DONALD R. GULLICKS MD
NPI 1619288602
Obstetrics & Gynecology in Moorhead, MN

Q: What is Donald Gullicks's NPI number?

The NPI number for Donald Gullicks is 1619288602. It was assigned to this individual provider in the NPPES registry on June 24, 2010.

Q: What is Donald Gullicks's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Donald Gullicks was last updated on October 22, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since June 24, 2010PECOS EnrolledAccepts Medicare Assignment

78.86/100

CMS Quality Rating

4000 28TH AVE S, MOORHEAD, MN 56560(701) 234-3200(701) 234-3239 Get Directions Write a Review

NPPES record last updated: October 22, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Donald R. Gullicks Md NPPES

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

DONALD R. GULLICKS MD (NPI 1619288602) is an individual obstetrics & gynecology provider in Moorhead, Minnesota, licensed in Minnesota (TP107788) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with Sanford Medical Center Fargo, and is a graduate of University Of North Dakota School Of Medicine (2010).

NPPES Registry Identity

NPI1619288602

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameDONALD R. GULLICKSCredential: MD

Location Address4000 28TH AVE SMoorhead, MN 56560-7926

Mailing AddressPo Box 2168Fargo, ND 58107-2168 · (701) 234-2119

Phone(701) 234-3200

Fax(701) 234-3239

Sole ProprietorNo

Medical School CMSUniversity Of North Dakota School Of MedicineGraduated 2010

Enumeration DateJune 24, 2010

Last NPPES UpdateOctober 22, 2014

✔ NPI 1619288602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

Licenses✔ Licensed in MN · TP107788✔ Licensed in MO · 2010020741✔ Licensed in ND · 13170

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

4000 28TH AVE S, Moorhead, MN 56560

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Other Identifiers 4

Medicare PINH400165227MN

Medicare PINN720218ND

Medicare PINH400165233MN

Medicare PINN720219ND

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Medica, Sanford 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

Donald R. Gullicks 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 ID4183851041

PECOS Enrollment IDI20140919001731, I20140929000960

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 3

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.

52 services25 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

14 services14 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.

14 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Sanford Medical Center Fargo

Acute Care Hospitals · Fargo, ND

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number350011

Location801 Broadway NorthFargo, ND 58122 · Cass County

Emergency services Birthing friendly

Sanford Mayville

Critical Access Hospitals · Mayville, ND

OwnershipVoluntary non-profit - Private

CMS Certification Number351309

Location42 6th Avenue SEMayville, ND 58257 · Traill County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56560 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

$127.61 typical visit price

range $56.00 – $168.28

Typical copayment $31.90 (range $14.00 – $42.07)

Most-billed visit code 99204

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

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.

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.

78.86/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

96.45

Promoting Interoperability

Improvement Activities

Cost

29.78

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.

CARLEY MARIE BAYER APRN, CNP

Nurse Practitioner