KEVIN ROGERS GELSHENEN M.D.
NPI 1225204662
Radiology - Diagnostic Radiology in Whitewater, WI

Q: What is Kevin Gelshenen's NPI number?

The NPI number for Kevin Gelshenen is 1225204662. It was assigned to this individual provider in the NPPES registry on May 6, 2008.

Q: What is Kevin Gelshenen's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Gelshenen was last updated on May 5, 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.

Active since May 06, 2008PECOS Enrolled

N7516 W LAKESHORE DR, WHITEWATER, WI 53190(847) 302-0678 Get Directions Write a Review

NPPES record last updated: May 5, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 5, 2023, Jan 29, 2020 (2 updates tracked since 2020).

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About Kevin Rogers Gelshenen M.d. NPPES

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

KEVIN ROGERS GELSHENEN M.D. (NPI 1225204662) is an individual diagnostic radiology provider in Whitewater, Wisconsin, licensed in Wisconsin (54833-20) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS and maintains a secondary practice location in Marshfield.

NPPES Registry Identity

NPI1225204662

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameKEVIN ROGERS GELSHENENCredential: M.D.

Location AddressN7516 W LAKESHORE DRWhitewater, WI 53190-4384

Mailing AddressN7516 W Lakeshore DrWhitewater, WI 53190-4384 · (847) 302-0678

Phone(847) 302-0678

Sole ProprietorNo

Enumeration DateMay 6, 2008

Last NPPES UpdateMay 5, 20232 updates tracked since enumeration

NPPES CertifiedSeptember 30, 2020

✔ NPI 1225204662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

Licenses✔ Licensed in WI · 54833-20✔ Licensed in CO · DR.0061978✔ Licensed in LA · MD.203084✔ Licensed in IL · 036-118674✔ Licensed in CA · A116757

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

N7516 W LAKESHORE DR, Whitewater, WI 53190

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Secondary Practice Location 1

Location 11000 N Oak AveMarshfield, WI 54449-5703 · Phone (715) 387-5511

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CareSource, HMO Louisiana and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kevin Rogers Gelshenen M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

Medicare enrollment records show Kevin Gelshenen reassigns Medicare billing to 13 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mercy Health System Corporation

17 mi

Mental Health (Including Community Mental Health Center)

903 MINERAL POINT AVE
Janesville, WI 53548

Reassigned Medicare billing, Wisconsin enrollment
1,155 clinicians in this Medicare group

NPI 1669685129 (608) 756-5555

Beaver Dam Community Hosptials Inc

44 mi

Family Medicine

1580 W JAMES ST
Columbus, WI 53925

Reassigned Medicare billing, Wisconsin enrollment
Medicare enrollment name: Beaver Dam Community Hospitals Inc.
1,447 clinicians in this Medicare group

NPI 1275833659 (920) 350-0235

Elmhurst Radiologists, Sc

71 mi

Diagnostic Radiology

200 N BERTEAU AVE
Elmhurst, IL 60126

Reassigned Medicare billing, Illinois enrollment
26 clinicians in this Medicare group

NPI 1023021524 (630) 833-1400

Mchs Hospitals, Inc.

124 mi

Mental Health (Including Community Mental Health Center)

2450 VINEYARD DR
Plover, WI 54467

Reassigned Medicare billing, Wisconsin enrollment
Also billed through NPI 1952890873 (Wisconsin)
2,476 clinicians in this Medicare group

NPI 1386249894 (715) 342-0290

Marshfield Clinic Inc

151 mi

Clinic/Center

1000 N OAK AVE
Marshfield, WI 54449

Reassigned Medicare billing, Wisconsin enrollment
2,540 clinicians in this Medicare group

NPI 1952347981 (715) 387-5511

Memorial Hospital, Inc

156 mi

Clinical Medical Laboratory

216 SUNSET PL, MEMORIAL HOSPITAL, INC
Neillsville, WI 54456

Reassigned Medicare billing, Wisconsin enrollment
Also billed through NPI 1346239373 (Wisconsin)
1,283 clinicians in this Medicare group

NPI 1679746747 (715) 743-3101

Lakeview Medical Center Inc Of Rice Lake

229 mi

Clinic/Center

806 2ND ST
Chetek, WI 54728

Reassigned Medicare billing, Wisconsin enrollment
1,616 clinicians in this Medicare group

NPI 1659008605 (715) 924-2000

Flambeau Hospital Inc

235 mi

Clinic/Center

98 SHERRY AVE
Park Falls, WI 54552

Reassigned Medicare billing, Wisconsin enrollment
Also billed through NPI 1700963048 (Wisconsin)
1,351 clinicians in this Medicare group

NPI 1194317966 (715) 762-2484

Columbus Radiology Corp

354 mi

Diagnostic Radiology

111 S GRANT AVE
Columbus, OH 43215

Reassigned Medicare billing, Wisconsin enrollment
4 clinicians in this Medicare group

NPI 1669408159 (888) 271-3826

Mercy Health Physicians Youngstown Specialty Care LLC

423 mi

Diagnostic Radiology

1932 NILES CORTLAND RD NE
Warren, OH 44484

Reassigned Medicare billing, Ohio enrollment
744 clinicians in this Medicare group

NPI 1255009601 (330) 306-5300

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 28

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.

X-ray of chest, 1 view 71045

A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.

351 services316 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

309 services303 patients

Ct scan of abdomen and pelvis with contrast 74177

A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.

299 services289 patients

Ct scan of chest with contrast 71260

A CT scan of the chest with contrast is an imaging procedure. A special dye (contrast) is used to highlight specific areas in your body, providing clearer pictures of your chest. This helps in diagnosing conditions related to your lungs, heart, and other chest structures.

210 services202 patients

Ct scan of chest without contrast 71250

A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.

127 services123 patients

X-ray of chest, 2 views 71046

120 services66 patients

Low dose ct scan of chest for lung cancer screening 71271

A low-dose CT scan of the chest is a quick, painless procedure that uses a small amount of radiation to create detailed images of your lungs. It's a key tool for early detection of lung cancer, especially for those at high risk.

98 services98 patients

X-ray of abdomen, 1 view 74018

An X-ray of the abdomen, 1 view, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the structures in your abdomen, such as the stomach, liver, and intestines. This can help identify issues like blockages, infections, or injuries.

85 services80 patients

Ct scan of abdomen and pelvis without contrast 74176

A CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.

76 services76 patients

Ct scan of blood vessels of chest with contrast 71275

A CT scan of the chest with contrast is a non-invasive imaging test. It uses X-rays and a special dye to get detailed images of your blood vessels in the chest. This helps in diagnosing conditions related to heart and lungs.

66 services64 patients

Complete ultrasound scan behind abdominal cavity 76770

A complete ultrasound scan behind the abdominal cavity is a non-invasive imaging procedure. It uses sound waves to create pictures of the structures and organs located at the back of your abdomen. It helps in diagnosing health conditions and monitoring ongoing treatments.

54 services53 patients

Limited ultrasound scan of abdomen 76705

A limited ultrasound scan of the abdomen is a non-invasive imaging test. It uses sound waves to produce images of the abdominal organs such as the liver, gallbladder, spleen, pancreas, and kidneys. This helps to identify any abnormalities or issues.

45 services45 patients

Ct scan of abdomen and pelvis before and after contrast 74178

A CT scan of your abdomen and pelvis with and without contrast helps visualize your internal organs better. Contrast is a special dye that improves the clarity of the images. It's taken orally or injected into your veins before the scan. The process is painless and quick.

42 services41 patients

X-ray of abdomen, 2 views 74019

An X-ray of the abdomen, 2 views, is a non-invasive imaging test. It uses a small amount of radiation to capture pictures of the structures inside your belly. The two views provide different angles, helping doctors see your organs clearly and detect any issues.

40 services40 patients

Ultrasound scan of head and neck soft tissue 76536

An ultrasound scan of the head and neck soft tissue is a non-invasive procedure that uses sound waves to create images of the soft tissues in these areas. It helps identify any abnormalities or issues, such as tumors, cysts, or infections. It's painless and doesn't involve radiation.

33 services33 patients

Ultrasound scan of abdominal aorta 76706

An ultrasound scan of the abdominal aorta is a non-invasive imaging test. It uses sound waves to create pictures of the main blood vessel in your abdomen, the aorta, to check its size and shape. This helps detect any abnormalities or issues early.

26 services13 patients

Complete ultrasound scan behind abdominal cavity 76770

26 services13 patients

Limited ultrasound scan of abdomen 76705

25 services13 patients

Ultrasound scan of abdominal aorta 76706

25 services25 patients

Ultrasound of both sides of head and neck blood flow 93880

An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.

24 services24 patients

X-ray of abdomen, 1 view 74018

23 services12 patients

Complete ultrasound scan of abdomen 76700

A complete ultrasound scan of the abdomen is a non-invasive imaging procedure. It uses sound waves to produce images of the organs in your abdomen, such as the liver, gallbladder, spleen, pancreas, and kidneys. It helps in diagnosing, monitoring, and planning treatments.

21 services21 patients

Mri scan of abdomen before and after contrast 74183

An MRI scan of the abdomen before and after contrast provides detailed images of your abdominal organs. Initially, images are taken without a contrast agent. Then, a safe dye is administered, usually via an IV, to highlight certain areas, giving a clearer picture to help diagnose various conditions.

17 services17 patients

Ultrasound study of one arm or leg veins with compression and maneuvers 93971

This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.

17 services17 patients

Ultrasound of abdomen and pelvis artery and vein blood flow 93976

An ultrasound of your abdomen and pelvis arteries and veins is a non-invasive procedure that uses sound waves to create images of your blood vessels. This helps in assessing the flow of blood, identifying blockages, or detecting other abnormalities. It's a safe, painless process.

15 services15 patients

Ct scan of abdomen before and after contrast 74170

A CT scan of the abdomen before and after contrast is a diagnostic procedure. It involves taking detailed images of your abdomen area. Initially, images are taken without a contrast agent. Then, a contrast dye is given to highlight specific areas inside your body, helping to provide clearer images for better diagnosis.

14 services14 patients

Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830

An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.

11 services11 patients

Ultrasound study of arm or leg veins with compression and maneuvers 93970

An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53190 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

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

Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques

Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size -…

99%716 patients

Radiology: Reminder System for Screening Mammograms

Percentage of patients undergoing a screening mammogram whose information is entered into a reminder system with a target due date for the next mammogram

100%251 patients

Radiology: Stenosis Measurement in Carotid Imaging Reports

Percentage of final reports for carotid imaging studies (neck magnetic resonance angiography [MRA], neck computed tomography angiography [CTA], neck duplex ultrasound, carotid angiogram) performed that include direct or indirect reference to measurements of…

100%97 patients

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.

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 Kevin Gelshenen's NPI number?

The NPI number for Kevin Gelshenen is 1225204662. It was assigned to this individual provider in the NPPES registry on May 6, 2008.

Where is Kevin Gelshenen located?

Kevin Gelshenen practices at N7516 W Lakeshore Dr, Whitewater, WI 53190. The listed phone number is (847) 302-0678.

What is Kevin Gelshenen's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Kevin Gelshenen enrolled in Medicare?

Yes. Kevin Gelshenen is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kevin Gelshenen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Gelshenen reassigns Medicare benefits to 13 organizations: Mercy Health System Corporation (Janesville, WI), Beaver Dam Community Hosptials Inc (Columbus, WI), Elmhurst Radiologists, Sc (Elmhurst, IL), Mchs Hospitals, Inc. (Plover, WI), Marshfield Clinic Inc (Marshfield, WI) and 8 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 Kevin Gelshenen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kevin Gelshenen accept?

Health plans from Blue Cross and Blue Shield of Texas, CareSource, HMO Louisiana and Sendero Health Plans, Local Nonprofit list Kevin Gelshenen 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.

When was this NPI record last updated?

The NPPES record for Kevin Gelshenen was last updated on May 5, 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.