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VINCENT GEMMA M.D.
NPI 1790195303
Surgery in Shelbyville, IN

Active since May 05, 2014PECOS EnrolledAccepts Medicare Assignment
2451 INTELLIPLEX DR STE 280, SHELBYVILLE, IN 46176(317) 392-0222 Get Directions Write a Review

NPPES record last updated: December 31, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 31, 2021, Jul 22, 2021, Apr 22, 2020 (3 updates tracked since 2020).

About Vincent Gemma M.d. NPPES

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

VINCENT GEMMA M.D. (NPI 1790195303) is an individual surgery provider in Shelbyville, Indiana, licensed in Indiana (01082187A) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS, is affiliated with Major Hospital, and is a graduate of Indiana University School Of Medicine (2014).

NPPES Registry Identity

NPI1790195303
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameVINCENT GEMMACredential: M.D.
Location Address2451 INTELLIPLEX DR STE 280Shelbyville, IN 46176-8580
Mailing Address2451 Intelliplex Dr Ste 280Shelbyville, IN 46176-8580
Phone(317) 392-0222
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 2014
Enumeration DateMay 5, 2014
Last NPPES UpdateDecember 31, 20213 updates tracked since enumeration
NPPES CertifiedDecember 31, 2021
✔ NPI 1790195303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in IN · 01082187A
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2451 INTELLIPLEX DR STE 280, Shelbyville, IN 46176
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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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Vincent Gemma M.d. 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 ID3779914759
PECOS Enrollment IDI20200506002382
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

3

Medicare enrollment records show Vincent Gemma reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Major Hospital
Same address
General Acute Care Hospital
2451 INTELLIPLEX DR
Shelbyville, IN 46176
  • Reassigned Medicare billing, Indiana enrollment
  • 121 clinicians in this Medicare group
NPI 1174555692 (317) 392-3211
Major Multispecialty Associates
0.1 mi
Internal Medicine
2451 INTELLIPLEX DR
Shelbyville, IN 46176
  • Reassigned Medicare billing, Indiana enrollment
  • 73 clinicians in this Medicare group
NPI 1437398492 (317) 392-3211
Rush Memorial Hospital
19 mi
Critical Access
1300 N MAIN ST
Rushville, IN 46173
  • Reassigned Medicare billing, Indiana enrollment
  • 93 clinicians in this Medicare group
NPI 1497726020 (765) 932-7420

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 10

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 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.
48 services34 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
35 services33 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.
33 services29 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.
33 services21 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
23 services22 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
18 services18 patients

Hospital Affiliations CMS Care Compare 3

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

Major Hospital

Acute Care Hospitals · Shelbyville, IN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150097
Location2451 Intelliplex DrShelbyville, IN 46176 · Shelby County
Emergency services Birthing friendly

Columbus Regional Hospital

Acute Care Hospitals · Columbus, IN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150112
Location2400 E 17th StColumbus, IN 47201 · Bartholomew County
Emergency services Birthing friendly

Rush Memorial Hospital

Critical Access Hospitals · Rushville, IN
OwnershipGovernment - Local
CMS Certification Number151304
Location1300 N Main StRushville, IN 46173 · Rush County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46176 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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

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

DR. SHOTARO SANO D.O
Surgery
2451 INTELLIPLEX DR STE 280
SHELBYVILLE, IN 46176
Shelby County (317) 392-0222

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 Vincent Gemma's NPI number?

The NPI number for Vincent Gemma is 1790195303. It was assigned to this individual provider in the NPPES registry on May 5, 2014.

Where is Vincent Gemma located?

Vincent Gemma practices at 2451 Intelliplex Dr Ste 280, Shelbyville, IN 46176. The listed phone number is (317) 392-0222.

What is Vincent Gemma's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Vincent Gemma enrolled in Medicare?

Yes. Vincent Gemma 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 Vincent Gemma's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vincent Gemma reassigns Medicare benefits to 3 organizations: Major Hospital (Shelbyville, IN), Major Multispecialty Associates (Shelbyville, IN) and Rush Memorial Hospital (Rushville, IN). 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 Vincent Gemma's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Vincent Gemma accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Vincent Gemma 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 Vincent Gemma affiliated with any hospitals?

According to CMS data, Vincent Gemma is affiliated with Major Hospital, Columbus Regional Hospital and Rush Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Vincent Gemma was last updated on December 31, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.