GAVIN STORMONT
NPI 1639690589
Urology in New Ulm, MN

Q: What is Gavin Stormont's NPI number?

The NPI number for Gavin Stormont is 1639690589. It was assigned to this individual provider in the NPPES registry on June 30, 2017.

Q: What is Gavin Stormont's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for Gavin Stormont was last updated on September 4, 2024. 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.

Active since June 30, 2017PECOS Enrolled

1217 8TH ST N, NEW ULM, MN 56073(507) 217-5000 Get Directions Write a Review

NPPES record last updated: September 4, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 4, 2024, Jun 30, 2017 (2 updates tracked since 2017).

On this page

About Gavin Stormont NPPES

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

GAVIN STORMONT (NPI 1639690589) is an individual urology provider in New Ulm, Minnesota, licensed in Minnesota (71498) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS, is affiliated with Centracare- Rice Memorial Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1639690589

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameGAVIN STORMONT

Location Address1217 8TH ST NNew Ulm, MN 56073-1552

Mailing Address2925 Chicago AveMinneapolis, MN 55407-1321 · (612) 262-5000

Phone(507) 217-5000

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateJune 30, 2017

Last NPPES UpdateSeptember 4, 20242 updates tracked since enumeration

NPPES CertifiedSeptember 4, 2024

✔ NPI 1639690589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in MN · 71498

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

1217 8TH ST N, New Ulm, MN 56073

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gavin Stormont is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3274807458

PECOS Enrollment IDI20220715001052

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 Reassignments

Medicare enrollment records show Gavin Stormont reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mankato Clinic Ltd

27 mi

Family Medicine

1230 E MAIN ST
Mankato, MN 56001

Reassigned Medicare billing, Minnesota enrollment
322 clinicians in this Medicare group

NPI 1629044029 (800) 657-6944

Ccm Health

75 mi

Urgent Care

824 N 11TH ST
Montevideo, MN 56265

Reassigned Medicare billing, Minnesota enrollment
Also billed through NPI 1720086028 (Minnesota)
149 clinicians in this Medicare group

NPI 1275057978 (320) 269-8877

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 22

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.

198 services158 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.

152 services141 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

148 services118 patients

Manual urinalysis test with examination using microscope, automated 81001

A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.

116 services90 patients

Psa (prostate specific antigen) measurement, total 84153

PSA measurement is a simple blood test that checks for a specific protein produced by your body. High levels could indicate a health issue that needs further investigation. It's often used to monitor general wellness and is part of routine health screening.

116 services89 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.

102 services81 patients

Injection, ceftriaxone sodium, per 250 mg J0696

Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.

85 services19 patients

Bacterial urine culture 87088

A bacterial urine culture is a laboratory test that checks for bacteria in your urine. It helps identify the type of bacteria causing an infection, enabling the selection of the most effective treatment. The test involves collecting a urine sample in a sterile container.

69 services52 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.

66 services66 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.

63 services56 patients

Bacterial culture for aerobic isolates 87077

A bacterial culture for aerobic isolates is a lab test that helps identify bacteria that thrive in oxygen-rich environments. A sample from the suspected infection site is collected, then placed in a special medium that promotes bacterial growth. After a set period, the lab identifies any bacteria present, aiding in accurate diagnosis and treatment.

61 services34 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

54 services31 patients

Blood creatinine level 82565

A blood creatinine level test measures the amount of creatinine in your blood. Creatinine is a waste product that your body produces when it uses energy. High levels may indicate that your kidneys aren't working properly. This test is often used to monitor kidney health.

19 services19 patients

Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle 96402

This procedure involves the injection of hormone-based anti-cancer drugs under the skin or into a muscle. These medications help to slow down or stop the growth of certain types of cancer cells. The process is usually quick and can be performed in a clinic or hospital.

19 services12 patients

Ultrasound scan of pelvic region through rectum 76872

An ultrasound scan of the pelvic region through the rectum is a medical procedure where a small, smooth device is gently inserted into the rectum. This device uses sound waves to create images of the internal structures in the lower abdomen, aiding in diagnosis and treatment planning.

18 services18 patients

Ultrasonic guidance for needle placement 76942

Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.

18 services18 patients

Biopsy of prostate gland 55700

A biopsy of the prostate gland is a procedure where a small sample of tissue is taken from your body's internal gland, located near the bladder, for testing. This helps in diagnosing potential health issues. It's usually done with a fine needle and imaging technology for accuracy.

15 services15 patients

Complete ultrasound scan of pelvis 76856

A complete ultrasound scan of the pelvis is a safe, non-invasive imaging procedure. It uses sound waves to create pictures of your lower abdomen area, helping doctors to evaluate and diagnose any potential issues. It's painless and usually takes about 30 minutes.

15 services15 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

15 services15 patients

Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic G2012

A virtual check-in is a short online or phone consultation with your healthcare provider. It's for established patients and isn't related to a recent appointment. It's a convenient way to discuss health concerns without needing to visit the office in person.

15 services11 patients

Electronic assessment of bladder emptying 51741

Electronic assessment of bladder emptying is a non-invasive test that measures how well your bladder functions. It uses ultrasound technology to create images of your bladder before and after you use the restroom, helping to identify any issues with bladder emptying.

14 services13 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.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Centracare- Rice Memorial Hospital

Acute Care Hospitals · Willmar, MN

4/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number240088

Location301 Becker Ave SWWillmar, MN 56201 · Kandiyohi County

Emergency services Birthing friendly

Chippewa County Hospital

Critical Access Hospitals · Montevideo, MN

OwnershipGovernment - Local

CMS Certification Number241325

Location824 North 11th StreetMontevideo, MN 56265 · Chippewa County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56073 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.

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.

CHARLES SIEBERG PHARMD

Pharmacist

1217 8TH ST N
NEW ULM, MN 56073

Brown County (507) 217-5000

DAVID J SCHAETZKE MS, LP

Psychologist (Clinical)

1217 8TH ST N
NEW ULM, MN 56073

Brown County (507) 233-1000

SUSAN EVELYN RUDOLPH M.D.

Dermatology

1217 8TH ST N
NEW ULM, MN 56073

Brown County (507) 217-5000

ALYSSA KRISTINE RUBEY PHARMD

Pharmacist

1217 8TH ST N
NEW ULM, MN 56073

Brown County (507) 217-5000

ERIKA ANNE SLETTEN LICSW

Social Worker (Clinical)

1217 8TH ST N
NEW ULM, MN 56073

Brown County (507) 217-5000

ALLINA HEALTH SYSTEM

Pharmacy (Community/Retail Pharmacy)

1217 8TH ST N, SUITE 1010
NEW ULM, MN 56073

Brown County (507) 217-5808

ROBIN C HARMER

Nurse Practitioner (Family)

1217 8TH ST N
NEW ULM, MN 56073

Brown County (507) 217-5000

AMBER DAWN BYNES DNP

Nurse Practitioner (Family)

1217 8TH ST N
NEW ULM, MN 56073

Brown County (507) 217-5000

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 Gavin Stormont's NPI number?

The NPI number for Gavin Stormont is 1639690589. It was assigned to this individual provider in the NPPES registry on June 30, 2017.

Where is Gavin Stormont located?

Gavin Stormont practices at 1217 8th St N, New Ulm, MN 56073. The listed phone number is (507) 217-5000.

What is Gavin Stormont's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Gavin Stormont enrolled in Medicare?

Yes. Gavin Stormont is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Gavin Stormont's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gavin Stormont reassigns Medicare benefits to 2 organizations: Mankato Clinic Ltd (Mankato, MN) and Ccm Health (Montevideo, MN). Each 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 Gavin Stormont's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gavin Stormont accept?

Health plans from Sanford Health Plan list Gavin Stormont 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 Gavin Stormont affiliated with any hospitals?

According to CMS data, Gavin Stormont is affiliated with Centracare- Rice Memorial Hospital and Chippewa County Hospital.

When was this NPI record last updated?

The NPPES record for Gavin Stormont was last updated on September 4, 2024. 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.