MIGUEL GELMAN MD
NPI 1255378832
Radiology - Diagnostic Radiology in Saint Louis, MO

Active since June 01, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
13303 TESSON FERRY RD, SAINT LOUIS, MO 63128(314) 843-5888 Get Directions Write a Review

NPPES record last updated: October 1, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 1, 2024, Mar 15, 2021 (2 updates tracked since 2021).

About Miguel Gelman Md NPPES

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

MIGUEL GELMAN MD (NPI 1255378832) is an individual diagnostic radiology provider in Saint Louis, Missouri, licensed in Missouri (2001010859) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Elliot Hospital, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1255378832
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameMIGUEL GELMANCredential: MD
Location Address13303 TESSON FERRY RDSaint Louis, MO 63128-4056
Mailing AddressPo Box 411515Saint Louis, MO 63141-3515 · (314) 364-4200
Sole ProprietorNo
Medical School CMSJohns Hopkins University School Of MedicineGraduated 2001
Enumeration DateJune 1, 2006
Last NPPES UpdateOctober 1, 20242 updates tracked since enumeration
NPPES CertifiedOctober 1, 2024
✔ NPI 1255378832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses✔ Licensed in MO · 2001010859✔ Licensed in IL · 036117188
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X · License 036117188 (IL)
13303 TESSON FERRY RD, Saint Louis, MO 63128

Secondary Practice Locations 4

Location 1125 Dunn RdFlorissant, MO 63031-8007 · Phone (314) 921-9555
Location 211615 Olive BlvdSaint Louis, MO 63141-7274 · Phone (314) 993-9555
Location 36520 Clayton RdRichmond Heights, MO 63117-1706 · Phone (314) 333-5777
Location 44750 Mexico RdSaint Peters, MO 63376-1663 · Phone (636) 498-4555

Other Identifiers 3

OtherP00357281IL · Mdcr Rr/gd Sm & St Mary
Medicaid036117188-3IL
OtherP00357281IL · Mdcr Rr/st Joe Utlah

Accepted 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

Miguel Gelman Md 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 ID6406865948
PECOS Enrollment IDI20060412000086, I20070122000096, I20250808001148
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

5

Medicare enrollment records show Miguel Gelman reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
400 N PLEASANT AVE
Centralia, IL 62801
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: St Marys Hospital Centralia Illinois
  • 392 clinicians in this Medicare group
Specialist
1 GOOD SAMARITAN WAY
Mount Vernon, IL 62864
  • Reassigned Medicare billing, Illinois enrollment
  • 284 clinicians in this Medicare group
Urology
804 W JOURDAN ST
Newton, IL 62448
  • Reassigned Medicare billing, Illinois enrollment
  • Also billed through NPI 1265493720 (Illinois)
  • 145 clinicians in this Medicare group
Diagnostic Radiology
20201 CRAWFORD AVE
Olympia Fields, IL 60461
  • Reassigned Medicare billing, Missouri enrollment
  • 13 clinicians in this Medicare group
Diagnostic Radiology
703 RIVERWAY PL
Bedford, NH 03110
  • Reassigned Medicare billing, Missouri and New Hampshire enrollments
  • 2 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.

Areas of Expertise CMS Part B claims 43

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.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
13,950 services134 patients
Injection, gadobutrol, 0.1 ml A9585
Gadobutrol is a contrast agent used during MRI scans to help provide clearer images. It's injected into your vein before the scan. This helps doctors to see certain areas more clearly for better diagnosis. It's generally safe with few side effects.
5,101 services56 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
377 services377 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
371 services371 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.
185 services175 patients
Blood creatinine level 82565
A blood creatinine level test measures the amount of creatinine in your blood. Creatinine is a waste product that your body produces when it uses energy. High levels may indicate that your kidneys aren't working properly. This test is often used to monitor kidney health.
110 services108 patients

Hospital Affiliations CMS Care Compare 5

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

Elliot Hospital

Acute Care Hospitals · Manchester, NH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300012
Location1 Elliot WayManchester, NH 03103 · Hillsborough County
Emergency services Birthing friendly

Southern Nh Medical Center

Acute Care Hospitals · Nashua, NH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300020
Location8 Prospect StreetNashua, NH 03060 · Hillsborough County
Emergency services Birthing friendly

Weeks Medical Center

Critical Access Hospitals · Lancaster, NH
OwnershipVoluntary non-profit - Private
CMS Certification Number301303
Location173 Middle StreetLancaster, NH 03584 · Coos County
Emergency services

Monadnock Community Hospital

Critical Access Hospitals · Peterborough, NH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number301309
Location452 Old Street RoadPeterborough, NH 03458 · Hillsborough County
Emergency services Birthing friendly

Androscoggin Valley Hospital

Critical Access Hospitals · Berlin, NH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number301310
Location59 Page Hill RoadBerlin, NH 03570 · Coos County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63128 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Reported Quality Measures

Appropriate Follow-up Imaging for Incidental Abdominal Lesions
Percentage of final reports for abdominal imaging studies for asymptomatic patients aged 18 years and older with one or more of the following noted incidentally with follow_up imaging recommended: - Liver lesion =< 0.5 cm - Cystic kidney lesion < 1.0 cm -…
Lower rates are better for this measure.
19%26 patients
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 -…
100%1,210 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%284 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%104 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.

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.

Pediatrics
13303 TESSON FERRY RD, SUITE 150
SAINT LOUIS, MO 63128
Pediatrics
13303 TESSON FERRY RD, SUITE 150
SAINT LOUIS, MO 63128
Physical Therapist
13303 TESSON FERRY RD, SUITE 10
SAINT LOUIS, MO 63128
Behavior Technician
13303 TESSON FERRY RD
SAINT LOUIS, MO 63128
Nurse Practitioner (Pediatrics)
13303 TESSON FERRY RD, SUITE 150
SAINT LOUIS, MO 63128
Pediatrics
13303 TESSON FERRY RD
SAINT LOUIS, MO 63128
Occupational Therapist
13303 TESSON FERRY RD
SAINT LOUIS, MO 63128
Behavior Technician
13303 TESSON FERRY RD
SAINT LOUIS, MO 63128

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 Miguel Gelman's NPI number?

The NPI number for Miguel Gelman is 1255378832. It was assigned to this individual provider in the NPPES registry on June 1, 2006.

Where is Miguel Gelman located?

Miguel Gelman practices at 13303 Tesson Ferry Rd, Saint Louis, MO 63128. The listed phone number is (314) 843-5888.

What is Miguel Gelman's specialty?

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

Is Miguel Gelman enrolled in Medicare?

Yes. Miguel Gelman 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 Miguel Gelman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Miguel Gelman reassigns Medicare benefits to 5 organizations: St. Mary's Hospital, Centralia, Illinois (Centralia, IL), Good Samaritan Regional Health Center (Mount Vernon, IL), Crawford Hospital District (Newton, IL), Specialists In Medical Imaging Sc (Olympia Fields, IL) and Southern New Hampshire Radiology Consultants PC (Bedford, NH). 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 Miguel Gelman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Miguel Gelman accept?

Health plans from Ambetter from NH Healthy Families, Taro Health and WellSense Health Plan list Miguel Gelman 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 Miguel Gelman affiliated with any hospitals?

According to CMS data, Miguel Gelman is affiliated with Elliot Hospital, Southern Nh Medical Center, Weeks Medical Center, Monadnock Community Hospital and Androscoggin Valley Hospital.

When was this NPI record last updated?

The NPPES record for Miguel Gelman was last updated on October 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.