THOMAS G. GEHLBACH M.D.
NPI 1891905600
Internal Medicine - Pulmonary Disease in Madison, WI

Q: What is Thomas Gehlbach's NPI number?

The NPI number for Thomas Gehlbach is 1891905600. It was assigned to this individual provider in the NPPES registry on May 23, 2007.

Q: What is Thomas Gehlbach's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Gehlbach was last updated on October 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 May 23, 2007PECOS EnrolledAccepts Medicare Assignment

700 S PARK ST STE A, MADISON, WI 53715(608) 260-2900(608) 260-2951 Get Directions Write a Review

NPPES record last updated: October 4, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 4, 2022, Jul 15, 2022, Aug 27, 2018 (3 updates tracked since 2018).

On this page

About Thomas G. Gehlbach M.d. NPPES

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

THOMAS G. GEHLBACH M.D. (NPI 1891905600) is an individual pulmonary disease provider in Madison, Wisconsin, licensed in Wisconsin (54163-20) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Divine Savior Healthcare, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1891905600

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameTHOMAS G. GEHLBACHCredential: M.D.

Location Address700 S PARK ST STE AMadison, WI 53715-1830

Mailing Address700 S Park St Ste AMadison, WI 53715-1830 · (608) 260-2900 · Fax (609) 260-2951

Phone(608) 260-2900

Fax(608) 260-2951

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateMay 23, 2007

Last NPPES UpdateOctober 4, 20223 updates tracked since enumeration

NPPES CertifiedOctober 4, 2022

✔ NPI 1891905600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

Licenses✔ Licensed in WI · 54163-20✔ Licensed in IL · 036-129678✔ Licensed in WI · 22432-20

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

700 S PARK ST STE A, Madison, WI 53715

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Secondary Practice Locations 2

Location 1215 E. 1st St., Suite 153, KSB Medical GroupDixon, IL 61021-0000 · Phone (815) 285-5966 · Fax (815) 285-5968

Location 2215 E 1st St Ste 111Dixon, IL 61021 · Phone (815) 285-5966 · Fax (815) 285-5968

Other Identifiers 4

Medicaid036129678IL

Other381220027IL · Medicare

Other61014WI · Dean Health Insurance

Medicaid1891905600WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Thomas G. Gehlbach 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 ID3375692114

PECOS Enrollment IDI20220725002956

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.

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.

413 services254 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.

134 services48 patients

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.

133 services133 patients

Test to determine lung volumes using sensors 94726

This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.

115 services111 patients

Test to examine how well the lungs exchange gases 94729

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

115 services111 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.

96 services95 patients

Test to measure expiratory airflow and volume 94010

This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.

78 services76 patients

Test to examine how well the lungs exchange gases 94729

78 services75 patients

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

Albuterol is a medication used to treat breathing problems. It is administered as an inhalation solution through a device called DME (Durable Medical Equipment). The solution is FDA-approved and non-compounded. Each unit dose contains 1 mg of the medicine.

78 services26 patients

Test to determine lung volumes using sensors 94726

77 services74 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

47 services32 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

43 services43 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.

28 services28 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.

27 services27 patients

Test to measure expiratory airflow and volume 94010

26 services25 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

19 services19 patients

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.

17 services17 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

16 services16 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.

16 services14 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

15 services15 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

15 services15 patients

Hospital Affiliations CMS Care Compare 5

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

Divine Savior Healthcare

Acute Care Hospitals · Portage, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520041

Location2817 New Pinery RoadPortage, WI 53901 · Columbia County

Emergency services

Ssm Health St Clare Hospital - Baraboo

Acute Care Hospitals · Baraboo, WI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520057

Location707 14th StBaraboo, WI 53913 · Sauk County

Emergency services Birthing friendly

Ssm Health St Mary's Hospital - Madison

Acute Care Hospitals · Madison, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520083

Location700 South Park StMadison, WI 53715 · Dane County

Emergency services Birthing friendly

Sauk Prairie Hospital

Acute Care Hospitals · Prairie Du Sac, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520095

Location260 26th StreetPrairie Du Sac, WI 53578 · Sauk County

Emergency services Birthing friendly

Columbus Community Hospital

Critical Access Hospitals · Columbus, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521338

Location1515 Park AveColumbus, WI 53925 · Columbia County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53715 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

$123.69 typical visit price

range $53.90 – $163.24

Typical copayment $30.92 (range $13.47 – $40.81)

Most-billed visit code 99204

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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.

Referred Medical Equipment & Supplies CMS DME claims 25

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

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

5 suppliers15 claims15 services$45.28 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003

DME-Other DME · category DE000N

2 suppliers33 claims65 services$1.65 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable A7005

DME-Other DME · category DE000N

8 suppliers28 claims28 services$19.09 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

4 suppliers12 claims12 services$105.83 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

4 suppliers15 claims34 services$44.24 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

2 suppliers12 claims67 services$20.32 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

5 suppliers18 claims18 services$63.77 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

5 suppliers19 claims19 services$22.40 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

4 suppliers15 claims15 services$18.25 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

6 suppliers35 claims170 services$2.60 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

4 suppliers17 claims17 services$12.62 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

5 suppliers87 claims88 services$18.49 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

3 suppliers24 claims24 services$879.47 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

2 suppliers20 claims20 services$14.34 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

4 suppliers126 claims128 services$7.47 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

3 suppliers21 claims21 services$41.20 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

8 suppliers248 claims248 services$105.49 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

5 suppliers77 claims77 services$34.42 avg. paid by Medicare

Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms J7605

DME-Drugs Administered Through DME · category DG006N

7 suppliers70 claims4,110 services$4.50 avg. paid by Medicare

Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms J7606

DME-Drugs Administered Through DME · category DG006N

3 suppliers36 claims2,160 services$6.43 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

10 suppliers51 claims9,573 services$0.03 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

16 suppliers104 claims10,368 services$0.10 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

11 suppliers105 claims5,880 services$0.79 avg. paid by Medicare

Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram J7677

DME-Drugs Administered Through DME · category DG006N

4 suppliers29 claims152,250 services$0.15 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

21 suppliers231 claims231 services$25.04 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.

MR. ARUN X SWAMINATHAN M.B.B.S.

Psychiatry & Neurology (Neurology)

700 S PARK ST STE A
MADISON, WI 53715

Dane County (608) 260-2900

DR. MATTHEW K RONCK M.D.

Psychiatry & Neurology (Neurology)

700 S PARK ST STE A
MADISON, WI 53715

Dane County (608) 260-2900

DR. MELISSA MCLEAN APNP

Nurse Practitioner

700 S PARK ST STE A
MADISON, WI 53715

Dane County (608) 260-2900

ISABELLE NYTES PA-C

Physician Assistant

700 S PARK ST STE A
MADISON, WI 53715

Dane County (608) 260-2900

DANIEL W. ORYALL PA-C

Physician Assistant

700 S PARK ST STE A
MADISON, WI 53715

Dane County (608) 260-6000

JACLYN S BOARDMAN RD

Dietitian, Registered

700 S PARK ST STE A
MADISON, WI 53715

Dane County (608) 260-2900

DORIS KIM MD

Surgery

700 S PARK ST STE A
MADISON, WI 53715

Dane County (608) 260-2900

QUADE R WIEGEL PA-C

Physician Assistant

700 S PARK ST STE A
MADISON, WI 53715

Dane County (608) 260-2900

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 Thomas Gehlbach's NPI number?

The NPI number for Thomas Gehlbach is 1891905600. It was assigned to this individual provider in the NPPES registry on May 23, 2007.

Where is Thomas Gehlbach located?

Thomas Gehlbach practices at 700 S Park St Ste A, Madison, WI 53715. The listed phone number is (608) 260-2900.

What is Thomas Gehlbach's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Thomas Gehlbach enrolled in Medicare?

Yes. Thomas Gehlbach 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 Thomas Gehlbach accept?

Health plans from Anthem Blue Cross and Blue Shield list Thomas Gehlbach 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 Thomas Gehlbach affiliated with any hospitals?

According to CMS data, Thomas Gehlbach is affiliated with Divine Savior Healthcare, Ssm Health St Clare Hospital - Baraboo, Ssm Health St Mary's Hospital - Madison, Sauk Prairie Hospital and Columbus Community Hospital.

When was this NPI record last updated?

The NPPES record for Thomas Gehlbach was last updated on October 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.