DR. BRETT GEMLO MD NPI 1437168101

Colon & Rectal Surgery in Saint Paul, MN

NPI 1437168101 Individual Male Years of Experience 40 Colon & Rectal Surgery PECOS Enrolled Accepts Medicare Approved Payment

About BRETT GEMLO

Brett Gemlo is a provider established in Saint Paul, Minnesota and his medical specialization is colon & rectal surgery with more than 40 years of experience. He graduated from Harvard Medical School in 1982. The NPI number of Brett Gemlo is 1437168101 and was assigned on August 2006. The practitioner's primary taxonomy code is 208C00000X with license number 33764 (MN). The provider is registered as an individual and his NPI record was last updated 4 years ago.

Brett Gemlo is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Brett Gemlo is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Allina United Hospital and Healtheast St John's Hospital.

NPI

1437168101

Provider NameDR. BRETT GEMLO MD
Provider Location Address1983 SLOAN PL # 11 SAINT PAUL, MN 55117
Provider Mailing Address3433 BROADWAY ST NE STE 115 MINNEAPOLIS, MN 55413
GenderMale
NPI Entity TypeIndividual
Medical School NameHARVARD MEDICAL SCHOOL
Graduation Year1982
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date08-05-2006
Last Update Date02-26-2018


Primary Taxonomy

Taxonomy Code208C00000X
ClassificationColon & Rectal Surgery
TypeAllopathic & Osteopathic Physicians
License No.33764
License StateMN
Taxonomy DescriptionA colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

Business Address

DR. BRETT GEMLO MD
1983 SLOAN PL
# 11
SAINT PAUL, MN
ZIP 55117
Phone: (651) 312-1620
Fax: (651) 312-1570

Get Directions


Mailing Address

DR. BRETT GEMLO MD
3433 BROADWAY ST NE STE 115
MINNEAPOLIS, MN
ZIP 55413
Phone: (651) 312-1500
Fax: (651) 312-1570



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID143118604
PECOS Enrollment IDI20100215000742
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 31Diagnostic examination of large bowel using an endoscope (HCPCS:45378)
  • 27Biopsy of large bowel using an endoscope (HCPCS:45380)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Brett Gemlo is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
ALLINA UNITED HOSPITAL333 NORTH SMITH AVENUE
SAINT PAUL, MN 55102
(651) 241-8810Acute Care Hospitals240038
HEALTHEAST ST JOHN'S HOSPITAL1575 BEAM AVENUE
MAPLEWOOD, MN 55109
(651) 232-7000Acute Care Hospitals240210

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
518707900MEDICAID (05)MN

Other Providers at the same location


The following 19 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1972572873 MARY J KEMPF CNM
Individual
Midwife1983 SLOAN PL SUITE 1
SAINT PAUL, MN 55117
(651) 326-5700
1255300786 ANNE I JOHNSON CNM
Individual
Midwife1983 SLOAN PL SUITE 1
SAINT PAUL, MN 55117
(651) 326-5700
1225091754 JAMES P LETTS MD
Individual
Family Medicine1983 SLOAN PL SUITE 1
SAINT PAUL, MN 55117
(651) 326-5700
1578520524 JOHN H KAPSNER MD
Individual
Family Medicine1983 SLOAN PL SUITE 1
SAINT PAUL, MN 55117
(651) 326-5700
1417986324 TERRA SHOCKMAN MD
Individual
Family Medicine1983 SLOAN PL SUITE 1
SAINT PAUL, MN 55117
(651) 326-5700
1992926356 PAWWAH TOE
Individual
Interpreter1983 SLOAN PL SUITE 1
SAINT PAUL, MN 55117
(651) 326-5700
1710193479 FOUA CHOUA KHANG
Individual
Interpreter1983 SLOAN PL SUITE 1
SAINT PAUL, MN 55117
(651) 326-5650
1326282948 TA BEE BE INTERPRETER
Individual
Interpreter1983 SLOAN PL SUITE #1
SAINT PAUL, MN 55117
(651) 326-5700
1790957041HEALTHEAST CARE SYSTEM
Organization
Non-Pharmacy Dispensing Site1983 SLOAN PL SUITE 1
SAINT PAUL, MN 55117
(651) 326-5700
1174863740CENTER FOR VICTIMS OF TORTURE CLINIC PARTNERSHIP
Organization
Case Management1983 SLOAN PL SUITE 1
SAINT PAUL, MN 55117
(612) 436-4845
1114980232DR. MICHAEL D HOOLEY MD
Individual
Family Medicine1983 SLOAN PL SUITE 1
SAINT PAUL, MN 55117
(651) 326-5700
1871549741HEALTHEAST MEDICAL RESEARCH INSTITUTE
Organization
Clinic/Center1983 SLOAN PL SUITE 1
SAINT PAUL, MN 55117
(651) 326-5700
1790228286 TONYA COOK MSW
Individual
Social Worker1983 SLOAN PL SUITE 1
SAINT PAUL, MN 55117
(651) 326-5700
1881617306 JAMES B WILLIAMS II M.D.
Individual
Colon & Rectal Surgery1983 SLOAN PL 11
SAINT PAUL, MN 55117
(651) 312-1620
1801805478DR. JUDITH L TRUDEL MD
Individual
Colon & Rectal Surgery1983 SLOAN PL 11
SAINT PAUL, MN 55117
(651) 312-1620
1790958775 JANET TIEN-MING LEE M.D.
Individual
Colon & Rectal Surgery1983 SLOAN PL SUITE 11
SAINT PAUL, MN 55117
(651) 312-1620
1760798722 LAURA CHRISTOPHERSON PA-C
Individual
Physician Assistant (Medical)1983 SLOAN PL SUITE 7
SAINT PAUL, MN 55117
(651) 312-1620
1295286425 KATLYN SCHMITZ PA-C
Individual
Physician Assistant (Medical)1983 SLOAN PL SUITE 11
SAINT PAUL, MN 55117
(651) 312-1620
1396400636 CHRISTINA CHANTHAMONTRY PA-C
Individual
Physician Assistant1983 SLOAN PL
SAINT PAUL, MN 55117
(651) 312-1620

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.