Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JONATHAN GALE DO
NPI 1093401739
Pediatrics in Minneapolis, MN

Q: What is Jonathan Gale's NPI number?

The NPI number for Jonathan Gale is 1093401739. It was assigned to this individual provider in the NPPES registry on April 14, 2023.

Q: What is Jonathan Gale's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Jonathan Gale was last updated on August 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 52 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 14, 2023PECOS Enrolled

2450 RIVERSIDE AVE # M136, MINNEAPOLIS, MN 55454(612) 624-4477 Get Directions Write a Review

NPPES record last updated: August 31, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 31, 2026, May 4, 2024, Apr 15, 2023 (3 updates tracked since 2023).

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About Jonathan Gale Do NPPES

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

JONATHAN GALE DO (NPI 1093401739) is an individual pediatrics provider in Minneapolis, Minnesota, licensed in Minnesota (81482) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS, maintains a secondary practice location in Mankato, and is a graduate of Rocky Vista University College Of Osteopathic Med (2023).

NPPES Registry Identity

NPI1093401739

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameJONATHAN GALECredential: DO

Location Address2450 RIVERSIDE AVE # M136Minneapolis, MN 55454-1450

Mailing AddressPo Box 860912Minneapolis, MN 55486-0912 · (507) 625-4031

Phone(612) 624-4477

Sole ProprietorNo

Medical School CMSRocky Vista University College Of Osteopathic MedGraduated 2023

Enumeration DateApril 14, 2023

Last NPPES UpdateAugust 31, 20263 updates tracked since enumeration

NPPES CertifiedAugust 31, 2026

✔ NPI 1093401739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in MN · 81482

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

2450 RIVERSIDE AVE # M136, Minneapolis, MN 55454

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Secondary Practice Location 1

Location 11025 Marsh StMankato, MN 56001-4752 · Phone (507) 625-4031

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jonathan Gale Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3375902844

PECOS Enrollment IDI20260831002281

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.

Medicare Billing Reassignment

Medicare enrollment records show Jonathan Gale reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mayo Clinic Health System-Southwest Minnesota Region

33 mi

Multi-Specialty

301 2ND ST NE
New Prague, MN 56071

Reassigned Medicare billing, Minnesota enrollment
1,572 clinicians in this Medicare group

NPI 1477089407 (952) 758-4431

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55454 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

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

DR. LEAH MARIE DOLS SCHAAF DO

Pediatrics