NICOLLE MARIE GUNTER M.D.
NPI 1811968035
Hospitalist in Overland Park, KS

Active since January 27, 2006PECOS EnrolledAccepts Medicare Assignment
80.02/100
CMS Quality Rating
5701 W 119TH ST, STE. 220, OVERLAND PARK, KS 66209(913) 498-8787(913) 498-1744 Get Directions Write a Review

NPPES record last updated: June 10, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nicolle Marie Gunter M.d. NPPES

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

NICOLLE MARIE GUNTER M.D. (NPI 1811968035) is an individual hospitalist provider in Overland Park, Kansas, licensed in Kansas (04-29722) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, is affiliated with Adventhealth Shawnee Mission, and is a graduate of University Of Missouri, Columbia School Of Medicine (1999).

NPPES Registry Identity

NPI1811968035
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameNICOLLE MARIE GUNTERCredential: M.D.
Location Address5701 W 119TH ST, STE. 220Overland Park, KS 66209-3721
Mailing Address5701 W 119th St, Ste. 220Overland Park, KS 66209-3721 · (913) 498-8787 · Fax (913) 498-1744
Fax(913) 498-1744
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 1999
Enumeration DateJanuary 27, 2006
Last NPPES UpdateJune 10, 2014
NPI 1811968035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
Licenses Licensed in KS · 04-29722 Licensed in MO · 2001013785
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedAllergy & ImmunologyTaxonomy 207K00000X · License 2001013785 (MO)
Also ListedFamily MedicineTaxonomy 207Q00000X · License 2001013785 (MO), 04-29722 (KS)
5701 W 119TH ST, Overland Park, KS 66209

Other Identifiers 5

Medicare PINE11B712MO
Medicare PINE11B712BKS
Medicaid200374610AKS
Medicare UPINH57808
Medicaid205799505MO

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

Nicolle Marie Gunter 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 ID2163436627
PECOS Enrollment IDI20060203000480, I20101104000997
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 14

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
475 services262 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
227 services112 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.
206 services135 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
166 services158 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
128 services127 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
112 services68 patients

Hospital Affiliations CMS Care Compare 4

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

Adventhealth Shawnee Mission

Acute Care Hospitals · Shawnee Mission, KS
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number170104
Location9100 W 74th StreetShawnee Mission, KS 66204 · Johnson County
Emergency services Birthing friendly

Overland Park Reg Med Ctr

Acute Care Hospitals · Overland Park, KS
4/5 CMS rating
OwnershipProprietary
CMS Certification Number170176
Location10500 Quivira RoadOverland Park, KS 66215 · Johnson County
Emergency services Birthing friendly

Menorah Medical Center

Acute Care Hospitals · Overland Park, KS
3/5 CMS rating
OwnershipProprietary
CMS Certification Number170182
Location5721 West 119th StreetOverland Park, KS 66209 · Johnson County
Emergency services

Lee's Summit Medical Center

Acute Care Hospitals · Lees Summit, MO
4/5 CMS rating
OwnershipProprietary
CMS Certification Number260190
Location2100 SE Blue ParkwayLees Summit, MO 64063 · Jackson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66209 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
$122.41 typical visit price
range $53.00 – $161.67
Typical copayment $30.60 (range $13.25 – $40.41)
Most-billed visit code 99204
Established Patient
$94.12 typical visit price
range $16.88 – $132.11
Typical copayment $23.53 (range $4.22 – $33.02)
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.

80.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.41
Improvement Activities40
Cost59.79

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
8 suppliers43 claims43 services$12.99 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
9 suppliers44 claims44 services$57.86 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
3 suppliers77 claims77 services$18.07 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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
5701 W 119TH ST, SUITE 345
OVERLAND PARK, KS 66209
Neurological Surgery
5701 W 119TH ST, SUITE 215
OVERLAND PARK, KS 66209
Thoracic Surgery (Cardiothoracic Vascular Surgery)
5701 W 119TH ST, SUITE 120
OVERLAND PARK, KS 66209
Internal Medicine (Cardiovascular Disease)
5701 W 119TH ST, 430
OVERLAND PARK, KS 66209
Otolaryngology (Facial Plastic Surgery)
5701 W 119TH ST, SUITE 320
OVERLAND PARK, KS 66209
Specialist
5701 W 119TH ST, SUITE 209
OVERLAND PARK, KS 66209
Specialist
5701 W 119TH ST, SUITE 120
OVERLAND PARK, KS 66209
Physician Assistant (Medical)
5701 W 119TH ST, SUITE 410
OVERLAND PARK, KS 66209

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 Nicolle Gunter's NPI number?

The NPI number for Nicolle Gunter is 1811968035. It was assigned to this individual provider in the NPPES registry on January 27, 2006.

Where is Nicolle Gunter located?

Nicolle Gunter practices at 5701 W 119th St Ste. 220, Overland Park, KS 66209. The listed phone number is (913) 498-8787.

What is Nicolle Gunter's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Nicolle Gunter enrolled in Medicare?

Yes. Nicolle Gunter 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 Nicolle Gunter accept?

Health plans from Blue Cross and Blue Shield of Kansas City list Nicolle Gunter 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 Nicolle Gunter affiliated with any hospitals?

According to CMS data, Nicolle Gunter is affiliated with Adventhealth Shawnee Mission, Overland Park Reg Med Ctr, Menorah Medical Center and Lee's Summit Medical Center.

When was this NPI record last updated?

The NPPES record for Nicolle Gunter was last updated on June 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.