GISELA G CHELIMSKY MD
NPI 1760491336
Pediatrics - Pediatric Gastroenterology in Milwaukee, WI

Active since August 05, 2006PECOS EnrolledAccepts Medicare Assignment
76.23/100
CMS Quality Rating
9000 W WISCONSIN AVE, PEDIATRIC GASTROENTEROLOGY, MILWAUKEE, WI 53226(414) 266-3690(414) 266-3676 Get Directions Write a Review

NPPES record last updated: August 29, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Gisela G Chelimsky Md NPPES

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

GISELA G CHELIMSKY MD (NPI 1760491336) is an individual pediatric gastroenterology provider in Milwaukee, Wisconsin, licensed in Wisconsin (56475) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1987).

NPPES Registry Identity

NPI1760491336
Entity TypeIndividualFemale
Primary Taxonomy2080P0206X
Provider Legal NameGISELA G CHELIMSKYCredential: MD
Location Address9000 W WISCONSIN AVE, PEDIATRIC GASTROENTEROLOGYMilwaukee, WI 53226-4874
Mailing Address9000 W Wisconsin Ave, Pediatric GastroenterologyMilwaukee, WI 53226-4874 · (414) 266-3690 · Fax (414) 266-3676
Fax(414) 266-3676
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateAugust 5, 2006
Last NPPES UpdateAugust 29, 2013
✔ NPI 1760491336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
Licenses✔ Licensed in WI · 56475✔ Licensed in OH · 35-062443
Definition
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
9000 W WISCONSIN AVE, Milwaukee, WI 53226

Other Identifiers 17

Other0018470140001PA · Pa Medicaid
Medicaid1760491336WI
Medicare PINCH0812713OH
Other000000182741OH · Anthem
Medicare PIN07520 0061WI
Other10025555600NE · Ne Medicaid
Medicare UPING39896OH
Medicaid0315797OH
Medicare PIN736012344WI
Other000000221377OH · Unison
Other2102969OH · Aetna
Other0315797OH · Bcmh
Medicare PIN680861131WI
Other363415OH · Wellcare
Other739162OH · Buckeye
Other000000525886OH · Anthem
Medicare PINCH0812715OH

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Gisela G Chelimsky 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 ID1557350840
PECOS Enrollment IDI20220910000367
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 Gisela Chelimsky reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
8701 WATERTOWN PLANK RD
Milwaukee, WI 53226
  • Reassigned Medicare billing, Wisconsin enrollment
  • 3,983 clinicians in this Medicare group
Anesthesiology
1250 E MARSHALL ST, MAIN 1-214, BOX 980510
Richmond, VA 23298
  • Reassigned Medicare billing, Virginia enrollment
  • 2,481 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53226 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.

76.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.58
Promoting Interoperability100
Improvement Activities40
Cost56.18

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.

Nurse Practitioner (Pediatrics)
9000 W WISCONSIN AVE, PEDIATRIC CRITICAL CARE
MILWAUKEE, WI 53226
Pediatrics (Pediatric Hematology-Oncology)
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Pediatrics (Pediatric Endocrinology)
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Pediatrics
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Pediatrics
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Dietitian, Registered
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Social Worker (Clinical)
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Psychologist (Clinical)
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226

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 Gisela Chelimsky's NPI number?

The NPI number for Gisela Chelimsky is 1760491336. It was assigned to this individual provider in the NPPES registry on August 5, 2006.

Where is Gisela Chelimsky located?

Gisela Chelimsky practices at 9000 W Wisconsin Ave Pediatric Gastroenterology, Milwaukee, WI 53226. The listed phone number is (414) 266-3690.

What is Gisela Chelimsky's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Is Gisela Chelimsky enrolled in Medicare?

Yes. Gisela Chelimsky 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.

Which organizations bill Medicare for Gisela Chelimsky's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gisela Chelimsky reassigns Medicare benefits to 2 organizations: The Medical College Of Wisconsin, Inc. (Milwaukee, WI) and Mcv Associated Physicians (Richmond, VA). 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 Gisela Chelimsky's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gisela Chelimsky accept?

Health plans from Oscar Health list Gisela Chelimsky 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 Gisela Chelimsky was last updated on August 29, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.