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DR. STEPHEN D GABRIEL M.D.
NPI 1255302568
Orthopaedic Surgery in Dixon, IL

Active since January 27, 2006PECOS EnrolledAccepts Medicare Assignment
82.13/100
CMS Quality Rating
215 E 1ST ST, STE 305 KSB MEDICAL GROUP, DIXON, IL 61021(815) 285-5800(815) 285-5691 Get Directions Write a Review

NPPES record last updated: September 4, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 4, 2018, Aug 27, 2018 (2 updates tracked since 2018).

About Dr. Stephen D Gabriel M.d. NPPES

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

DR. STEPHEN D GABRIEL M.D. (NPI 1255302568) is an individual orthopaedic surgery provider in Dixon, Illinois, licensed in Illinois (036-091184) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Katherine Shaw Bethea Hospital, and is a graduate of University Of Minnesota Medical School (1988).

NPPES Registry Identity

NPI1255302568
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. STEPHEN D GABRIELCredential: M.D.
Location Address215 E 1ST ST, STE 305 KSB MEDICAL GROUPDixon, IL 61021
Mailing Address215 E 1st St Ste 326Dixon, IL 61021-3190 · (815) 285-5800 · Fax (815) 285-5691
Phone(815) 285-5800
Fax(815) 285-5691
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 1988
Enumeration DateJanuary 27, 2006
Last NPPES UpdateSeptember 4, 20182 updates tracked since enumeration
✔ NPI 1255302568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in IL · 036-091184
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
215 E 1ST ST, Dixon, IL 61021
Open in Google Maps ↗

Other Identifiers 2

Medicaid036091184IL
OtherK05116IL · Medicare Ptan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.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

Dr. Stephen D Gabriel 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 ID7517958127
PECOS Enrollment IDI20040521000866
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 6

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.

Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
358 services146 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.
321 services209 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.
45 services45 patients
Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
15 services14 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
15 services14 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Katherine Shaw Bethea Hospital

Acute Care Hospitals · Dixon, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140012
Location403 E 1st StDixon, IL 61021 · Lee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61021 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

82.13/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.8
Promoting Interoperability98
Improvement Activities40
Cost66.07

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.

KYLE SWANSON
Podiatrist (Foot & Ankle Surgery)
215 E 1ST ST, SUITE 310
DIXON, IL 61021
Lee County (515) 210-9777
ERIC GALE M.D.
Internal Medicine
215 E 1ST ST, SUITE 214
DIXON, IL 61021
Lee County (815) 284-1600
LISA MARIE LINDQUIST
Occupational Therapy Assistant
215 E 1ST ST
DIXON, IL 61021
Lee County (815) 285-5591
PATRICIA J GEISZ P.T.
Physical Therapist
215 E 1ST ST, COMMERCE TOWERS, SUITE 318-319
DIXON, IL 61021
Lee County (815) 285-5591
DR. MICHAEL J WESSELS DPM
Podiatrist
215 E 1ST ST, STE 306
DIXON, IL 61021
Lee County (815) 285-5801
STEVEN YESCHEK
Podiatrist (Foot & Ankle Surgery)
215 E 1ST ST
DIXON, IL 61021
Lee County (815) 285-5698
SKYLA STRUM
Physical Therapist
215 E 1ST ST
DIXON, IL 61021
Lee County (815) 285-5591
DR. OSMAAN ABBAS KHAWAJA MD
Surgery
215 E 1ST ST, SUITE 105
DIXON, IL 61021
Lee County (815) 285-5842

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 Stephen Gabriel's NPI number?

The NPI number for Stephen Gabriel is 1255302568. It was assigned to this individual provider in the NPPES registry on January 27, 2006.

Where is Stephen Gabriel located?

Stephen Gabriel practices at 215 E 1st St Ste 305 Ksb Medical Group, Dixon, IL 61021. The listed phone number is (815) 285-5800.

What is Stephen Gabriel's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Stephen Gabriel enrolled in Medicare?

Yes. Stephen Gabriel 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 Stephen Gabriel accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health and Quartz list Stephen Gabriel 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 Stephen Gabriel affiliated with any hospitals?

According to CMS data, Stephen Gabriel is affiliated with Katherine Shaw Bethea Hospital.

When was this NPI record last updated?

The NPPES record for Stephen Gabriel was last updated on September 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.