

Medicaid257110201FL
Other020044524Rail Road Medicare

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

Clifford L Gelman Md 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 ID3274673520
PECOS Enrollment IDI20161020001296
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 9

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.

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.
227 services147 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.
122 services122 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.
73 services73 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.
63 services56 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
57 services38 patients
Repair of groin hernia (5 years or older) 49505
Repair of a groin hernia is a procedure aimed at fixing an abnormal bulge that can occur in the area between your abdomen and thigh. This condition happens when tissue pushes through a weak spot in your lower abdominal wall. The repair procedure returns this tissue back to its proper place.
49 services49 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93449 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
$91.64 typical visit price
range $59.84 – $178.89
Typical copayment $22.91 (range $14.96 – $44.72)
Most-billed visit code 99203
Established Patient
$74.24 typical visit price
range $19.70 – $146.55
Typical copayment $18.56 (range $4.92 – $36.63)
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.

67.43/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality31.85
Improvement Activities40
Cost82.33

Other Providers at the Same Location NPPES 10

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

Clinic/Center (Radiology)
921 OAK PARK BLVD, STE 102
PISMO BEACH, CA 93449
Surgery
921 OAK PARK BLVD, SUITE 103
PISMO BEACH, CA 93449
Specialist
921 OAK PARK BLVD, SUITE 100B
PISMO BEACH, CA 93449
Ophthalmology
921 OAK PARK BLVD, SUITE 201B
PISMO BEACH, CA 93449
Surgery
921 OAK PARK BLVD, SUITE 201
PISMO BEACH, CA 93449
Clinic/Center (Ambulatory Surgical)
921 OAK PARK BLVD, 101
PISMO BEACH, CA 93449
Ophthalmology
921 OAK PARK BLVD, SUITE 201B
PISMO BEACH, CA 93449
Ophthalmology
921 OAK PARK BLVD, SUITE 201B
PISMO BEACH, CA 93449

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083688782, enumerated as an "individual" on February 17, 2006.

The provider is located at 921 OAK PARK BLVD SUITE 201 PISMO BEACH, CA 93449 and the phone number is (805) 546-0411.

Surgery with taxonomy code 208600000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.