PAUL LEMMEL GELVEN M.D.
NPI 1851318554
Pathology - Anatomic Pathology & Clinical Pathology in Tulsa, OK

Active since July 17, 2006PECOS EnrolledAccepts Medicare Assignment
79.35/100
CMS Quality Rating
1923 S UTICA AVE, TULSA, OK 74104(918) 744-2553(918) 744-3482 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Paul Lemmel Gelven M.d. NPPES

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

PAUL LEMMEL GELVEN M.D. (NPI 1851318554) is an individual anatomic pathology & clinical pathology provider in Tulsa, Oklahoma, licensed in Oklahoma (19982) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Via Christi Hospital Pittsburg Inc, and is a graduate of University Of Missouri, Columbia School Of Medicine (1992).

NPPES Registry Identity

NPI1851318554
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NamePAUL LEMMEL GELVENCredential: M.D.
Location Address1923 S UTICA AVETulsa, OK 74104-6520
Mailing Address1923 S Utica AveTulsa, OK 74104-6520 · (918) 744-2553 · Fax (918) 744-3482
Fax(918) 744-3482
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 1992
Enumeration DateJuly 17, 2006
Last NPPES UpdateJuly 9, 2007
NPI 1851318554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
Licenses Licensed in OK · 19982 Licensed in KS · 04-27380
Definition
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 biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
1923 S UTICA AVE, Tulsa, OK 74104

Other Identifiers 2

Medicare UPING60041OK
Medicaid1529OK

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

Paul Lemmel Gelven 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 ID9133127970
PECOS Enrollment IDI20090630000377, I20101014000110
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 21

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.

Special stained specimen slides to examine tissue, each additional procedure 88341
Special 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.
465 services88 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A 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.
363 services260 patients
Pathology examination of tissue using a microscope, moderately high complexity 88307
A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.
174 services132 patients
Pathology examination of tissue using a microscope, moderately low complexity 88304
A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.
151 services141 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This 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.
133 services117 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A 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.
118 services103 patients

Hospital Affiliations CMS Care Compare 5

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

Via Christi Hospital Pittsburg Inc

Acute Care Hospitals · Pittsburg, KS
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number170006
Location1 Mt Carmel WayPittsburg, KS 66762 · Crawford County
Emergency services Birthing friendly

Hillcrest Medical Center

Acute Care Hospitals · Tulsa, OK
2/5 CMS rating
OwnershipProprietary
CMS Certification Number370001
Location1120 South Utica AvenueTulsa, OK 74104 · Tulsa County
Emergency services Birthing friendly

Ascension St John Medical Center

Acute Care Hospitals · Tulsa, OK
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370114
Location1923 South Utica AvenueTulsa, OK 74104 · Tulsa County
Emergency services Birthing friendly

Hillcrest Hospital South

Acute Care Hospitals · Tulsa, OK
4/5 CMS rating
OwnershipProprietary
CMS Certification Number370202
Location8801 South 101st East AvenueTulsa, OK 74133 · Tulsa County
Emergency services Birthing friendly

Oklahoma Surgical Hospital, LLC

Acute Care Hospitals · Tulsa, OK
5/5 CMS rating
OwnershipPhysician
CMS Certification Number370210
Location2408 East 81st Street, Suite 300Tulsa, OK 74137 · Tulsa County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74104 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
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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.

79.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.71
Improvement Activities40

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.

Internal Medicine
1923 S UTICA AVE
TULSA, OK 74104
Pathology (Anatomic Pathology & Clinical Pathology)
1923 S UTICA AVE
TULSA, OK 74104
Clinic/Center (Urgent Care)
1923 S UTICA AVE, DAVIS TOWER 200
TULSA, OK 74104
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1923 S UTICA AVE
TULSA, OK 74104
Pathology (Anatomic Pathology & Clinical Pathology)
1923 S UTICA AVE
TULSA, OK 74104
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1923 S UTICA AVE
TULSA, OK 74104
Nurse Anesthetist, Certified Registered
1923 S UTICA AVE
TULSA, OK 74104
Nurse Practitioner
1923 S UTICA AVE
TULSA, OK 74104

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 Paul Gelven's NPI number?

The NPI number for Paul Gelven is 1851318554. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Paul Gelven located?

Paul Gelven practices at 1923 S Utica Ave, Tulsa, OK 74104. The listed phone number is (918) 744-2553.

What is Paul Gelven's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Paul Gelven enrolled in Medicare?

Yes. Paul Gelven 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 Paul Gelven accept?

Health plans from Blue Cross and Blue Shield of Oklahoma and Medica list Paul Gelven 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 Paul Gelven affiliated with any hospitals?

According to CMS data, Paul Gelven is affiliated with Via Christi Hospital Pittsburg Inc, Hillcrest Medical Center, Ascension St John Medical Center, Hillcrest Hospital South and Oklahoma Surgical Hospital, LLC.

When was this NPI record last updated?

The NPPES record for Paul Gelven was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.