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DR. GAVIN ISAAC MISNER M.D.
NPI 1093904575
Surgery in Salisbury, NC

Active since October 19, 2007PECOS EnrolledAccepts Medicare Assignment
911 W HENDERSON ST, SUITE 410, SALISBURY, NC 28144(704) 637-2750(704) 637-5514 Get Directions Write a Review

NPPES record last updated: October 25, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Gavin Isaac Misner M.d. NPPES

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

DR. GAVIN ISAAC MISNER M.D. (NPI 1093904575) is an individual surgery provider in Salisbury, North Carolina, licensed in North Carolina (2012-01079) and active in the NPI registry since October 2007. He is enrolled in Medicare PECOS, is affiliated with Novant Health Rowan Medical Center, and is a graduate of Medical College Of Georgia School Of Medicine (2006).

NPPES Registry Identity

NPI1093904575
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. GAVIN ISAAC MISNERCredential: M.D.
Location Address911 W HENDERSON ST, SUITE 410Salisbury, NC 28144-2736
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (704) 637-2750 · Fax (704) 637-5514
Phone(704) 637-2750
Fax(704) 637-5514
Sole ProprietorYes
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2006
Enumeration DateOctober 19, 2007
Last NPPES UpdateOctober 25, 2020
NPPES CertifiedSeptember 6, 2020
✔ NPI 1093904575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in NC · 2012-01079
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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
911 W HENDERSON ST, Salisbury, NC 28144
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

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. Gavin Isaac Misner 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 ID941456644
PECOS Enrollment IDI20120813000476
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 4

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.
33 services33 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.
31 services26 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.
26 services22 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
21 services21 patients

Hospital Affiliations CMS Care Compare

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

Novant Health Rowan Medical Center

Acute Care Hospitals · Salisbury, NC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340015
Location612 Mocksville AveSalisbury, NC 28144 · Rowan County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28144 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
76%59 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
40%81 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
46%105 patients2/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
44%41 patients2/55-star benchmark: 98%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

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

Breast prosthesis, mastectomy form L8020
DME-Orthotic Devices · category DF000N
1 supplier11 claims16 services$188.46 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 18

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

SALISBURY UROLOGICAL CLINIC, PA
Urology
911 W HENDERSON ST, STE 110
SALISBURY, NC 28144
Rowan County (704) 633-9441
NOVANT MEDICAL GROUP, INC
Obstetrics & Gynecology (Gynecologic Oncology)
911 W HENDERSON ST, SUITE 300
SALISBURY, NC 28144
Rowan County (704) 384-9672
DR. WAYNE ALLEN CLINE JR. MD
Urology
911 W HENDERSON ST, STE 110
SALISBURY, NC 28144
Rowan County (704) 633-9441
KEVIN W WATSON MD
Surgery
911 W HENDERSON ST, SUITE 410
SALISBURY, NC 28144
Rowan County (704) 637-2750
DR. MICHAEL D STADLER M.D.
Obstetrics & Gynecology
911 W HENDERSON ST, SUITE 300
SALISBURY, NC 28144
Rowan County (704) 636-9270
ATLEE ROLLINS JOHNSON III MD
Urology
911 W HENDERSON ST, STE 110
SALISBURY, NC 28144
Rowan County (704) 633-9441
VANCE F MERHOFF MD
Urology (Urogynecology and Reconstructive Pelvic Surgery)
911 W HENDERSON ST, STE 110
SALISBURY, NC 28144
Rowan County (704) 633-9441
SALISBURY SURGICAL ASSOCIATES, PA
Specialist
911 W HENDERSON ST, SUITE 410
SALISBURY, NC 28144
Rowan County (704) 637-2750

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 Gavin Misner's NPI number?

The NPI number for Gavin Misner is 1093904575. It was assigned to this individual provider in the NPPES registry on October 19, 2007.

Where is Gavin Misner located?

Gavin Misner practices at 911 W Henderson St Suite 410, Salisbury, NC 28144. The listed phone number is (704) 637-2750.

What is Gavin Misner's specialty?

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

Is Gavin Misner enrolled in Medicare?

Yes. Gavin Misner 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.

What insurance does Gavin Misner accept?

Health plans from Blue Cross and Blue Shield of NC list Gavin Misner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Gavin Misner affiliated with any hospitals?

According to CMS data, Gavin Misner is affiliated with Novant Health Rowan Medical Center.

When was this NPI record last updated?

The NPPES record for Gavin Misner was last updated on October 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.