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ANTHONY NICHOLAS GENTILE M.D.
NPI 1245323856
Obstetrics & Gynecology in Dyer, IN

Active since October 02, 2006PECOS EnrolledAccepts Medicare Assignment
97.71/100
CMS Quality Rating
1001 MAIN ST, SUITE 2E, DYER, IN 46311(219) 865-9160(219) 865-9251 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Anthony Nicholas Gentile M.d. NPPES

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

ANTHONY NICHOLAS GENTILE M.D. (NPI 1245323856) is an individual obstetrics & gynecology provider in Dyer, Indiana and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with The University Of Chicago Medical Center, and is a graduate of Other (1986).

NPPES Registry Identity

NPI1245323856
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameANTHONY NICHOLAS GENTILECredential: M.D.
Location Address1001 MAIN ST, SUITE 2EDyer, IN 46311-1234
Mailing Address1001 Main St, Suite 2eDyer, IN 46311-1234 · (219) 865-9160 · Fax (219) 865-9251
Phone(219) 865-9160
Fax(219) 865-9251
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateOctober 2, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1245323856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1001 MAIN ST, Dyer, IN 46311
Open in Google Maps ↗

Other Identifiers 3

Medicare ID-Type Unspecified954882IL
Medicare UPINF21843
Medicare ID-Type Unspecified217610BIN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Anthony Nicholas Gentile M.d. 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 ID941297592
PECOS Enrollment IDI20040427000824, I20040818001165
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 Anthony Gentile reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The University Of Chicago Medical Center
19 mi
General Acute Care Hospital
5841 S MARYLAND AVE
Chicago, IL 60637
  • Reassigned Medicare billing, Illinois enrollment
  • 1,905 clinicians in this Medicare group
NPI 1033218128 (773) 702-1530
University Of Chicago
19 mi
Multi-Specialty
5841 S MARYLAND AVE, UCPG/MC 1099
Chicago, IL 60637
  • Reassigned Medicare billing, Illinois and Indiana enrollments
  • 2,237 clinicians in this Medicare group
NPI 1821048786 (773) 702-9200

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 4

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.

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.
78 services54 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
73 services73 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
43 services39 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.
15 services15 patients

Hospital Affiliations CMS Care Compare 4

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

The University Of Chicago Medical Center

Acute Care Hospitals · Chicago, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140088
Location5841 South MarylandChicago, IL 60637 · Cook County
Emergency services Birthing friendly

Ingalls Memorial Hospital

Acute Care Hospitals · Harvey, IL
2/5 CMS rating
OwnershipPhysician
CMS Certification Number140191
Location1 Ingalls DriveHarvey, IL 60426 · Cook County
Emergency services Birthing friendly

St Mary Medical Center Inc

Acute Care Hospitals · Hobart, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150034
Location1500 S Lake Park AveHobart, IN 46342 · Lake County
Emergency services Birthing friendly

Community Hospital

Acute Care Hospitals · Munster, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150125
Location901 Macarthur BlvdMunster, IN 46321 · Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46311 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

97.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.43
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CHRIS J MORFAS D.D.S.
Dentist (General Practice)
1001 MAIN ST, SUITE 2W
DYER, IN 46311
Lake County (219) 322-9905
GENTILE HEALTHCARE , P.C.
Clinic/Center (Multi-Specialty)
1001 MAIN ST, SUITE 2E
DYER, IN 46311
Lake County (219) 865-9160
DR. SHEILLAH C GENTILE M.D.
Family Medicine
1001 MAIN ST, SUITE 2E
DYER, IN 46311
Lake County (219) 865-9160
CHRIS J MORFAS, PC
Dentist (General Practice)
1001 MAIN ST, SUITE 2W
DYER, IN 46311
Lake County (219) 322-9905

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 Anthony Gentile's NPI number?

The NPI number for Anthony Gentile is 1245323856. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is Anthony Gentile located?

Anthony Gentile practices at 1001 Main St Suite 2E, Dyer, IN 46311. The listed phone number is (219) 865-9160.

What is Anthony Gentile's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Anthony Gentile enrolled in Medicare?

Yes. Anthony Gentile 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.

Which organizations bill Medicare for Anthony Gentile's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anthony Gentile reassigns Medicare benefits to 2 organizations: The University Of Chicago Medical Center (Chicago, IL) and University Of Chicago (Chicago, IL). 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 Anthony Gentile's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Anthony Gentile accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Anthony Gentile 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 Anthony Gentile affiliated with any hospitals?

According to CMS data, Anthony Gentile is affiliated with The University Of Chicago Medical Center, Ingalls Memorial Hospital, St Mary Medical Center Inc and Community Hospital.

When was this NPI record last updated?

The NPPES record for Anthony Gentile was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.