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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. DOUGLAS L GERVAIS MD
NPI 1801864814
Plastic Surgery in Minneapolis, MN

Active since March 08, 2006Opted out of Medicare · through Dec 15, 2027
4825 OLSON MEMORIAL HWY, #200, MINNEAPOLIS, MN 55422(763) 545-0443(763) 545-2784 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Douglas L Gervais Md NPPES

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

DR. DOUGLAS L GERVAIS MD (NPI 1801864814) is an individual plastic surgery provider in Minneapolis, Minnesota, licensed in Minnesota (38691) and active in the NPI registry since March 2006. He has opted out of Medicare through December 15, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1801864814
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameDR. DOUGLAS L GERVAISCredential: MD
Location Address4825 OLSON MEMORIAL HWY, #200Minneapolis, MN 55422
Mailing Address4825 Olson Memorial Hwy, #200Minneapolis, MN 55422 · (763) 545-0443 · Fax (763) 545-2784
Phone(763) 545-0443
Fax(763) 545-2784
Sole ProprietorNo
Enumeration DateMarch 8, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1801864814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in MN · 38691
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
4825 OLSON MEMORIAL HWY, Minneapolis, MN 55422
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Other Identifiers 1

Other17A56GEMN · Blue Cross

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Douglas L Gervais Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 15, 2015 through December 15, 2027.

Opt-Out Effective DateDecember 15, 2015
Opt-Out In Effect ThroughDecember 15, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55422 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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 5

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

DR. JENNEH KOTAY GBEHAN DNP-FNP
Nurse Practitioner (Family)
4825 OLSON MEMORIAL HWY
GOLDEN VALLEY, MN 55422
Hennepin County (763) 496-5708
DR. RICHARD H THOLEN MD
Plastic Surgery
4825 OLSON MEMORIAL HWY, SUITE 200
MINNEAPOLIS, MN 55422
Hennepin County (763) 545-0443
MRS. KELSEY MARIT HAMILTON PAC
Physician Assistant
4825 OLSON MEMORIAL HWY, SUITE 201
MINNEAPOLIS, MN 55422
Hennepin County (763) 540-1837
MINNEAPOLIS PLASTIC SURGERY LTD
Surgery (Plastic and Reconstructive Surgery)
4825 OLSON MEMORIAL HWY, #200
MINNEAPOLIS, MN 55422
Hennepin County (763) 545-0443
PATHWAYS CHIROPRACTIC CENTER PA
Clinic/Center (Health Service)
4825 OLSON MEMORIAL HWY, SUITE 150
GOLDEN VALLEY, MN 55422
Hennepin County (763) 634-5892

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 Douglas Gervais's NPI number?

The NPI number for Douglas Gervais is 1801864814. It was assigned to this individual provider in the NPPES registry on March 8, 2006.

Where is Douglas Gervais located?

Douglas Gervais practices at 4825 Olson Memorial Hwy #200, Minneapolis, MN 55422. The listed phone number is (763) 545-0443.

What is Douglas Gervais's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Douglas Gervais enrolled in Medicare?

No. Douglas Gervais has opted out of Medicare through December 15, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Douglas Gervais was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.