DR. STEPHANIE M GABATHULER M.D.
NPI 1457647927
Family Medicine - Hospice and Palliative Medicine in Alton, IL

Q: What is Stephanie Gabathuler's NPI number?

The NPI number for Stephanie Gabathuler is 1457647927. It was assigned to this individual provider in the NPPES registry on June 23, 2011.

Q: What is Stephanie Gabathuler's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207QH0002X.

Active since June 23, 2011PECOS EnrolledAccepts Medicare Assignment

1 PROFESSIONAL DR, ALTON, IL 62002(314) 996-4545(314) 273-0140 Get Directions Write a Review

NPPES record last updated: April 8, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Apr 8, 2026, Mar 9, 2026, Feb 11, 2021 and 1 more (4 updates tracked since 2018).

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About Dr. Stephanie M Gabathuler M.d. NPPES

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

DR. STEPHANIE M GABATHULER M.D. (NPI 1457647927) is an individual hospice and palliative medicine provider in Alton, Illinois, licensed in Illinois (036146284) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS, is affiliated with Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1457647927

Entity TypeIndividualFemale

Primary Taxonomy207QH0002X

Provider Legal NameDR. STEPHANIE M GABATHULERCredential: M.D.

Location Address1 PROFESSIONAL DRAlton, IL 62002-5068

Mailing AddressPo Box 959203Saint Louis, MO 63195-9203 · (314) 996-4545 · Fax (314) 273-0140

Phone(314) 996-4545

Fax(314) 273-0140

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateJune 23, 2011

Last NPPES UpdateApril 8, 20264 updates tracked since enumeration

NPPES CertifiedApril 8, 2026

✔ NPI 1457647927 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily Medicine · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QH0002X

Licenses✔ Licensed in IL · 036146284✔ Licensed in MO · 2023035677

Definition

A family medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 036146284 (IL)

Also ListedHospitalistTaxonomy 208M00000X · License 036-146284 (IL)

1 PROFESSIONAL DR, Alton, IL 62002

Open in Google Maps ↗

Secondary Practice Locations 2

Location 11475 Kisker Rd Ste 200Saint Charles, MO 63304-8788 · Phone (636) 695-0326

Location 24500 Memorial DrBelleville, IL 62226 · Phone (618) 257-6220 · Fax (618) 257-6679

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan 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

Dr. Stephanie M Gabathuler 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 ID941458541

PECOS Enrollment IDI20180924003685, I20231025002710, I20260511000024

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 6

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.

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

86 services64 patients

Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350

An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.

80 services48 patients

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

35 services25 patients

Advance care planning, each additional 30 minutes 99498

Advance care planning involves discussing and documenting your future health care preferences in case you're unable to make decisions for yourself. Each additional 30 minutes allows more time to explore your wishes, values, and goals for treatment.

35 services32 patients

Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes 99344

A new patient home visit is a comprehensive service where a healthcare professional visits your home for about an hour. This visit includes an overall health assessment, discussion about your medical history, and planning for future healthcare needs. The goal is to understand your health status and provide personalized care.

28 services28 patients

Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes 99345

A new patient home visit is a comprehensive 75-minute appointment conducted at your home. The healthcare professional will assess your health, discuss any concerns, and create a personalized care plan. It's convenient, comfortable, and tailored to your specific needs.

16 services16 patients

Hospital Affiliations CMS Care Compare

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

Memorial Hospital

Acute Care Hospitals · Belleville, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140185

Location4500 Memorial DriveBelleville, IL 62226 · St. Clair County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62002 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

$88.44 typical visit price

range $56.28 – $173.35

Typical copayment $22.11 (range $14.07 – $43.33)

Most-billed visit code 99203

Established Patient

$99.71 typical visit price

range $17.51 – $139.99

Typical copayment $24.92 (range $4.37 – $34.99)

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.

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.

DR. JAMES A KLIEFOTH MD

Surgery

1 PROFESSIONAL DR, STE 150
ALTON, IL 62002

Madison County (618) 463-8660

DR. WILLIAM RAY BARTLEY MD

Internal Medicine

1 PROFESSIONAL DR, SUITE 220
ALTON, IL 62002

Madison County (618) 463-8626

MEGAN SAUER DO

Obstetrics & Gynecology

1 PROFESSIONAL DR
ALTON, IL 62002

Madison County (618) 463-8555

ALTON MULTISPECIALISTS, LTD.

Clinic/Center (Radiology, Mammography)

1 PROFESSIONAL DR
ALTON, IL 62002

Madison County (618) 463-8500

MADALYN SHAW

Physical Therapist

1 PROFESSIONAL DR
ALTON, IL 62002

Madison County (618) 462-4621

ELIZABETH ANNE SCHRUMPF CNP

Nurse Practitioner (Family)

1 PROFESSIONAL DR
ALTON, IL 62002

Madison County (618) 463-8574

DR. KELLY J LINDSEY MD

Pediatrics

1 PROFESSIONAL DR, SUITE 250
ALTON, IL 62002

Madison County (618) 463-8636

ABIGAIL MARIE LORENTZ

Physical Therapist

1 PROFESSIONAL DR, SUITE 10
ALTON, IL 62002

Madison County (618) 462-4621

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 Stephanie Gabathuler's NPI number?

The NPI number for Stephanie Gabathuler is 1457647927. It was assigned to this individual provider in the NPPES registry on June 23, 2011.

Where is Stephanie Gabathuler located?

Stephanie Gabathuler practices at 1 Professional Dr, Alton, IL 62002. The listed phone number is (314) 996-4545.

What is Stephanie Gabathuler's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207QH0002X.

Is Stephanie Gabathuler enrolled in Medicare?

Yes. Stephanie Gabathuler 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 Stephanie Gabathuler accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 2 other insurers list Stephanie Gabathuler 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 Stephanie Gabathuler affiliated with any hospitals?

According to CMS data, Stephanie Gabathuler is affiliated with Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Stephanie Gabathuler was last updated on April 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.