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ANTHONY GASPAROTTO DO
NPI 1528622990
Psychiatry & Neurology - Neurology in Saginaw, MI

Active since April 30, 2019PECOS EnrolledAccepts Medicare Assignment
56.42/100
CMS Quality Rating
4200 FASHION BLVD STE 301, SAGINAW, MI 48603(989) 729-4206(989) 729-4207 Get Directions Write a Review

NPPES record last updated: November 24, 2023. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Nov 24, 2023, Oct 20, 2023, May 6, 2019 and 1 more (4 updates tracked since 2019).

About Anthony Gasparotto Do NPPES

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

ANTHONY GASPAROTTO DO (NPI 1528622990) is an individual neurology provider in Saginaw, Michigan, licensed in Michigan (5101026912) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Mclaren Bay Region, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1528622990
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameANTHONY GASPAROTTOCredential: DO
Location Address4200 FASHION BLVD STE 301Saginaw, MI 48603-1375
Mailing Address4200 Fashion Square Blvd Ste 301Saginaw, MI 48603-1375
Phone(989) 729-4206
Fax(989) 729-4207
Sole ProprietorNo
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2019
Enumeration DateApril 30, 2019
Last NPPES UpdateNovember 24, 20234 updates tracked since enumeration
NPPES CertifiedNovember 24, 2023
✔ NPI 1528622990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses✔ Licensed in MI · 5101026912✔ Licensed in MI · 5151013417
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
4200 FASHION BLVD STE 301, Saginaw, MI 48603
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1800 S Washington AveSaginaw, MI 48601-2551 · Phone (855) 298-9888
Location 2819 N Shiawassee St Ste 110Owosso, MI 48867-1601 · Phone (989) 723-1390 · Fax (989) 725-1415
Location 34600 Garfield RdAuburn, MI 48611-9369 · Phone (989) 729-4147 · Fax (989) 729-4157

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community 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

Anthony Gasparotto Do 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 ID2365785375
PECOS Enrollment IDI20230814003294
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 8

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.
72 services64 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.
66 services54 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
38 services27 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
31 services31 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
24 services24 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.
16 services14 patients

Hospital Affiliations CMS Care Compare 5

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

Mclaren Bay Region

Acute Care Hospitals · Bay City, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230041
Location1900 Columbus AveBay City, MI 48708 · Bay County
Emergency services Birthing friendly

Covenant Medical Center

Acute Care Hospitals · Saginaw, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230070
Location1447 N HarrisonSaginaw, MI 48602 · Saginaw County
Emergency services Birthing friendly

Ascension St Mary's Hospital

Acute Care Hospitals · Saginaw, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230077
Location800 S Washington AvenueSaginaw, MI 48601 · Saginaw County
Emergency services

Memorial Healthcare

Acute Care Hospitals · Owosso, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230121
Location826 West King StreetOwosso, MI 48867 · Shiawassee County
Emergency services Birthing friendly

Mymichigan Medical Center Midland

Acute Care Hospitals · Midland, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230222
Location4000 Wellness DriveMidland, MI 48670 · Midland County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48603 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

56.42/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.82
Promoting Interoperability0
Improvement Activities40
Cost60.06

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 Anthony Gasparotto's NPI number?

The NPI number for Anthony Gasparotto is 1528622990. It was assigned to this individual provider in the NPPES registry on April 30, 2019.

Where is Anthony Gasparotto located?

Anthony Gasparotto practices at 4200 Fashion Blvd Ste 301, Saginaw, MI 48603. The listed phone number is (989) 729-4206.

What is Anthony Gasparotto's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Anthony Gasparotto enrolled in Medicare?

Yes. Anthony Gasparotto 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 Anthony Gasparotto accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Priority Health and UnitedHealthcare list Anthony Gasparotto 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 Anthony Gasparotto affiliated with any hospitals?

According to CMS data, Anthony Gasparotto is affiliated with Mclaren Bay Region, Covenant Medical Center, Ascension St Mary's Hospital, Memorial Healthcare and Mymichigan Medical Center Midland.

When was this NPI record last updated?

The NPPES record for Anthony Gasparotto was last updated on November 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.