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DR. GAYLE M KASDORF M.D.
NPI 1629071485
Internal Medicine - Endocrinology, Diabetes & Metabolism in Green Bay, WI

Active since May 24, 2005PECOS Enrolled
94.61/100
CMS Quality Rating
1715 DOUSMAN ST, GREEN BAY, WI 54303(920) 496-4700 Get Directions Write a Review

NPPES record last updated: September 5, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Gayle M Kasdorf M.d. NPPES

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

DR. GAYLE M KASDORF M.D. (NPI 1629071485) is an individual endocrinology, diabetes & metabolism provider in Green Bay, Wisconsin, licensed in Wisconsin (24544) and active in the NPI registry since May 2005. She is enrolled in Medicare PECOS and maintains a secondary practice location in Green Bay.

NPPES Registry Identity

NPI1629071485
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameDR. GAYLE M KASDORFCredential: M.D.
Location Address1715 DOUSMAN STGreen Bay, WI 54303-3211
Mailing Address704 S Webster Ave, Ste 500Green Bay, WI 54301-3528 · (920) 468-9588 · Fax (920) 468-1342
Phone(920) 496-4700
Sole ProprietorNo
Enumeration DateMay 24, 2005
Last NPPES UpdateSeptember 5, 2019
✔ NPI 1629071485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in WI · 24544
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
1715 DOUSMAN ST, Green Bay, WI 54303
Open in Google Maps ↗

Secondary Practice Location 1

Location 1704 S Webster Ave, Ste 500Green Bay, WI 54301-3528 · Phone (920) 468-9588 · Fax (920) 468-1342

Other Identifiers 1

Medicaid30832600WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Gayle M Kasdorf M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54303 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

94.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.17
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 7

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

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
10 suppliers60 claims730 services$18.19 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
10 suppliers61 claims1,798 services$2.35 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
17 suppliers59 claims243 services$5.32 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers15 claims22 services$0.93 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
2 suppliers34 claims34 services$281.37 avg. paid by Medicare
Insulin for administration through dme (i.e., insulin pump) per 50 units J1817
Treatment-Injections and Infusions (nononcologic) · category RI000N
9 suppliers58 claims6,990 services$7.14 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 20

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

MRS. JENNA MAE HANSON PA-C
Physician Assistant (Medical)
1715 DOUSMAN ST
GREEN BAY, WI 54303
Brown County (920) 496-4770
EDGAR (TED) KING COLLISON IV MD
Surgery
1715 DOUSMAN ST
GREEN BAY, WI 54303
Brown County (920) 496-4700
DEB SWIM CST/CSFA
Specialist/Technologist, Other (Surgical Assistant)
1715 DOUSMAN ST
GREEN BAY, WI 54303
Brown County (920) 496-4700
ROLF SMART LULLOFF MD
Orthopaedic Surgery
1715 DOUSMAN ST
GREEN BAY, WI 54303
Brown County (920) 496-4700
HANNAH SUE CRAANEN AGNP
Nurse Practitioner (Adult Health)
1715 DOUSMAN ST
GREEN BAY, WI 54303
Brown County (920) 496-4700
DR. MATTHEW BRENDON COLLIGAN D.O.
Orthopaedic Surgery
1715 DOUSMAN ST
GREEN BAY, WI 54303
Brown County (920) 496-4700
HUMERA FATIMA AHMAD M.D.
Surgery
1715 DOUSMAN ST
GREEN BAY, WI 54303
Brown County (920) 496-4700
MELISSA LEA LYNCH APNP
Registered Nurse
1715 DOUSMAN ST
GREEN BAY, WI 54303
Brown County (920) 496-4700

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 Gayle Kasdorf's NPI number?

The NPI number for Gayle Kasdorf is 1629071485. It was assigned to this individual provider in the NPPES registry on May 24, 2005.

Where is Gayle Kasdorf located?

Gayle Kasdorf practices at 1715 Dousman St, Green Bay, WI 54303. The listed phone number is (920) 496-4700.

What is Gayle Kasdorf's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Gayle Kasdorf enrolled in Medicare?

Yes. Gayle Kasdorf is registered in the Medicare PECOS enrollment system.

What insurance does Gayle Kasdorf accept?

Health plans from CareSource (Common Ground Healthcare) list Gayle Kasdorf 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.

When was this NPI record last updated?

The NPPES record for Gayle Kasdorf was last updated on September 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.