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CHARLES P GILLESPIE M.D.
NPI 1699970830
Emergency Medicine - Pediatric Emergency Medicine in Lafayette, CO

Active since June 18, 2007PECOS Enrolled
2849 CRATER LAKE LN, LAFAYETTE, CO 80026(520) 260-3478 Get Directions Write a Review

NPPES record last updated: January 31, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Charles P Gillespie M.d. NPPES

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

CHARLES P GILLESPIE M.D. (NPI 1699970830) is an individual pediatric emergency medicine provider in Lafayette, Colorado, licensed in Nevada (16455) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699970830
Entity TypeIndividualMale
Primary Taxonomy207PP0204X
Provider Legal NameCHARLES P GILLESPIECredential: M.D.
Location Address2849 CRATER LAKE LNLafayette, CO 80026-3488
Mailing Address2849 Crater Lake LnLafayette, CO 80026-3488 · (520) 260-3478
Phone(520) 260-3478
Sole ProprietorYes
Enumeration DateJune 18, 2007
Last NPPES UpdateJanuary 31, 2024
NPPES CertifiedJanuary 31, 2024
✔ NPI 1699970830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyEmergency Medicine · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207PP0204X
Licenses✔ Licensed in NV · 16455✔ Licensed in NE · 27906
Definition
Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 40833 (AZ), 042.0012577 (VT), 48971 (CO), MD2015-0100 (NM)
Also ListedPediatricsTaxonomy 208000000X · License 0048971 (CO)
2849 CRATER LAKE LN, Lafayette, CO 80026
Open in Google Maps ↗

Other Identifiers 1

Other76686AZ · Resident Pg Permit

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Wellmark Health Plan of Iowa, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charles P Gillespie 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.

Medicare Billing Reassignments

2

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

Usacs Of Colorado Inc
3.3 mi
Emergency Medicine
100 HEALTH PARK DR
Louisville, CO 80027
  • Reassigned Medicare billing, Colorado enrollment
  • 468 clinicians in this Medicare group
NPI 1851927693 (330) 493-4443
Usacs Community Emergency Services Of Colorado, Inc.
11 mi
Emergency Medicine
4943 STATE HIGHWAY 52 STE 100
Dacono, CO 80514
  • Reassigned Medicare billing, Colorado enrollment
  • 352 clinicians in this Medicare group
NPI 1548895030 (330) 493-4443

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 4

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
42 services32 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
41 services39 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
17 services17 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80026 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

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 Charles Gillespie's NPI number?

The NPI number for Charles Gillespie is 1699970830. It was assigned to this individual provider in the NPPES registry on June 18, 2007.

Where is Charles Gillespie located?

Charles Gillespie practices at 2849 Crater Lake Ln, Lafayette, CO 80026. The listed phone number is (520) 260-3478.

What is Charles Gillespie's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Pediatric Emergency Medicine, with taxonomy code 207PP0204X.

Is Charles Gillespie enrolled in Medicare?

Yes. Charles Gillespie is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Charles Gillespie's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charles Gillespie reassigns Medicare benefits to 2 organizations: Usacs Of Colorado Inc (Louisville, CO) and Usacs Community Emergency Services Of Colorado, Inc. (Dacono, CO). 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 Charles Gillespie's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Charles Gillespie accept?

Health plans from Wellmark Health Plan of Iowa, Inc. list Charles Gillespie 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 Charles Gillespie was last updated on January 31, 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.