1. Home
  2. Directory
  3. Ohio
  4. Portsmouth
  5. Physician Assistant
  6. NPI Profile

MICHAEL PAUL GILLISPIE PA-C
NPI 1710696976
Physician Assistant - Surgical in Portsmouth, OH

Active since November 16, 2022PECOS EnrolledAccepts Medicare Assignment
76.08/100
CMS Quality Rating
1805 27TH ST, PORTSMOUTH, OH 45662(740) 356-8117(740) 353-1214 Get Directions Write a Review

NPPES record last updated: June 16, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 16, 2023, May 22, 2023, Nov 16, 2022 (3 updates tracked since 2022).

About Michael Paul Gillispie Pa-c NPPES

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

MICHAEL PAUL GILLISPIE PA-C (NPI 1710696976) is an individual surgical provider in Portsmouth, Ohio, licensed in Ohio (50.007812RX) and active in the NPI registry since November 2022. He is enrolled in Medicare PECOS, is affiliated with Southern Ohio Medical Center, and maintains a secondary practice location in Portsmouth.

NPPES Registry Identity

NPI1710696976
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMICHAEL PAUL GILLISPIECredential: PA-C
Location Address1805 27TH STPortsmouth, OH 45662-2686
Mailing Address1735 27th St Ste B06Portsmouth, OH 45662-2681 · (740) 356-8681 · Fax (740) 356-1256
Phone(740) 356-8117
Fax(740) 353-1214
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateNovember 16, 2022
Last NPPES UpdateJune 16, 20233 updates tracked since enumeration
NPPES CertifiedJune 16, 2023
✔ NPI 1710696976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in OH · 50.007812RX
Also ListedPhysician AssistantTaxonomy 363A00000X · License 50.007812RX (OH)
1805 27TH ST, Portsmouth, OH 45662
Open in Google Maps ↗

Secondary Practice Location 1

Location 11248 Kinneys LnPortsmouth, OH 45662-2994 · Phone (740) 356-7290 · Fax (740) 356-7938

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Michael Paul Gillispie Pa-c 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 ID547639544
PECOS Enrollment IDI20221214001826
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 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.

Drainage of fluid from abdominal cavity using imaging guidance 49083
This procedure involves removing excess fluid from your abdominal cavity, which can relieve discomfort. A specialist uses imaging technology to guide a thin needle into the right spot. The fluid is then drained out safely.
93 services29 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
77 services63 patients
Fine needle aspiration biopsy using ultrasound guidance, first growth 10005
Fine needle aspiration biopsy with ultrasound guidance is a procedure where a thin needle is inserted into a growth to extract a small sample. Ultrasound helps accurately locate the growth. This sample is then analyzed to determine the nature of the growth.
39 services39 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
14 services13 patients

Hospital Affiliations CMS Care Compare

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

Southern Ohio Medical Center

Acute Care Hospitals · Portsmouth, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360008
Location1805 27th StreetPortsmouth, OH 45662 · Scioto County
Emergency services Birthing friendly

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.

76.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.17
Promoting Interoperability100
Improvement Activities40
Cost43.98

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.

JEANNA M HULL PA-C
Physician Assistant
1805 27TH ST
PORTSMOUTH, OH 45662
Scioto County (740) 356-8310
DR. SHAYNA B. TOMCHIN MD
Pathology (Anatomic Pathology & Clinical Pathology)
1805 27TH ST
PORTSMOUTH, OH 45662
Scioto County (740) 356-8280
DR. MATTHEW RAY HARCHA D.O
Emergency Medicine
1805 27TH ST
PORTSMOUTH, OH 45662
Scioto County (740) 356-5000
LORETTA A SETTONNI MD
Radiology (Diagnostic Radiology)
1805 27TH ST
PORTSMOUTH, OH 45662
Scioto County (740) 356-8117
DR. RAMEZ A MALATY M.D.
Radiology (Diagnostic Radiology)
1805 27TH ST
PORTSMOUTH, OH 45662
Scioto County (740) 356-8681
JOSHUA BOMMELJE PA-C
Physician Assistant
1805 27TH ST
PORTSMOUTH, OH 45662
Scioto County (740) 356-5000
DUSTIN LEE JOHNSON MD
Radiology (Diagnostic Radiology)
1805 27TH ST
PORTSMOUTH, OH 45662
Scioto County (740) 356-5000
DR. MEGHAN KELLY MCCORMICK D.O.
Emergency Medicine
1805 27TH ST
PORTSMOUTH, OH 45662
Scioto County (740) 356-5000

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 Michael Gillispie's NPI number?

The NPI number for Michael Gillispie is 1710696976. It was assigned to this individual provider in the NPPES registry on November 16, 2022.

Where is Michael Gillispie located?

Michael Gillispie practices at 1805 27th St, Portsmouth, OH 45662. The listed phone number is (740) 356-8117.

What is Michael Gillispie's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Michael Gillispie enrolled in Medicare?

Yes. Michael Gillispie 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 Michael Gillispie accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and MedMutual and 1 other insurer list Michael Gillispie 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 Michael Gillispie affiliated with any hospitals?

According to CMS data, Michael Gillispie is affiliated with Southern Ohio Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Gillispie was last updated on June 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.