DR. GINA L DETMER M.D.
NPI 1295772473
Pediatrics in Chicago, IL

Active since May 31, 2006PECOS EnrolledAccepts Medicare Assignment
3860 W OGDEN AVE, CHICAGO, IL 60623(872) 588-3000(872) 588-3021 Get Directions Write a Review

NPPES record last updated: November 16, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Gina L Detmer M.d. NPPES

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

DR. GINA L DETMER M.D. (NPI 1295772473) is an individual pediatrics provider in Chicago, Illinois, licensed in Illinois (036-099469) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1295772473
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. GINA L DETMERCredential: M.D.
Location Address3860 W OGDEN AVEChicago, IL 60623-2460
Mailing Address3860 W Ogden AveChicago, IL 60623-2460 · (872) 588-3000 · Fax (872) 588-3021
Fax(872) 588-3021
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateMay 31, 2006
Last NPPES UpdateNovember 16, 2012
NPI 1295772473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in IL · 036-099469
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
3860 W OGDEN AVE, Chicago, IL 60623

Other Names 1

Former Name (1)Miss Gina L Shay M.d.

Other Identifiers 2

Medicare UPING86801IL
Medicare PINL68396IL

Accepted 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. Gina L Detmer 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 ID8426358904
PECOS Enrollment IDI20151207000813
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60623 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
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.

Internal Medicine
3860 W OGDEN AVE
CHICAGO, IL 60623
Counselor (Professional)
3860 W OGDEN AVE
CHICAGO, IL 60623
Family Medicine
3860 W OGDEN AVE
CHICAGO, IL 60623
Pediatrics
3860 W OGDEN AVE
CHICAGO, IL 60623
Dentist
3860 W OGDEN AVE
CHICAGO, IL 60623
Physician Assistant
3860 W OGDEN AVE
CHICAGO, IL 60623
Physician Assistant
3860 W OGDEN AVE
CHICAGO, IL 60623
Nurse Practitioner
3860 W OGDEN AVE
CHICAGO, IL 60623

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 Gina Detmer's NPI number?

The NPI number for Gina Detmer is 1295772473. It was assigned to this individual provider in the NPPES registry on May 31, 2006. The provider is also known as Miss Gina L Shay M.D..

Where is Gina Detmer located?

Gina Detmer practices at 3860 W Ogden Ave, Chicago, IL 60623. The listed phone number is (872) 588-3000.

What is Gina Detmer's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Gina Detmer enrolled in Medicare?

Yes. Gina Detmer 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 Gina Detmer accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Gina Detmer 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 Gina Detmer was last updated on November 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.