DR. SHEILA K GEMAR MD
NPI 1245206994
Urology in Willmar, MN

Active since February 23, 2006PECOS Enrolled
101 WILLMAR AVE SW, WILLMAR, MN 56201(320) 231-5000(320) 231-5067 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Sheila K Gemar Md NPPES

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

DR. SHEILA K GEMAR MD (NPI 1245206994) is an individual urology provider in Willmar, Minnesota, licensed in Minnesota (40700) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245206994
Entity TypeIndividualFemale
Primary Taxonomy208800000X
Provider Legal NameDR. SHEILA K GEMARCredential: MD
Location Address101 WILLMAR AVE SWWillmar, MN 56201
Mailing Address101 Willmar Ave SwWillmar, MN 56201 · (320) 231-5000 · Fax (320) 231-5067
Fax(320) 231-5067
Sole ProprietorNo
Enumeration DateFebruary 23, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1245206994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in MN · 40700
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
101 WILLMAR AVE SW, Willmar, MN 56201

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sheila K Gemar Md 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

2

Medicare enrollment records show Sheila Gemar reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rural Health
210 1ST ST NW
Bertha, MN 56437
  • Reassigned Medicare billing, Minnesota enrollment
  • Also billed through NPI 1477545333 (Minnesota)
  • 187 clinicians in this Medicare group
General Acute Care Hospital
750 E 34TH ST
Hibbing, MN 55746
  • Reassigned Medicare billing, Minnesota enrollment
  • 707 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56201 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

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.

Nurse Practitioner
101 WILLMAR AVE SW
WILLMAR, MN 56201
Nurse Practitioner
101 WILLMAR AVE SW
WILLMAR, MN 56201
Internal Medicine
101 WILLMAR AVE SW
WILLMAR, MN 56201
Pediatrics
101 WILLMAR AVE SW
WILLMAR, MN 56201
Family Medicine
101 WILLMAR AVE SW
WILLMAR, MN 56201
Obstetrics & Gynecology
101 WILLMAR AVE SW
WILLMAR, MN 56201
Family Medicine
101 WILLMAR AVE SW
WILLMAR, MN 56201
Obstetrics & Gynecology
101 WILLMAR AVE SW
WILLMAR, MN 56201

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 Sheila Gemar's NPI number?

The NPI number for Sheila Gemar is 1245206994. It was assigned to this individual provider in the NPPES registry on February 23, 2006.

Where is Sheila Gemar located?

Sheila Gemar practices at 101 Willmar Ave SW, Willmar, MN 56201. The listed phone number is (320) 231-5000.

What is Sheila Gemar's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Sheila Gemar enrolled in Medicare?

Yes. Sheila Gemar is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Sheila Gemar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sheila Gemar reassigns Medicare benefits to 2 organizations: Astera Health (Bertha, MN) and Range Regional Health Services (Hibbing, MN). 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 Sheila Gemar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sheila Gemar was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.