GAIL BENTLEY MD
NPI 1801833322
Pathology - Anatomic Pathology & Clinical Pathology in Nashville, TN
About Gail Bentley Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GAIL BENTLEY MD (NPI 1801833322) is an individual anatomic pathology & clinical pathology provider in Nashville, Tennessee, licensed in Tennessee (49988) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Baptist Memorial Hospital North Ms, and maintains a secondary practice location in Memphis.Information from the official NPPES registry record, last updated July 18, 2023.
NPPES Registry Identity
★ Primary Specialty
Pathology · Anatomic Pathology & Clinical Pathology
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the… Show more
Also on File with NPPES
Memphis, TN 38125-8803
Phone (901) 526-7444 · Fax (901) 526-0791
Medicare Participation & PECOS Enrollment Status
Gail Bentley is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Gail Bentley is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 7911919220
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20130529000366, I20231204001514, I20231223000093, I20240418001226, I20240509000297, I20250804000544, I20250818000149
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Blood smear interpretation by physician with written report
Bone marrow, smear interpretation
Bone marrow, smear interpretation
Chromosome analysis for genetic defects, additional karyotypes, each study
Chromosome analysis for genetic defects, analyze 20-25 cells
Flow cytometry technique for dna or cell analysis, 16 or more markers
Flow cytometry technique for dna or cell analysis, 16 or more markers
Flow cytometry technique for dna or cell analysis, each additional marker
Flow cytometry technique for dna or cell analysis, first marker
Genetic sequencing localization, each additional procedure
Genetic sequencing localization, initial procedure
Interpretation and report of genetic testing
Interpretation and report of genetic testing
Microscopic genetic analysis of tissue, computer-assisted technology, initial procedure, each multiplex procedure
Microscopic genetic analysis of tissue, computer-assisted technology, initial procedure, each multiplex procedure
Microscopic genetic analysis of tissue, manual, each additional multiplex stain procedure
Microscopic genetic analysis of tumor, manual
Molecular pathology procedure; physician interpretation and report
Molecular pathology procedure; physician interpretation and report
Pathology examination of tissue using a microscope, intermediate complexity
Pathology examination of tissue using a microscope, intermediate complexity
Pathology examination of tissue using a microscope, limited examination
Preparation of tissue for examination by removing any calcium present
Preparation of tissue for examination by removing any calcium present
Special stained specimen slides to examine tissue including interpretation and report
Special stained specimen slides to examine tissue including interpretation and report
Special stained specimen slides to examine tissue, each additional procedure
Special stained specimen slides to examine tissue, each additional procedure
Special stained specimen slides to examine tissue, initial procedure
Special stained specimen slides to examine tissue, initial procedure
Surgical pathology consultation and report on referred slides prepared elsewhere
Surgical pathology consultation and report on referred slides prepared elsewhere
Tissue culture for tumor disorders of bone marrow and blood cells
Blood smear interpretation is a lab test where your doctor examines a sample of your blood under a microscope. They look for abnormalities in your blood cells which can help diagnose various conditions. You'll receive a written report of the findings.
This service was performed 64 times for 62 patientsBone marrow smear interpretation is a procedure where a small sample of your bone marrow is taken and examined under a microscope. This helps doctors identify any abnormal cells or signs of diseases such as anemia, leukemia, or infections. It's a crucial step in diagnosing various blood disorders.
This service was performed 187 times for 180 patientsBone marrow smear interpretation is a procedure where a small sample of your bone marrow is taken and examined under a microscope. This helps doctors identify any abnormal cells or signs of diseases such as anemia, leukemia, or infections. It's a crucial step in diagnosing various blood disorders.
This service was performed 30 times for 30 patientsChromosome analysis is a test that examines the number and structure of a person's chromosomes. This is done to identify any genetic defects. Additional karyotypes, each study, are further tests that look at the arrangement of these chromosomes. This can help in detecting genetic disorders.
This service was performed 33 times for 33 patientsChromosome analysis is a test that evaluates your cells to check for genetic defects. In this procedure, 20-25 cells are examined under a microscope to identify any abnormalities. This information can help in diagnosing certain genetic conditions and guide treatment plans.
This service was performed 33 times for 33 patientsFlow cytometry is a method used to measure and analyze cells. It uses a beam of light to detect up to 16 or more markers on cells, helping to identify their type, function, or abnormalities. This technique aids in diagnosing various health conditions.
This service was performed 46 times for 46 patientsFlow cytometry is a method used to measure and analyze cells. It uses a beam of light to detect up to 16 or more markers on cells, helping to identify their type, function, or abnormalities. This technique aids in diagnosing various health conditions.
This service was performed 486 times for 464 patientsFlow cytometry is a technique that helps analyze the physical and chemical characteristics of cells or particles. When an additional marker is used, it aids in identifying specific cell types or stages of disease. This helps in precise diagnosis and treatment planning.
This service was performed 4,163 times for 149 patientsFlow cytometry is a technique used to examine microscopic particles, like cells or DNA. It employs a beam of light to detect and measure physical and chemical characteristics of these particles. The 'first marker' refers to a specific characteristic or feature used to identify a particular cell or particle.
This service was performed 154 times for 149 patientsGenetic sequencing localization is a process where specific regions of your DNA are identified and studied. If you're having additional procedures, it simply means that more areas of your DNA are being examined. This helps to understand your genetic makeup better and can assist in identifying potential health risks.
This service was performed 26 times for 26 patientsGenetic sequencing localization is a process to identify where specific genes are located in your DNA. During the initial procedure, a sample of your cells is collected, usually through a simple swab or blood test. This data is then analyzed to pinpoint the location of certain genes. This can help understand your genetic makeup and potential health risks.
This service was performed 56 times for 56 patientsInterpretation and report of genetic testing involves analyzing your DNA to look for changes that could indicate a risk for certain health conditions. The results are then compiled into a report, which provides insights about your genetic health.
This service was performed 31 times for 31 patientsInterpretation and report of genetic testing involves analyzing your DNA to look for changes that could indicate a risk for certain health conditions. The results are then compiled into a report, which provides insights about your genetic health.
This service was performed 217 times for 212 patientsThis procedure involves analyzing tissue at a genetic level using a microscope and advanced computer technology. The initial process involves the collection and preparation of tissue samples. Each multiplex procedure refers to the simultaneous testing of multiple genetic markers to identify abnormalities.
This service was performed 1,123 times for 247 patientsThis procedure involves analyzing tissue at a genetic level using a microscope and advanced computer technology. The initial process involves the collection and preparation of tissue samples. Each multiplex procedure refers to the simultaneous testing of multiple genetic markers to identify abnormalities.
This service was performed 265 times for 61 patientsMicroscopic genetic analysis of tissue is a detailed lab process that examines your cells' genetic material. If more than one stain procedure is needed, it's termed an 'additional multiplex stain procedure'. This helps to highlight different components within your cells, aiding in accurate diagnosis and treatment planning.
This service was performed 92 times for 32 patientsMicroscopic genetic analysis of a tumor involves examining your tumor's genes under a microscope. This helps identify specific genetic changes in the tumor cells. This information can aid in diagnosing, predicting disease progression, and determining the most effective treatment options.
This service was performed 53 times for 21 patientsA molecular pathology procedure involves analyzing your body's cells at a molecular level to identify any abnormalities. This can help detect diseases early. A physician will interpret the results and provide a detailed report, explaining the findings clearly.
This service was performed 238 times for 91 patientsA molecular pathology procedure involves analyzing your body's cells at a molecular level to identify any abnormalities. This can help detect diseases early. A physician will interpret the results and provide a detailed report, explaining the findings clearly.
This service was performed 110 times for 45 patientsA pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
This service was performed 592 times for 228 patientsA pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
This service was performed 93 times for 37 patientsA pathology examination of tissue using a microscope is a procedure where a small sample of your tissue is observed under a microscope. This limited examination helps identify any abnormal cells or signs of disease, aiding in accurate diagnosis and treatment planning.
This service was performed 19 times for 19 patientsThis procedure involves treating tissue samples to remove any calcium, which can interfere with the examination. The tissue is soaked in a special solution that safely dissolves the calcium, leaving the tissue intact for accurate analysis. This helps in making precise diagnoses.
This service was performed 198 times for 188 patientsThis procedure involves treating tissue samples to remove any calcium, which can interfere with the examination. The tissue is soaked in a special solution that safely dissolves the calcium, leaving the tissue intact for accurate analysis. This helps in making precise diagnoses.
This service was performed 29 times for 29 patientsSpecial stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.
This service was performed 1,106 times for 192 patientsSpecial stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.
This service was performed 177 times for 32 patientsSpecial stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
This service was performed 927 times for 183 patientsSpecial stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
This service was performed 102 times for 22 patientsThis procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
This service was performed 275 times for 216 patientsThis procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
This service was performed 36 times for 31 patientsA surgical pathology consultation involves reviewing slides prepared at a different lab to confirm or clarify a diagnosis. It's a second opinion to ensure accuracy. A report with findings and interpretations is then provided for your doctor's reference.
This service was performed 14 times for 14 patientsA surgical pathology consultation involves reviewing slides prepared at a different lab to confirm or clarify a diagnosis. It's a second opinion to ensure accuracy. A report with findings and interpretations is then provided for your doctor's reference.
This service was performed 12 times for 12 patientsTissue culture for tumor disorders of bone marrow and blood cells is a lab process where your cells are grown in a controlled environment. The aim is to detect and study abnormal cells, such as cancer, in your bone marrow or blood. This helps in planning effective treatment.
This service was performed 62 times for 34 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $30.45 for a new patient copayment and $23.4 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 37217 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $121.8
- Minimum New Patient Price $52.64
- Maximum New Patient Price $160.89
- Average New Patient Copayment $30.45
- Minimum New Patient Copayment $13.16
- Maximum New Patient Copayment $40.22
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $93.6
- Minimum Established Patient Price $16.72
- Maximum Established Patient Price $131.41
- Average Established Patient Copayment $23.4
- Minimum Established Patient Copayment $4.18
- Maximum Established Patient Copayment $32.85
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Overall MIPS Quality Performance
The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 74.5, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
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Final Score: 74.5 out of 100
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.
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Quality Score: 70
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category comprises 40% of a provider's final MIPS score.
There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
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Promoting Interoperability Score: N/A
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category comprises 25% of a provider's final MIPS score.
The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. -
Improvement Activities Score: 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category comprises 15% of a provider's final MIPS score.
The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category comprises 15% of a provider's final MIPS score. -
Cost Score: N/A
The Cost performance category assesses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category comprises 20% of a provider's final MIPS score.
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Gail Bentley is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| BAPTIST MEMORIAL HOSPITAL NORTH MS | 1100 BELK BLVD /PO BOX 946 OXFORD, MS 38655 | (662) 232-8100 | Acute Care Hospitals | |
| BMH-GOLDEN TRIANGLE | 2520 5TH STREET N COLUMBUS, MS 39705 | (662) 244-1000 | Acute Care Hospitals | |
| MISSISSIPPI BAPTIST MEDICAL CENTER | 1225 N STATE ST JACKSON, MS 39202 | (601) 968-1000 | Acute Care Hospitals | |
| BAPTIST MEMORIAL HOSPITAL | 6019 WALNUT GROVE ROAD MEMPHIS, TN 38120 | (901) 226-5000 | Acute Care Hospitals | |
| TRISTAR CENTENNIAL MEDICAL CENTER | 2300 PATTERSON STREET NASHVILLE, TN 37203 | (615) 342-1000 | Acute Care Hospitals |
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
NASHVILLE, TN 37217
NASHVILLE, TN 37217
NASHVILLE, TN 37217
NASHVILLE, TN 37217
NASHVILLE, TN 37217
NASHVILLE, TN 37217
NASHVILLE, TN 37217
NASHVILLE, TN 37217
NASHVILLE, TN 37217
NASHVILLE, TN 37217
NASHVILLE, TN 37217
NASHVILLE, TN 37217
NASHVILLE, TN 37217
NASHVILLE, TN 37217
NASHVILLE, TN 37217
NASHVILLE, TN 37217
NASHVILLE, TN 37217
NASHVILLE, TN 37217
NASHVILLE, TN 37217
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1801833322, enumerated as an "individual" on June 01, 2006.
The provider is located at 1010 AIRPARK CENTER DR NASHVILLE, TN 37217 and the phone number is (615) 562-9200.
Pathology with taxonomy code 207ZP0102X and a focus in Anatomic Pathology & Clinical Pathology.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas and CareSource. Please consult your insurance carrier or call the provider to verify.
Gail Bentley is affiliated with: BAPTIST MEMORIAL HOSPITAL NORTH MS, BMH-GOLDEN TRIANGLE, MISSISSIPPI BAPTIST MEDICAL CENTER, BAPTIST MEMORIAL HOSPITAL and TRISTAR CENTENNIAL MEDICAL CENTER.
