ELLEN GUTKIN DO
NPI 1205098795
Internal Medicine - Gastroenterology in Flushing, NY

Active since June 26, 2008PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
5645 MAIN ST, DIVISION OF GASTROENTEROLOGY, FLUSHING, NY 11355(718) 670-2559(718) 670-2456 Get Directions Write a Review

NPPES record last updated: May 22, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 22, 2023, Jan 26, 2023 (2 updates tracked since 2023).

About Ellen Gutkin Do NPPES

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

ELLEN GUTKIN DO (NPI 1205098795) is an individual gastroenterology provider in Flushing, New York, licensed in New York (247942) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, is affiliated with New York-presbyterian/queens, and is a graduate of Philadelphia College Of Osteopathic Medicine (2005).

NPPES Registry Identity

NPI1205098795
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameELLEN GUTKINCredential: DO
Location Address5645 MAIN ST, DIVISION OF GASTROENTEROLOGYFlushing, NY 11355-5045
Mailing Address5645 Main St, Division Of GastroenterologyFlushing, NY 11355-5045 · (718) 670-2386 · Fax (718) 886-6821
Fax(718) 670-2456
Sole ProprietorYes
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2005
Enumeration DateJune 26, 2008
Last NPPES UpdateMay 22, 20232 updates tracked since enumeration
NPPES CertifiedMay 22, 2023
NPI 1205098795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in NY · 247942
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 247942 (NY)
5645 MAIN ST, Flushing, NY 11355

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

Ellen Gutkin Do 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 ID9739238403
PECOS Enrollment IDI20090529000126
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 9

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.
116 services76 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.
97 services82 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
66 services66 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
58 services55 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
54 services54 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
42 services42 patients

Hospital Affiliations CMS Care Compare

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

New York-Presbyterian/Queens

Acute Care Hospitals · Flushing, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330055
Location56-45 Main StreetFlushing, NY 11355 · Queens County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11355 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
$153.13 typical visit price
range $67.00 – $201.98
Typical copayment $38.28 (range $16.75 – $50.49)
Most-billed visit code 99204
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.8
Promoting Interoperability100
Improvement Activities40

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.

Physician Assistant (Medical)
5645 MAIN ST
FLUSHING, NY 11355
Physician Assistant (Medical)
5645 MAIN ST
FLUSHING, NY 11355
Anesthesiology
5645 MAIN ST
FLUSHING, NY 11355
Student in an Organized Health Care Education/Training Program
5645 MAIN ST
FLUSHING, NY 11355
Student in an Organized Health Care Education/Training Program
5645 MAIN ST
FLUSHING, NY 11355
Student in an Organized Health Care Education/Training Program
5645 MAIN ST
FLUSHING, NY 11355
Student in an Organized Health Care Education/Training Program
5645 MAIN ST
FLUSHING, NY 11355
Nurse Practitioner (Family)
5645 MAIN ST
FLUSHING, NY 11355

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 Ellen Gutkin's NPI number?

The NPI number for Ellen Gutkin is 1205098795. It was assigned to this individual provider in the NPPES registry on June 26, 2008.

Where is Ellen Gutkin located?

Ellen Gutkin practices at 5645 Main St Division Of Gastroenterology, Flushing, NY 11355. The listed phone number is (718) 670-2559.

What is Ellen Gutkin's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Ellen Gutkin enrolled in Medicare?

Yes. Ellen Gutkin 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.

Is Ellen Gutkin affiliated with any hospitals?

According to CMS data, Ellen Gutkin is affiliated with New York-Presbyterian/Queens.

When was this NPI record last updated?

The NPPES record for Ellen Gutkin was last updated on May 22, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.