JOHN M GUNSELMAN D.O.
NPI 1194953125
Urology in Portland, OR
About John M Gunselman D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN M GUNSELMAN D.O. (NPI 1194953125) is an individual urology provider in Portland, Oregon, licensed in Oregon (DO171400) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, is affiliated with Providence St Vincent Medical Center, and maintains a secondary practice location in Gresham.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
John M Gunselman D.o. 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 14
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 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Providence St Vincent Medical Center
Acute Care Hospitals · Portland, ORLegacy Good Samaritan Medical Center
Acute Care Hospitals · Portland, ORProvidence Newberg Medical Center
Acute Care Hospitals · Newberg, ORProvidence Portland Medical Center
Acute Care Hospitals · Portland, ORWillamette Valley Medical Center
Acute Care Hospitals · Mcminnville, ORPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97213 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.
Reported Quality Measures
Referred Medical Equipment & Supplies CMS DME claims 2
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 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PORTLAND, OR 97213
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 John Gunselman's NPI number?
The NPI number for John Gunselman is 1194953125. It was assigned to this individual provider in the NPPES registry on June 29, 2009.
Where is John Gunselman located?
John Gunselman practices at 5050 NE Hoyt St Ste 210, Portland, OR 97213. The listed phone number is (503) 215-7628.
What is John Gunselman's specialty?
The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.
Is John Gunselman enrolled in Medicare?
Yes. John Gunselman 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 John Gunselman accept?
Health plans from BridgeSpan Health Company, PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list John Gunselman 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 John Gunselman affiliated with any hospitals?
According to CMS data, John Gunselman is affiliated with Providence St Vincent Medical Center, Legacy Good Samaritan Medical Center, Providence Newberg Medical Center, Providence Portland Medical Center and Willamette Valley Medical Center.
When was this NPI record last updated?
The NPPES record for John Gunselman was last updated on February 12, 2021. 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.
