JACK GELMAN M.D.
NPI 1891843520
Orthopaedic Surgery - Hand Surgery in Munster, IN

Active since January 08, 2007PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
730 45TH AVE, MUNSTER, IN 46321(219) 924-3300(219) 934-2658 Get Directions Write a Review

NPPES record last updated: April 15, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 15, 2022, Jul 15, 2021, Jan 10, 2021 and 3 more (6 updates tracked since 2016).

About Jack Gelman M.d. NPPES

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

JACK GELMAN M.D. (NPI 1891843520) is an individual hand surgery provider in Munster, Indiana, licensed in Indiana (01047617A) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Berkeley Medical Center, and is a graduate of Duke University School Of Medicine (1987).

NPPES Registry Identity

NPI1891843520
Entity TypeIndividualMale
Primary Taxonomy207XS0106X
Provider Legal NameJACK GELMANCredential: M.D.
Location Address730 45TH AVEMunster, IN 46321-2818
Mailing AddressPo Box 3329Munster, IN 46321-0329 · (219) 924-3300 · Fax (219) 934-2658
Fax(219) 934-2658
Sole ProprietorNo
Medical School CMSDuke University School Of MedicineGraduated 1987
Enumeration DateJanuary 8, 2007
Last NPPES UpdateApril 15, 20226 updates tracked since enumeration
NPPES CertifiedApril 15, 2022
NPI 1891843520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyOrthopaedic Surgery · Hand SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0106X
License Licensed in IN · 01047617A
Definition
An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
Also ListedPlastic SurgeryTaxonomy 208200000X · License 036-091202 (IL)
Also ListedSurgery · Surgery of the HandTaxonomy 2086S0105X · License 01047617A (IN)
730 45TH AVE, Munster, IN 46321

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

Jack Gelman 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 ID4385665868
PECOS Enrollment IDI20190109002790
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

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Berkeley Medical Center

Acute Care Hospitals · Martinsburg, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510008
Location2500 Hospital DriveMartinsburg, WV 25401 · Berkeley County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46321 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.46
Promoting Interoperability100
Improvement Activities40

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.

Physical Medicine & Rehabilitation
730 45TH AVE
MUNSTER, IN 46321
Rehabilitation Practitioner
730 45TH AVE
MUNSTER, IN 46321
Occupational Therapist
730 45TH AVE
MUNSTER, IN 46321
Occupational Therapist (Hand)
730 45TH AVE
MUNSTER, IN 46321
Occupational Therapist
730 45TH AVE
MUNSTER, IN 46321

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 Jack Gelman's NPI number?

The NPI number for Jack Gelman is 1891843520. It was assigned to this individual provider in the NPPES registry on January 8, 2007.

Where is Jack Gelman located?

Jack Gelman practices at 730 45th Ave, Munster, IN 46321. The listed phone number is (219) 924-3300.

What is Jack Gelman's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.

Is Jack Gelman enrolled in Medicare?

Yes. Jack Gelman 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 Jack Gelman accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Jack Gelman 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 Jack Gelman affiliated with any hospitals?

According to CMS data, Jack Gelman is affiliated with Berkeley Medical Center.

When was this NPI record last updated?

The NPPES record for Jack Gelman was last updated on April 15, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.