STEPHEN M GILLES MD
NPI 1427160829
Family Medicine in New Ulm, MN

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment
1217 8TH ST N, NEW ULM, MN 56073(507) 217-5000 Get Directions Write a Review

NPPES record last updated: May 15, 2012. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Stephen M Gilles Md NPPES

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

STEPHEN M GILLES MD (NPI 1427160829) is an individual family medicine provider in New Ulm, Minnesota, licensed in Minnesota (47205) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Mayo Clinic Health System - Mankato, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1427160829
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSTEPHEN M GILLESCredential: MD
Location Address1217 8TH ST NNew Ulm, MN 56073-1552
Mailing Address2925 Chicago AveMinneapolis, MN 55407-1321 · (612) 262-5000
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateAugust 31, 2006
Last NPPES UpdateMay 15, 2012
NPI 1427160829 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 · 47205
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.
1217 8TH ST N, New Ulm, MN 56073

Other Identifiers 2

Medicare UPINI02493MN
Medicare ID-Type Unspecified080014624MN

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

Stephen M Gilles 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 ID5496743536
PECOS Enrollment IDI20051103000964
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 9

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.
447 services219 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.
154 services127 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.
137 services137 patients
Acupuncture, initial 15 minutes 97810
Acupuncture is a traditional therapy where thin needles are inserted into specific points on your body. This initial 15-minute session aims to balance energy flow, relieve pain, and improve overall health. It's generally painless and considered safe.
49 services35 patients
Acupuncture, each additional 15 minutes 97811
Acupuncture is a traditional Chinese therapy that involves inserting thin needles at specific points on the body to balance energy flow. This service refers to each additional 15-minute session beyond your initial treatment. It may enhance the therapeutic effects and provide deeper relief from symptoms.
49 services35 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
25 services23 patients

Hospital Affiliations CMS Care Compare 2

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

Mayo Clinic Health System - Mankato

Acute Care Hospitals · Mankato, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240093
Location1025 Marsh StreetMankato, MN 56001 · Blue Earth County
Emergency services Birthing friendly

New Ulm Medical Center

Critical Access Hospitals · New Ulm, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241378
Location1324 Fifth North StreetNew Ulm, MN 56073 · Brown County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56073 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 22

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 suppliers23 claims42 services$6.29 avg. paid by Medicare
Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4338
DME-Orthotic Devices · category DF000N
1 supplier11 claims11 services$9.67 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
1 supplier12 claims12 services$7.02 avg. paid by Medicare
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each A4358
DME-Orthotic Devices · category DF000N
1 supplier11 claims22 services$5.15 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
4 suppliers34 claims34 services$45.91 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
3 suppliers20 claims20 services$114.91 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.

Pharmacist
1217 8TH ST N
NEW ULM, MN 56073
Psychologist (Clinical)
1217 8TH ST N
NEW ULM, MN 56073
Dermatology
1217 8TH ST N
NEW ULM, MN 56073
Pharmacist
1217 8TH ST N
NEW ULM, MN 56073
Social Worker (Clinical)
1217 8TH ST N
NEW ULM, MN 56073
Pharmacy (Community/Retail Pharmacy)
1217 8TH ST N, SUITE 1010
NEW ULM, MN 56073
Nurse Practitioner (Family)
1217 8TH ST N
NEW ULM, MN 56073
Nurse Practitioner (Family)
1217 8TH ST N
NEW ULM, MN 56073

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 Stephen Gilles's NPI number?

The NPI number for Stephen Gilles is 1427160829. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Stephen Gilles located?

Stephen Gilles practices at 1217 8th St N, New Ulm, MN 56073. The listed phone number is (507) 217-5000.

What is Stephen Gilles's specialty?

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

Is Stephen Gilles enrolled in Medicare?

Yes. Stephen Gilles 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 Stephen Gilles accept?

Health plans from HealthPartners and Medica list Stephen Gilles 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 Stephen Gilles affiliated with any hospitals?

According to CMS data, Stephen Gilles is affiliated with Mayo Clinic Health System - Mankato and New Ulm Medical Center.

When was this NPI record last updated?

The NPPES record for Stephen Gilles was last updated on May 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.