BARBARA J GUTSHALL MD
NPI 1174589550
Internal Medicine in Oneill, NE
About Barbara J Gutshall Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BARBARA J GUTSHALL MD (NPI 1174589550) is an individual internal medicine provider in Oneill, Nebraska, licensed in Nebraska (19540) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, is affiliated with Avera St Anthony's Hospital, and is a graduate of University Of Nebraska College Of Medicine (1993).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Accepted 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
Barbara J Gutshall 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.
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Avera St Anthony's Hospital
Critical Access Hospitals · O' Neill, NEWest Holt Memorial Hospital
Critical Access Hospitals · Atkinson, NEPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 68763 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
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.
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 Barbara Gutshall's NPI number?
The NPI number for Barbara Gutshall is 1174589550. It was assigned to this individual provider in the NPPES registry on April 25, 2006.
Where is Barbara Gutshall located?
Barbara Gutshall practices at 300 N 2nd St Ste 100, Oneill, NE 68763. The listed phone number is (402) 336-2900.
What is Barbara Gutshall's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Barbara Gutshall enrolled in Medicare?
Yes. Barbara Gutshall 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 Barbara Gutshall accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Avera Health Plans and 3 other insurers list Barbara Gutshall 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 Barbara Gutshall affiliated with any hospitals?
According to CMS data, Barbara Gutshall is affiliated with Avera St Anthony's Hospital and West Holt Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Barbara Gutshall was last updated on April 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Barbara J Gutshall, MD · NPI 1174589550
Internal Medicine physician in Oneill, Nebraska. Individual provider, active in the CMS NPPES registry since April 25, 2006.
## Identity
- **NPI:** 1174589550 (Entity type: Individual)
- **Enumerated:** April 25, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 19540 (Nebraska)
- **Sole proprietor:** No
## Practice location
- **Address:** 300 N 2ND ST, STE 100, Oneill, NE 68763-1519
- **Phone:** (402) 336-2900
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** University Of Nebraska College Of Medicine, class of 1993
## Record status
- **NPPES last updated:** April 10, 2014
- **Other identifiers:** Medicaid 10025621600 (NE); Medicare PIN NA1943003 (NE); Medicare PIN P00626207 (NE)
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Source: [NPI Profile](https://npiprofile.com/npi/1174589550) · Data from the CMS NPPES public registry.