JOSEPH ANDREW GILLESPIE MD
NPI 1912223371
Urology in Muncie, IN

Active since April 10, 2010PECOS EnrolledAccepts Medicare Assignment
87.76/100
CMS Quality Rating
2401 W UNIVERSITY AVE, MUNCIE, IN 47303(765) 747-3111 Get Directions Write a Review

NPPES record last updated: March 2, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 2, 2023, Jan 25, 2023, Mar 9, 2021 and 1 more (4 updates tracked since 2019).

About Joseph Andrew Gillespie Md NPPES

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

JOSEPH ANDREW GILLESPIE MD (NPI 1912223371) is an individual urology provider in Muncie, Indiana, licensed in Indiana (01089336A) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS, is affiliated with Mercy Medical Center - Cedar Rapids, and maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1912223371
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameJOSEPH ANDREW GILLESPIECredential: MD
Location Address2401 W UNIVERSITY AVEMuncie, IN 47303-3428
Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959
Sole ProprietorNo
Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 2009
Enumeration DateApril 10, 2010
Last NPPES UpdateMarch 2, 20234 updates tracked since enumeration
NPPES CertifiedMarch 2, 2023
NPI 1912223371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Licenses Licensed in IN · 01089336A Licensed in NY · 000 Licensed in OR · MD176572
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
2401 W UNIVERSITY AVE, Muncie, IN 47303

Secondary Practice Location 1

Location 15050 NE Hoyt St Ste 210Portland, OR 97213-2980 · Phone (503) 215-7628

Other Identifiers 2

OtherM22404292IN · Medicare
Medicaid300071209IN

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

Joseph Andrew Gillespie Md 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 ID2163668815
PECOS Enrollment IDI20230808003194
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 9

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.

Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
159 services103 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
94 services68 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.
64 services64 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.
63 services52 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.
57 services57 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
56 services49 patients

Hospital Affiliations CMS Care Compare

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

Mercy Medical Center - Cedar Rapids

Acute Care Hospitals · Cedar Rapids, IA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number160079
Location701 10th Street SECedar Rapids, IA 52403 · Linn County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47303 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
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.

87.76/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.17
Promoting Interoperability100
Improvement Activities40
Cost74.03

Referred Medical Equipment & Supplies CMS DME claims 2

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

Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
3 suppliers25 claims3,590 services$6.17 avg. paid by Medicare
Lubricant, per ounce A4402
DME-Orthotic Devices · category DF010N
2 suppliers12 claims72 services$1.54 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.

Radiology (Diagnostic Radiology)
2401 W UNIVERSITY AVE
MUNCIE, IN 47303
Family Medicine
2401 W UNIVERSITY AVE
MUNCIE, IN 47303
Nurse Practitioner (Acute Care)
2401 W UNIVERSITY AVE
MUNCIE, IN 47303
Physician Assistant (Medical)
2401 W UNIVERSITY AVE
MUNCIE, IN 47303
Occupational Therapist
2401 W UNIVERSITY AVE
MUNCIE, IN 47303
Student in an Organized Health Care Education/Training Program
2401 W UNIVERSITY AVE
MUNCIE, IN 47303
Student in an Organized Health Care Education/Training Program
2401 W UNIVERSITY AVE
MUNCIE, IN 47303
Pathology (Clinical Pathology)
2401 W UNIVERSITY AVE
MUNCIE, IN 47303

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 Joseph Gillespie's NPI number?

The NPI number for Joseph Gillespie is 1912223371. It was assigned to this individual provider in the NPPES registry on April 10, 2010.

Where is Joseph Gillespie located?

Joseph Gillespie practices at 2401 W University Ave, Muncie, IN 47303. The listed phone number is (765) 747-3111.

What is Joseph Gillespie's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Joseph Gillespie enrolled in Medicare?

Yes. Joseph Gillespie 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 Joseph Gillespie accept?

Health plans from Medica list Joseph Gillespie 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 Joseph Gillespie affiliated with any hospitals?

According to CMS data, Joseph Gillespie is affiliated with Mercy Medical Center - Cedar Rapids.

When was this NPI record last updated?

The NPPES record for Joseph Gillespie was last updated on March 2, 2023. 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.