ERICA GATHJE M.D.
NPI 1417368796
Family Medicine in New Hope, MN

Q: What is Erica Gathje's NPI number?

The NPI number for Erica Gathje is 1417368796. It was assigned to this individual provider in the NPPES registry on May 8, 2014.

Q: What is Erica Gathje's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Erica Gathje was last updated on November 28, 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.

Active since May 08, 2014PECOS EnrolledAccepts Medicare Assignment

8100 42ND AVE N, NEW HOPE, MN 55427(763) 581-5700 Get Directions Write a Review

NPPES record last updated: November 28, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Erica Gathje M.d. NPPES

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

ERICA GATHJE M.D. (NPI 1417368796) is an individual family medicine provider in New Hope, Minnesota, licensed in Minnesota (59385) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS, is affiliated with Hennepin County Medical Center, and maintains a secondary practice location in Minneapolis.

NPPES Registry Identity

NPI1417368796

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameERICA GATHJECredential: M.D.

Location Address8100 42ND AVE NNew Hope, MN 55427

Mailing Address1767 James Ave SMinneapolis, MN 55403-2828 · (507) 951-0218

Phone(763) 581-5700

Sole ProprietorYes

Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2014

Enumeration DateMay 8, 2014

Last NPPES UpdateNovember 28, 2018

✔ NPI 1417368796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MN · 59385

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

8100 42ND AVE N, New Hope, MN 55427

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Secondary Practice Location 1

Location 11020 W Broadway AveMinneapolis, MN 55411-2504 · Phone (612) 302-8209

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica.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

Erica Gathje 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 ID9335453398

PECOS Enrollment IDI20150804005013

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 3

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.

60 services30 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.

28 services20 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

13 services13 patients

Hospital Affiliations CMS Care Compare

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

Hennepin County Medical Center

Acute Care Hospitals · Minneapolis, MN

2/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number240004

Location701 Park AvenueMinneapolis, MN 55415 · Hennepin County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55427 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

4 suppliers15 claims16 services$6.27 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers21 claims21 services$64.45 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

2 suppliers21 claims21 services$33.82 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

2 suppliers21 claims21 services$192.46 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 2

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

JOSHUA DYLAN LOEW PA-C

Physician Assistant (Medical)

8100 42ND AVE N
NEW HOPE, MN 55427

Hennepin County (763) 581-5700

LAURA M POTHAST PA

Physician Assistant

8100 42ND AVE N
NEW HOPE, MN 55427

Hennepin County (762) 581-5700

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 Erica Gathje's NPI number?

The NPI number for Erica Gathje is 1417368796. It was assigned to this individual provider in the NPPES registry on May 8, 2014.

Where is Erica Gathje located?

Erica Gathje practices at 8100 42nd Ave N, New Hope, MN 55427. The listed phone number is (763) 581-5700.

What is Erica Gathje's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Erica Gathje enrolled in Medicare?

Yes. Erica Gathje 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 Erica Gathje accept?

Health plans from HealthPartners and Medica list Erica Gathje 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 Erica Gathje affiliated with any hospitals?

According to CMS data, Erica Gathje is affiliated with Hennepin County Medical Center.

When was this NPI record last updated?

The NPPES record for Erica Gathje was last updated on November 28, 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.