MIGUEL M GAETA M.D.
NPI 1336306141
Surgery - Surgical Critical Care in Kettering, OH

Q: What is Miguel Gaeta's NPI number?

The NPI number for Miguel Gaeta is 1336306141. It was assigned to this individual provider in the NPPES registry on May 20, 2008.

Q: What is Miguel Gaeta's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Critical Care, with taxonomy code 2086S0102X.

Q: When was this NPI record last updated?

The NPPES record for Miguel Gaeta was last updated on January 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since May 20, 2008PECOS EnrolledAccepts Medicare Assignment

84.5/100

CMS Quality Rating

3535 SOUTHERN BLVD, KETTERING, OH 45429(937) 395-6010(937) 395-8162 Get Directions Write a Review

NPPES record last updated: January 14, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 14, 2021, Jul 12, 2016 (2 updates tracked since 2016).

On this page

About Miguel M Gaeta M.d. NPPES

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

MIGUEL M GAETA M.D. (NPI 1336306141) is an individual surgical critical care provider in Kettering, Ohio, licensed in Ohio (35.128427) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS, is affiliated with Kettering Health Main Campus, and is a graduate of University Of California, Geffen School Of Medicine (2003).

NPPES Registry Identity

NPI1336306141

Entity TypeIndividualMale

Primary Taxonomy2086S0102X

Provider Legal NameMIGUEL M GAETACredential: M.D.

Location Address3535 SOUTHERN BLVDKettering, OH 45429-1221

Mailing Address3535 Southern BlvdKettering, OH 45429-1221 · (937) 395-6010 · Fax (937) 395-8162

Phone(937) 395-6010

Fax(937) 395-8162

Sole ProprietorNo

Medical School CMSUniversity Of California, Geffen School Of MedicineGraduated 2003

Enumeration DateMay 20, 2008

Last NPPES UpdateJanuary 14, 20212 updates tracked since enumeration

NPPES CertifiedJanuary 14, 2021

✔ NPI 1336306141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Surgical Critical CareAllopathic & Osteopathic Physicians

Taxonomy Code2086S0102X

License✔ Licensed in OH · 35.128427

Definition

A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Also ListedSurgeryTaxonomy 208600000X · License MD037557 (DC), 14547 (NH), 241909 (MA)

3535 SOUTHERN BLVD, Kettering, OH 45429

Open in Google Maps ↗

Other Identifiers 1

Medicaid0166016OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Miguel M Gaeta 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 ID7012063894

PECOS Enrollment IDI20160527001826

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 8

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

122 services105 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

78 services76 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

40 services34 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

32 services30 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

24 services24 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

14 services14 patients

Hospital Affiliations CMS Care Compare 4

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

Kettering Health Main Campus

Acute Care Hospitals · Kettering, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number360079

Location3535 Southern BoulevardKettering, OH 45429 · Montgomery County

Emergency services Birthing friendly

Kettering Health Dayton

Acute Care Hospitals · Dayton, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number360133

Location405 Grand AvenueDayton, OH 45405 · Montgomery County

Birthing friendly

Kettering Health Miamisburg

Acute Care Hospitals · Miamisburg, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number360239

Location4000 Miamisburg-Centerville RoadMiamisburg, OH 45342 · Montgomery County

Emergency services

Soin Medical Center

Acute Care Hospitals · Beaver Creek, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360360

Location3535 Pentagon Park BlvdBeaver Creek, OH 45431 · Greene County

Emergency services Birthing friendly

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.

84.5/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

81.16

Promoting Interoperability

100

Improvement Activities

Cost

67.18

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.

Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409

DME-Orthotic Devices · category DF010N

1 supplier13 claims65 services$6.00 avg. paid by Medicare

Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each A5063

DME-Orthotic Devices · category DF010N

1 supplier13 claims260 services$2.61 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 20

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

RAGHEED KATKHUDA MD

Pediatrics (Neonatal-Perinatal Medicine)

3535 SOUTHERN BLVD
KETTERING, OH 45429

Montgomery County (937) 752-2304

ANNEMARIE ROSE UNDERWOOD PA-C

Physician Assistant

3535 SOUTHERN BLVD
DAYTON, OH 45429

Montgomery County (937) 395-8166

SYLVIA POLENAKOVIK M.D.

Internal Medicine

3535 SOUTHERN BLVD
DAYTON, OH 45429

Montgomery County (937) 395-6665

SUSAN KAY ZANN RNFS

Registered Nurse (Registered Nurse First Assistant)

3535 SOUTHERN BLVD
KETTERING, OH 45429

Montgomery County (937) 395-8608

SWATHI DATLA M.B.B.S.

Hospitalist

3535 SOUTHERN BLVD
KETTERING, OH 45429

Montgomery County (937) 395-6665

DR. LOREN ANN NALLU MD

Pediatrics (Neonatal-Perinatal Medicine)

3535 SOUTHERN BLVD
KETTERING, OH 45429

Montgomery County (937) 752-2304

DR. JEREMY LAWTON CHAPMAN D.O.

Hospitalist

3535 SOUTHERN BLVD
KETTERING, OH 45429

Montgomery County (937) 395-6665

DR. RAHUL RAO DO

Radiology (Diagnostic Radiology)

3535 SOUTHERN BLVD
DAYTON, OH 45429

Montgomery County (937) 395-8627

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 Gaeta's NPI number?

The NPI number for Miguel Gaeta is 1336306141. It was assigned to this individual provider in the NPPES registry on May 20, 2008.

Where is Miguel Gaeta located?

Miguel Gaeta practices at 3535 Southern Blvd, Kettering, OH 45429. The listed phone number is (937) 395-6010.

What is Miguel Gaeta's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Critical Care, with taxonomy code 2086S0102X.

Is Miguel Gaeta enrolled in Medicare?

Yes. Miguel Gaeta 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 Miguel Gaeta accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Molina Healthcare and 2 other insurers list Miguel Gaeta 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 Gaeta affiliated with any hospitals?

According to CMS data, Miguel Gaeta is affiliated with Kettering Health Main Campus, Kettering Health Dayton, Kettering Health Miamisburg and Soin Medical Center.

When was this NPI record last updated?

The NPPES record for Miguel Gaeta was last updated on January 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.