ANDREW V GASPARINI MD
NPI 1700011459
Family Medicine in Grand Forks, ND

Active since May 26, 2009PECOS EnrolledAccepts Medicare Assignment
82.99/100
CMS Quality Rating
725 HAMLINE ST - ALTRU FAMILY MEDICINE RESIDENCY, GRAND FORKS, ND 58203(701) 780-6800(218) 935-2720 Get Directions Write a Review

NPPES record last updated: February 25, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Andrew V Gasparini Md NPPES

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

ANDREW V GASPARINI MD (NPI 1700011459) is an individual family medicine provider in Grand Forks, North Dakota, licensed in North Dakota (11662) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS, is affiliated with Altru Hospital, and is a graduate of University Of North Dakota School Of Medicine (2009).

NPPES Registry Identity

NPI1700011459
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameANDREW V GASPARINICredential: MD
Location Address725 HAMLINE ST - ALTRU FAMILY MEDICINE RESIDENCYGrand Forks, ND 58203
Mailing Address2401 Demers AveGrand Forks, ND 58201 · (701) 780-1891
Fax(218) 935-2720
Sole ProprietorNo
Medical School CMSUniversity Of North Dakota School Of MedicineGraduated 2009
Enumeration DateMay 26, 2009
Last NPPES UpdateFebruary 25, 2019
NPI 1700011459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in ND · 11662 Licensed in ND · RL11211 Licensed in MN · TP105148 Licensed in MN · 53565
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
725 HAMLINE ST - ALTRU FAMILY MEDICINE RESIDENCY, Grand Forks, ND 58203

Other Identifiers 1

Medicaid15436ND

Accepted 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

Andrew V Gasparini 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 ID42407256
PECOS Enrollment IDI20110127000283
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.
351 services164 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.
151 services119 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.
96 services35 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
74 services74 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
41 services39 patients
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438
An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.
32 services32 patients

Hospital Affiliations CMS Care Compare

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

Altru Hospital

Acute Care Hospitals · Grand Forks, ND
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number350019
Location1200 S Columbia RdGrand Forks, ND 58201 · Grand Forks County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58203 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
$85.71 typical visit price
range $55.75 – $168.12
Typical copayment $21.42 (range $13.93 – $42.03)
Most-billed visit code 99203
Established Patient
$98.29 typical visit price
range $18.11 – $137.65
Typical copayment $24.57 (range $4.52 – $34.41)
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.

82.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.06
Promoting Interoperability99
Improvement Activities40
Cost57.08

Referred Medical Equipment & Supplies CMS DME claims 8

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers50 claims117 services$5.65 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
3 suppliers14 claims18 services$0.88 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
1 supplier11 claims13 services$31.06 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
1 supplier15 claims50 services$2.16 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$83.81 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
2 suppliers22 claims1,680 services$0.09 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 10

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

Family Medicine
725 HAMLINE ST - ALTRU FAMILY MEDICINE RESIDENCY
GRAND FORKS, ND 58203
Dietitian, Registered
725 HAMLINE ST - ALTRU FAMILY MEDICINE RESIDENCY
GRAND FORKS, ND 58203
Registered Nurse (Diabetes Educator)
725 HAMLINE ST - ALTRU FAMILY MEDICINE RESIDENCY
GRAND FORKS, ND 58203
Registered Nurse (Diabetes Educator)
725 HAMLINE ST - ALTRU FAMILY MEDICINE RESIDENCY
GRAND FORKS, ND 58203
Registered Nurse
725 HAMLINE ST - ALTRU FAMILY MEDICINE RESIDENCY
GRAND FORKS, ND 58203
Dietitian, Registered
725 HAMLINE ST - ALTRU FAMILY MEDICINE RESIDENCY
GRAND FORKS, ND 58203
Internal Medicine (Infectious Disease)
725 HAMLINE ST - ALTRU FAMILY MEDICINE RESIDENCY
GRAND FORKS, ND 58203
Internal Medicine
725 HAMLINE ST - ALTRU FAMILY MEDICINE RESIDENCY
GRAND FORKS, ND 58203

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 Andrew Gasparini's NPI number?

The NPI number for Andrew Gasparini is 1700011459. It was assigned to this individual provider in the NPPES registry on May 26, 2009.

Where is Andrew Gasparini located?

Andrew Gasparini practices at 725 Hamline St - Altru Family Medicine Residency, Grand Forks, ND 58203. The listed phone number is (701) 780-6800.

What is Andrew Gasparini's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Andrew Gasparini enrolled in Medicare?

Yes. Andrew Gasparini 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 Andrew Gasparini accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica and Sanford Health Plan list Andrew Gasparini 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 Andrew Gasparini affiliated with any hospitals?

According to CMS data, Andrew Gasparini is affiliated with Altru Hospital.

When was this NPI record last updated?

The NPPES record for Andrew Gasparini was last updated on February 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.