DANIEL RAMIREZ MD
NPI 1316176233
Urology in Gallatin, TN

Active since July 13, 2009PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
405 STEAM PLANT RD, GALLATIN, TN 37066(615) 452-5225(615) 452-7829 Get Directions Write a Review

NPPES record last updated: February 25, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Daniel Ramirez Md NPPES

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

DANIEL RAMIREZ MD (NPI 1316176233) is an individual urology provider in Gallatin, Tennessee, licensed in Tennessee (53961) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS, is affiliated with Sumner Regional Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1316176233
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDANIEL RAMIREZCredential: MD
Location Address405 STEAM PLANT RDGallatin, TN 37066-3027
Mailing Address2801 Charlotte AveNashville, TN 37209-4035 · (615) 250-9200 · Fax (615) 250-9251
Fax(615) 452-7829
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 2009
Enumeration DateJuly 13, 2009
Last NPPES UpdateFebruary 25, 2026
NPPES CertifiedFebruary 25, 2026
NPI 1316176233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in TN · 53961
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.
405 STEAM PLANT RD, Gallatin, TN 37066

Secondary Practice Locations 2

Location 1107 Glen Oak Blvd Ste 100Hendersonville, TN 37075-3161 · Phone (615) 822-9336
Location 22801 Charlotte AveNashville, TN 37209-4035 · Phone (615) 250-9200

Other Identifiers 1

MedicaidQ022290TN

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

Daniel Ramirez 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 ID8729204342
PECOS Enrollment IDI20160715000570
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 31

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 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.
551 services357 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.
482 services333 patients
Manual urinalysis test with examination using microscope, automated 81001
A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.
435 services265 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
404 services247 patients
Psa (prostate specific antigen) measurement, total 84153
PSA measurement is a simple blood test that checks for a specific protein produced by your body. High levels could indicate a health issue that needs further investigation. It's often used to monitor general wellness and is part of routine health screening.
322 services207 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.
273 services241 patients

Hospital Affiliations CMS Care Compare 4

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

Sumner Regional Medical Center

Acute Care Hospitals · Gallatin, TN
1/5 CMS rating
OwnershipProprietary
CMS Certification Number440003
Location555 Hartsville PikeGallatin, TN 37066 · Sumner County
Emergency services Birthing friendly

Tristar Skyline Medical Center

Acute Care Hospitals · Nashville, TN
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440006
Location3441 Dickerson PikeNashville, TN 37207 · Davidson County
Emergency services

Tristar Hendersonville Medical Center

Acute Care Hospitals · Hendersonville, TN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number440194
Location355 New Shackle Island RdHendersonville, TN 37075 · Sumner County
Emergency services Birthing friendly

Macon Community Hospital

Critical Access Hospitals · Lafayette, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number441305
Location204 Medical DriveLafayette, TN 37083 · Macon County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37066 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
5 suppliers28 claims7,080 services$1.46 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
3 suppliers16 claims3,270 services$4.88 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

Urology
405 STEAM PLANT RD
GALLATIN, TN 37066
Urology
405 STEAM PLANT RD, UROLOGY ASSOCIATES, PC
GALLATIN, TN 37066
Counselor (Addiction (Substance Use Disorder))
405 STEAM PLANT RD, STE. 200
GALLATIN, TN 37066
Nurse Practitioner (Family)
405 STEAM PLANT RD
GALLATIN, TN 37066
Durable Medical Equipment & Medical Supplies
405 STEAM PLANT RD, SUITE 200
GALLATIN, TN 37066

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 Daniel Ramirez's NPI number?

The NPI number for Daniel Ramirez is 1316176233. It was assigned to this individual provider in the NPPES registry on July 13, 2009.

Where is Daniel Ramirez located?

Daniel Ramirez practices at 405 Steam Plant Rd, Gallatin, TN 37066. The listed phone number is (615) 452-5225.

What is Daniel Ramirez's specialty?

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

Is Daniel Ramirez enrolled in Medicare?

Yes. Daniel Ramirez 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 Daniel Ramirez accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 4 other insurers list Daniel Ramirez 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 Daniel Ramirez affiliated with any hospitals?

According to CMS data, Daniel Ramirez is affiliated with Sumner Regional Medical Center, Tristar Skyline Medical Center, Tristar Hendersonville Medical Center and Macon Community Hospital.

When was this NPI record last updated?

The NPPES record for Daniel Ramirez was last updated on February 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.