GAVIN J MAURER MD
NPI 1164955621
Family Medicine in Redwood Falls, MN

Active since April 11, 2017PECOS EnrolledAccepts Medicare Assignment
1100 E BROADWAY ST, REDWOOD FALLS, MN 56283(507) 637-2985 Get Directions Write a Review

NPPES record last updated: March 28, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Mar 28, 2023, Jun 5, 2020, Aug 26, 2019 and 1 more (4 updates tracked since 2017).

About Gavin J Maurer Md NPPES

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

GAVIN J MAURER MD (NPI 1164955621) is an individual family medicine provider in Redwood Falls, Minnesota, licensed in Minnesota (65109) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with St Cloud Hospital, and is a graduate of University Of Minnesota, Duluth School Of Medicine (2017).

NPPES Registry Identity

NPI1164955621
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameGAVIN J MAURERCredential: MD
Location Address1100 E BROADWAY STRedwood Falls, MN 56283-2247
Mailing Address1115 E 20th StSioux Falls, SD 57105-1013 · (605) 575-1644
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota, Duluth School Of MedicineGraduated 2017
Enumeration DateApril 11, 2017
Last NPPES UpdateMarch 28, 20234 updates tracked since enumeration
NPPES CertifiedMarch 28, 2023
✔ NPI 1164955621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MN · 65109
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1100 E BROADWAY ST, Redwood Falls, MN 56283

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Gavin J Maurer 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 ID4284976895
PECOS Enrollment IDI20190501001696
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 Reassignments

7

Medicare enrollment records show Gavin Maurer reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
101 CARING WAY
Redwood Falls, MN 56283
  • Reassigned Medicare billing, Minnesota enrollment
  • Also billed through NPI 1194206748 (Minnesota)
  • 183 clinicians in this Medicare group
Clinic/Center
300 PARK ST S
Fairfax, MN 55332
  • Reassigned Medicare billing, Minnesota enrollment
  • 11 clinicians in this Medicare group
Family Medicine
810 8TH ST
Walnut Grove, MN 56180
  • Reassigned Medicare billing, Minnesota enrollment
  • Also billed through NPI 1033495379 (Minnesota)
  • 279 clinicians in this Medicare group
Multi-Specialty
101 WILLMAR AVE SW
Willmar, MN 56201
  • Reassigned Medicare billing, Minnesota enrollment
  • 236 clinicians in this Medicare group
Critical Access
525 W. MAIN STREET
Melrose, MN 56352
  • Reassigned Medicare billing, Minnesota enrollment
  • 180 clinicians in this Medicare group
Rural Health
425 ELM ST N
Sauk Centre, MN 56378
  • Reassigned Medicare billing, Minnesota enrollment
  • Also billed through NPI 1740553932 (Minnesota)
  • 173 clinicians in this Medicare group
Critical Access
50 CENTRACARE DR
Long Prairie, MN 56347
  • Reassigned Medicare billing, Minnesota enrollment
  • 156 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 2

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 moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
35 services16 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
17 services14 patients

Hospital Affiliations CMS Care Compare 3

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

St Cloud Hospital

Acute Care Hospitals · Saint Cloud, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240036
Location1406 6th Ave NorthSaint Cloud, MN 56303 · Stearns County
Emergency services Birthing friendly

Sleepy Eye Medical Center

Critical Access Hospitals · Sleepy Eye, MN
OwnershipGovernment - Local
CMS Certification Number241327
Location400 Fourth Avenue NorthwestSleepy Eye, MN 56085 · Brown County
Emergency services

Centracare - Redwood

Critical Access Hospitals · Redwood Falls, MN
OwnershipGovernment - Local
CMS Certification Number241351
Location101 Caring WayRedwood Falls, MN 56283 · Redwood County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56283 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.

Referred Medical Equipment & Supplies CMS DME claims 13

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers25 claims43 services$5.98 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
2 suppliers21 claims21 services$40.69 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
2 suppliers19 claims19 services$107.13 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
2 suppliers27 claims42 services$43.67 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
2 suppliers14 claims14 services$23.01 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
2 suppliers27 claims81 services$2.59 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 12

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

Nurse Practitioner
1100 E BROADWAY ST
REDWOOD FALLS, MN 56283
Nurse Practitioner
1100 E BROADWAY ST
REDWOOD FALLS, MN 56283
Family Medicine
1100 E BROADWAY ST
REDWOOD FALLS, MN 56283
Nurse Practitioner
1100 E BROADWAY ST
REDWOOD FALLS, MN 56283
Nurse Practitioner
1100 E BROADWAY ST
REDWOOD FALLS, MN 56283
Nurse Practitioner (Family)
1100 E BROADWAY ST
REDWOOD FALLS, MN 56283
Nurse Practitioner
1100 E BROADWAY ST
REDWOOD FALLS, MN 56283
Nurse Practitioner (Family)
1100 E BROADWAY ST
REDWOOD FALLS, MN 56283

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 Maurer's NPI number?

The NPI number for Gavin Maurer is 1164955621. It was assigned to this individual provider in the NPPES registry on April 11, 2017.

Where is Gavin Maurer located?

Gavin Maurer practices at 1100 E Broadway St, Redwood Falls, MN 56283. The listed phone number is (507) 637-2985.

What is Gavin Maurer's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Gavin Maurer enrolled in Medicare?

Yes. Gavin Maurer 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.

Which organizations bill Medicare for Gavin Maurer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gavin Maurer reassigns Medicare benefits to 7 organizations: Carris Health - Redwood LLC (Redwood Falls, MN), City Of Sleepy Eye (Fairfax, MN), Sanford Health Network (Walnut Grove, MN), Centracare Clinic Southwest LLC (Willmar, MN), Centracare Health System - Melrose (Melrose, MN) and 2 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gavin Maurer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gavin Maurer accept?

Health plans from Medica, Sanford Health Plan and Wellmark Health Plan of Iowa, Inc. list Gavin Maurer 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 Maurer affiliated with any hospitals?

According to CMS data, Gavin Maurer is affiliated with St Cloud Hospital, Sleepy Eye Medical Center and Centracare - Redwood.

When was this NPI record last updated?

The NPPES record for Gavin Maurer was last updated on March 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.