MR. WILLIAM RICHARD GELINAS DO
NPI 1851397749
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Crystal River, FL

Q: What is William Gelinas's NPI number?

The NPI number for William Gelinas is 1851397749. It was assigned to this individual provider in the NPPES registry on June 24, 2005.

Q: What is William Gelinas's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Q: When was this NPI record last updated?

The NPPES record for William Gelinas was last updated on November 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since June 24, 2005PECOS EnrolledAccepts Medicare Assignment

78.79/100

CMS Quality Rating

11535 W EMERALD OAKS DR, CRYSTAL RIVER, FL 34428(352) 794-6191(352) 794-6193 Get Directions Write a Review

NPPES record last updated: November 16, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Mr. William Richard Gelinas Do NPPES

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

MR. WILLIAM RICHARD GELINAS DO (NPI 1851397749) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Crystal River, Florida, licensed in Florida (058292) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Tampa General Hospital Brooksville, and is a graduate of University Of New England, College Of Osteo Medicine (1987).

NPPES Registry Identity

NPI1851397749

Entity TypeIndividualMale

Primary Taxonomy208G00000X

Provider Legal NameMR. WILLIAM RICHARD GELINASCredential: DO

Location Address11535 W EMERALD OAKS DRCrystal River, FL 34428-2815

Mailing Address11535 W Emerald Oaks DrCrystal River, FL 34428-2815 · (352) 794-6191 · Fax (352) 794-6193

Phone(352) 794-6191

Fax(352) 794-6193

Sole ProprietorNo

Medical School CMSUniversity Of New England, College Of Osteo MedicineGraduated 1987

Enumeration DateJune 24, 2005

Last NPPES UpdateNovember 16, 2015

✔ NPI 1851397749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians

Taxonomy Code208G00000X

License✔ Licensed in FL · 058292

Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

11535 W EMERALD OAKS DR, Crystal River, FL 34428

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Other Identifiers 2

Medicaid260728000FL

Medicare UPINH31057

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.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. William Richard Gelinas Do 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 ID5092999680

PECOS Enrollment IDI20110405001169

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 13

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 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.

542 services90 patients

Removal of tissue from wound, 20.0 sq cm or less 97597

This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.

303 services79 patients

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.

193 services62 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.

136 services118 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

70 services70 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.

55 services36 patients

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.

33 services29 patients

Ultrasonic guidance for blood vessel access 76937

Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.

23 services17 patients

Ultrasound study of arm and leg arteries 93922

An ultrasound study of arm and leg arteries is a non-invasive procedure that uses sound waves to create images of your arteries. It helps in checking blood flow, identifying blockages, or detecting other abnormalities in your arteries.

17 services17 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

17 services17 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

16 services14 patients

Fluoroscopic guidance for insertion or removal of central vein access device 77001

Fluoroscopic guidance for central vein access device insertion or removal is a procedure where a special X-ray, called a fluoroscope, is used to help accurately place or remove a device in a central vein. This device aids in delivering medications or collecting blood samples.

13 services11 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Tampa General Hospital Brooksville

Acute Care Hospitals · Brooksville, FL

1/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number100071

Location17240 Cortez BlvdBrooksville, FL 34601 · Hernando County

Emergency services Birthing friendly

Tampa General Hospital Crystal River

Acute Care Hospitals · Crystal River, FL

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100249

Location6201 N Suncoast BlvdCrystal River, FL 34428 · Citrus County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34428 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

$171.84 typical visit price

range $56.00 – $171.84

Typical copayment $42.96 (range $14.00 – $42.96)

Most-billed visit code 99205

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

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.

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.

78.79/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

Improvement Activities

Reported Quality Measures

Advance Care Plan

0%612 patients1/55-star benchmark: 100%

Closing the Referral Loop: Receipt of Specialist Report

7%101 patients1/55-star benchmark: 87%

Controlling High Blood Pressure

13%110 patients1/55-star benchmark: 91%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

100%84 patients1/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

15%2,814 patients1/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

0%388 patients1/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

13%545 patients1/55-star benchmark: 98%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

0%1,939 patients1/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients screened: 0% · 312 patients

0%312 patients

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

67%224 patients3/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 403 patients

Patients totalRate: 0% · 403 patients

0%403 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

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

Negative pressure wound therapy electrical pump, stationary or portable E2402

DME-Other DME · category DE000N

2 suppliers11 claims11 services$756.28 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

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

SUNCOAST VASCULAR & GENERAL SURGERY PA

Thoracic Surgery (Cardiothoracic Vascular Surgery)

11535 W EMERALD OAKS DR
CRYSTAL RIVER, FL 34428

Citrus County (352) 794-6191

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 William Gelinas's NPI number?

The NPI number for William Gelinas is 1851397749. It was assigned to this individual provider in the NPPES registry on June 24, 2005.

Where is William Gelinas located?

William Gelinas practices at 11535 W Emerald Oaks Dr, Crystal River, FL 34428. The listed phone number is (352) 794-6191.

What is William Gelinas's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is William Gelinas enrolled in Medicare?

Yes. William Gelinas 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 William Gelinas accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list William Gelinas 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 William Gelinas affiliated with any hospitals?

According to CMS data, William Gelinas is affiliated with Tampa General Hospital Brooksville and Tampa General Hospital Crystal River.

When was this NPI record last updated?

The NPPES record for William Gelinas was last updated on November 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.