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GISELLE DAMIEN KOHLER M.D.
NPI 1518285261
Internal Medicine - Nephrology in Springfield, MO

Active since May 05, 2010PECOS EnrolledAccepts Medicare Assignment
1911 S NATIONAL AVE, #301, SPRINGFIELD, MO 65804(417) 886-5000 Get Directions Write a Review

NPPES record last updated: June 13, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Giselle Damien Kohler M.d. NPPES

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

GISELLE DAMIEN KOHLER M.D. (NPI 1518285261) is an individual nephrology provider in Springfield, Missouri, licensed in Missouri (2013026065) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS, is affiliated with Cox Medical Centers, and is a graduate of University Of Maryland School Of Medicine (2010).

NPPES Registry Identity

NPI1518285261
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameGISELLE DAMIEN KOHLERCredential: M.D.
Location Address1911 S NATIONAL AVE, #301Springfield, MO 65804-2213
Mailing Address1911 S National Ave, #301Springfield, MO 65804-2213 · (417) 886-5000
Phone(417) 886-5000
Sole ProprietorNo
Medical School CMSUniversity Of Maryland School Of MedicineGraduated 2010
Enumeration DateMay 5, 2010
Last NPPES UpdateJune 13, 2016
✔ NPI 1518285261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in MO · 2013026065
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
1911 S NATIONAL AVE, Springfield, MO 65804
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Cox HealthPlans, UnitedHealthcare.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

Giselle Damien Kohler 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 ID5991933947
PECOS Enrollment IDI20150716002643
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 Giselle Kohler reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Springfield Nephrology Associates Inc
Same address
Nephrology
1911 S NATIONAL AVE, SUITE 301
Springfield, MO 65804
  • Reassigned Medicare billing, Missouri enrollment
  • 14 clinicians in this Medicare group
NPI 1942324488 (417) 886-5000

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 11

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.

Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
230 services47 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
211 services93 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.
166 services123 patients
Home dialysis services per month (20 years or older) 90966
Home dialysis services provide kidney treatment for patients aged 20 or older right in their own homes. This service includes necessary equipment, supplies, and support for performing dialysis. It's a convenient option that allows patients to maintain their daily routines while receiving essential care.
154 services23 patients
Dialysis services, per day, less than full month service (20 years or older) 90970
Dialysis is a treatment that replicates some functions of healthy kidneys when they're not working properly. It helps to remove waste, salt, and excess water from your body and maintain a safe level of certain chemicals in your blood. This service, for patients aged 20 or older, is provided on a daily basis for less than a full month.
142 services36 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
133 services30 patients

Hospital Affiliations CMS Care Compare 5

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

Cox Medical Centers

Acute Care Hospitals · Springfield, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260040
Location3801 South National AvenueSpringfield, MO 65807 · Greene County
Emergency services Birthing friendly

Mercy Hospital Lebanon

Acute Care Hospitals · Lebanon, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number260059
Location100 Hospital DriveLebanon, MO 65536 · Laclede County
Emergency services Birthing friendly

Mercy Hospital Springfield

Acute Care Hospitals · Springfield, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260065
Location1235 E CherokeeSpringfield, MO 65804 · Greene County
Emergency services Birthing friendly

Mercy Hospital Aurora

Critical Access Hospitals · Aurora, MO
OwnershipVoluntary non-profit - Church
CMS Certification Number261316
Location500 Porter AvenueAurora, MO 65605 · Lawrence County
Emergency services Birthing friendly

Mercy Hospital - Cassville

Critical Access Hospitals · Cassville, MO
OwnershipVoluntary non-profit - Church
CMS Certification Number261317
Location94 Main StreetCassville, MO 65625 · Barry County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65804 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
$121.96 typical visit price
range $52.28 – $161.24
Typical copayment $30.49 (range $13.07 – $40.31)
Most-billed visit code 99204
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Clinical Information Reconciliation
For at least one transition of care or referral received or patient encounter in which the MIPS eligible clinician has never before encountered the patient, the MIPS eligible clinician performs clinical information reconciliation.
91%310 patients4/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred
73%138 patients4/55-star benchmark: 95%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
83%1,193 patients3/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
94%1,773 patients4/55-star benchmark: 100%
Patient-Generated Health Data
Patient-generated health data or data from a non-clinical setting is incorporated into the certified EHR technology for at least one unique patient seen by the MIPS eligible clinician during the performance period.
15%566 patients
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from certified EHR technology to identify patient-specific educational resources and provide electronic access to those materials to at least one unique patient seen by the MIPS eligible…
97%566 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
51%361 patients3/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
96%563 patients4/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients tobacco: 76% · 161 patients
89%161 patients
Provide Patient Access
For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician…
97%566 patients4/55-star benchmark: 100%
Request/Accept Summary of Care
For at least one transition of care or referral received or patient encounter in which the MIPS eligible clinician has never before encountered the patient, the MIPS eligible clinician receives or retrieves and incorporates into the patient's record an…
0%236 patients1/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of certified EHR technology to the patient (or the patient-authorized representative), or in…
3%566 patients1/55-star benchmark: 75%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 361 patients
0%361 patients5/55-star benchmark: 100%
View, Download and Transmit (VDT)
During the performance period, at least one unique patient (or patient-authorized representatives) seen by the MIPS eligible clinician actively engages with the EHR made accessible by the MIPS eligible clinician.
9%566 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 6

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

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers19 claims2,160 services$0.28 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers22 claims3,300 services$0.01 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers13 claims960 services$0.17 avg. paid by Medicare
Mycophenolic acid, oral, 180 mg J7518
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier11 claims1,320 services$0.97 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
5 suppliers29 claims29 services$18.28 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
4 suppliers33 claims57 services$12.20 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 13

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

ELIN WATSON LPC
Counselor (Professional)
1911 S NATIONAL AVE, SUITE 407
SPRINGFIELD, MO 65804
Greene County (417) 379-6335
DR. DAVID LEE SOMMERFELD M.D.
Internal Medicine (Nephrology)
1911 S NATIONAL AVE, SUITE 301
SPRINGFIELD, MO 65804
Greene County (417) 886-5000
OZARKS PHYSICAL THERAPY ASSOCIATES INC.
Clinic/Center (Rehabilitation)
1911 S NATIONAL AVE, SUITE 302
SPRINGFIELD, MO 65804
Greene County (417) 881-4164
CHARLES W. WATSON PSYD
Psychologist (Clinical)
1911 S NATIONAL AVE, SUITE 407
SPRINGFIELD, MO 65804
Greene County (417) 234-9987
DR. JULIE ANN WARREN M.D.
Psychiatry & Neurology (Psychiatry)
1911 S NATIONAL AVE, STE 405
SPRINGFIELD, MO 65804
Greene County (417) 881-6533
DR. STEPHEN EUGENE GARCIA M.D.
Internal Medicine (Nephrology)
1911 S NATIONAL AVE, SUITE 301
SPRINGFIELD, MO 65804
Greene County (417) 886-5000
AMANDA MCCREARY
Nurse Practitioner
1911 S NATIONAL AVE, STE 301
SPRINGFIELD, MO 65804
Greene County (417) 886-5000
DR. WADE THOMAS JORDAN M..D.
Internal Medicine (Nephrology)
1911 S NATIONAL AVE, SUITE 301
SPRINGFIELD, MO 65804
Greene County (417) 886-5000

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 Giselle Kohler's NPI number?

The NPI number for Giselle Kohler is 1518285261. It was assigned to this individual provider in the NPPES registry on May 5, 2010.

Where is Giselle Kohler located?

Giselle Kohler practices at 1911 S National Ave #301, Springfield, MO 65804. The listed phone number is (417) 886-5000.

What is Giselle Kohler's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Giselle Kohler enrolled in Medicare?

Yes. Giselle Kohler 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 Giselle Kohler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Giselle Kohler reassigns Medicare benefits to Springfield Nephrology Associates Inc (Springfield, MO). 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 Giselle Kohler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Giselle Kohler accept?

Health plans from Anthem Blue Cross and Blue Shield, Cox HealthPlans and UnitedHealthcare list Giselle Kohler 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 Giselle Kohler affiliated with any hospitals?

According to CMS data, Giselle Kohler is affiliated with Cox Medical Centers, Mercy Hospital Lebanon, Mercy Hospital Springfield, Mercy Hospital Aurora and Mercy Hospital - Cassville.

When was this NPI record last updated?

The NPPES record for Giselle Kohler was last updated on June 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.