MR. MICHAEL GILLES
NPI 1801209143
Clinical Nurse Specialist - Gerontology in Dayton, OH

Active since June 04, 2014PECOS EnrolledAccepts Medicare Assignment
84.95/100
CMS Quality Rating
30 E APPLE ST STE NW3300, DAYTON, OH 45409(937) 208-8394(937) 208-8388 Get Directions Write a Review

NPPES record last updated: August 13, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Michael Gilles NPPES

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

MR. MICHAEL GILLES (NPI 1801209143) is an individual gerontology provider in Dayton, Ohio, licensed in Ohio (APRN.CNS.15989) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with Miami Valley Hospital, and is a graduate of Wright State University Boonshoft School Of Medicine (2014).

NPPES Registry Identity

NPI1801209143
Entity TypeIndividualMale
Primary Taxonomy364SG0600X
Provider Legal NameMR. MICHAEL GILLES
Location Address30 E APPLE ST STE NW3300Dayton, OH 45409-2939
Mailing Address3170 Kettering Blvd Bldg B3Moraine, OH 45439-1924 · (937) 991-3186
Fax(937) 208-8388
Sole ProprietorNo
Medical School CMSWright State University Boonshoft School Of MedicineGraduated 2014
Enumeration DateJune 4, 2014
Last NPPES UpdateAugust 13, 2018
NPI 1801209143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinical Nurse Specialist · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SG0600X
License Licensed in OH · APRN.CNS.15989
Also ListedRegistered Nurse · Pain ManagementTaxonomy 163WP0000X · License RN.352635 (OH)
30 E APPLE ST STE NW3300, Dayton, OH 45409

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

Mr. Michael Gilles 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 ID1557600103
PECOS Enrollment IDI20190227000460
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.

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.
191 services131 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.
59 services35 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
44 services31 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.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Miami Valley Hospital

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360051
LocationOne Wyoming StreetDayton, OH 45409 · Montgomery County
Emergency services Birthing friendly

Atrium Medical Center

Acute Care Hospitals · Franklin, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360076
LocationOne Medical Center DriveFranklin, OH 45005 · Warren County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45409 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

84.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.68
Promoting Interoperability100
Improvement Activities40
Cost69.16

Other Providers at the Same Location NPPES 16

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

Family Medicine
30 E APPLE ST STE NW3300
DAYTON, OH 45409
Internal Medicine
30 E APPLE ST STE NW3300
DAYTON, OH 45409
Internal Medicine
30 E APPLE ST STE NW3300
DAYTON, OH 45409
Internal Medicine
30 E APPLE ST STE NW3300
DAYTON, OH 45409
Hospitalist
30 E APPLE ST STE NW3300
DAYTON, OH 45409
Internal Medicine
30 E APPLE ST STE NW3300
DAYTON, OH 45409
Internal Medicine
30 E APPLE ST STE NW3300
DAYTON, OH 45409
Hospitalist
30 E APPLE ST STE NW3300
DAYTON, OH 45409

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 Gilles's NPI number?

The NPI number for Michael Gilles is 1801209143. It was assigned to this individual provider in the NPPES registry on June 4, 2014.

Where is Michael Gilles located?

Michael Gilles practices at 30 E Apple St Ste Nw3300, Dayton, OH 45409. The listed phone number is (937) 208-8394.

What is Michael Gilles's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Gerontology, with taxonomy code 364SG0600X.

Is Michael Gilles enrolled in Medicare?

Yes. Michael Gilles 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 Gilles accept?

Health plans from CareSource and MedMutual list Michael Gilles 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 Gilles affiliated with any hospitals?

According to CMS data, Michael Gilles is affiliated with Miami Valley Hospital and Atrium Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Gilles was last updated on August 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.