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ELISE KATHLEEN GATES MD
NPI 1518176387
Surgery - Surgical Oncology in Middletown, CT

Active since May 21, 2007PECOS EnrolledAccepts Medicare Assignment
540 SAYBROOK RD, MIDDLETOWN, CT 06457(860) 358-2850(860) 358-8698 Get Directions Write a Review

NPPES record last updated: August 8, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 8, 2025, Dec 20, 2018 (2 updates tracked since 2018).

About Elise Kathleen Gates Md NPPES

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

ELISE KATHLEEN GATES MD (NPI 1518176387) is an individual surgical oncology provider in Middletown, Connecticut, licensed in Connecticut (052083) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with Elliot Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1518176387
Entity TypeIndividualFemale
Primary Taxonomy2086X0206X
Provider Legal NameELISE KATHLEEN GATESCredential: MD
Location Address540 SAYBROOK RDMiddletown, CT 06457-4711
Mailing Address28 Crescent StMiddletown, CT 06457-3650 · (860) 358-6000 · Fax (603) 668-0164
Phone(860) 358-2850
Fax(860) 358-8698
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateMay 21, 2007
Last NPPES UpdateAugust 8, 20252 updates tracked since enumeration
NPPES CertifiedAugust 8, 2025
✔ NPI 1518176387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Surgical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2086X0206X
License✔ Licensed in CT · 052083
Definition
A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.
Also ListedSurgeryTaxonomy 208600000X · License 052083 (CT), 19124 (NH)
540 SAYBROOK RD, Middletown, CT 06457
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1185 Queen City AveManchester, NH 03101 · Phone (603) 668-3067 · Fax (603) 668-0164
Location 2399 Farmington Ave, Suite 200Farmington, CT 06032-1936 · Phone (860) 246-2071 · Fax (860) 674-4260

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Elise Kathleen Gates 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 ID9032361597
PECOS Enrollment IDI20130813000648
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.

Medicare Billing Reassignment

Medicare enrollment records show Elise Gates reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mhs Primary Care Inc.
Same address
Surgery
540 SAYBROOK RD STE 100
Middletown, CT 06457
  • Reassigned Medicare billing, Connecticut enrollment
  • 147 clinicians in this Medicare group
NPI 1740666312 (860) 358-2850

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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 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.
152 services150 patients
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.
36 services33 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
22 services16 patients
X-ray of surgical specimen 76098
An X-ray of a surgical specimen involves taking detailed images of the tissue or organ removed during surgery. This helps in examining the specimen more closely to understand the disease better. It's a safe, non-invasive procedure, providing valuable insights to your healthcare team.
16 services12 patients

Hospital Affiliations CMS Care Compare

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

Elliot Hospital

Acute Care Hospitals · Manchester, NH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300012
Location1 Elliot WayManchester, NH 03103 · Hillsborough County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06457 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
$183.10 typical visit price
range $60.82 – $183.10
Typical copayment $45.77 (range $15.20 – $45.77)
Most-billed visit code 99205
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
Most-billed visit code 99213
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 16

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

SALLY J IRONS MD
Obstetrics & Gynecology
540 SAYBROOK RD
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 347-7491
DR. BRAD A JUBELIRER MD
Pediatrics
540 SAYBROOK RD, SUITE 100
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 347-6683
MHS PRIMARY CARE INC
Nurse Practitioner (Family)
540 SAYBROOK RD
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 358-2780
DR. ALLISON H WHITAKER M.D.
Pediatrics
540 SAYBROOK RD, SUITE 100
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 347-6683
MIDDLESEX DIABETES & ENDOCRINOLOGY
Internal Medicine (Endocrinology, Diabetes & Metabolism)
540 SAYBROOK RD, SUITE 150
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 346-3308
KYLE R BROWN PA-C
Physician Assistant (Surgical)
540 SAYBROOK RD, SUITE 160
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 685-8940
AMANDA JEAN KOST D.O.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
540 SAYBROOK RD
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 358-6875
DR. ELIZABETH JANE NORTHROP M.D.
Pediatrics
540 SAYBROOK RD, SUITE 100
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 347-6683

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 Elise Gates's NPI number?

The NPI number for Elise Gates is 1518176387. It was assigned to this individual provider in the NPPES registry on May 21, 2007.

Where is Elise Gates located?

Elise Gates practices at 540 Saybrook Rd, Middletown, CT 06457. The listed phone number is (860) 358-2850.

What is Elise Gates's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Oncology, with taxonomy code 2086X0206X.

Is Elise Gates enrolled in Medicare?

Yes. Elise Gates 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.

Which organization bills Medicare for Elise Gates's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elise Gates reassigns Medicare benefits to Mhs Primary Care Inc. (Middletown, CT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Elise Gates's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Elise Gates accept?

Health plans from Anthem Blue Cross and Blue Shield list Elise Gates 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 Elise Gates affiliated with any hospitals?

According to CMS data, Elise Gates is affiliated with Elliot Hospital.

When was this NPI record last updated?

The NPPES record for Elise Gates was last updated on August 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.