DR. KEVIN P GILDNER M.D.
NPI 1922086958
Obstetrics & Gynecology in Grand Rapids, MN

Active since January 09, 2006PECOS Enrolled
82.28/100
CMS Quality Rating
1601 GOLF COURSE RD, GRAND RAPIDS, MN 55744(218) 326-5000 Get Directions Write a Review

NPPES record last updated: December 17, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Kevin P Gildner M.d. NPPES

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

DR. KEVIN P GILDNER M.D. (NPI 1922086958) is an individual obstetrics & gynecology provider in Grand Rapids, Minnesota, licensed in Minnesota (41888) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922086958
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. KEVIN P GILDNERCredential: M.D.
Location Address1601 GOLF COURSE RDGrand Rapids, MN 55744-8648
Mailing Address1601 Golf Course RdGrand Rapids, MN 55744-8648 · (218) 329-5000
Sole ProprietorNo
Enumeration DateJanuary 9, 2006
Last NPPES UpdateDecember 17, 2015
✔ NPI 1922086958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in MN · 41888
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1601 GOLF COURSE RD, Grand Rapids, MN 55744

Other Identifiers 11

Other410849339 56001 C132Champus
Other160047021Rr Medicare
OtherNA2951023839MN · Preferred One
Medicaid829521200MN
Other88239MN · Americas Ppo
Medicare PINH400141429MN
OtherHP29108MN · Health Partners
Other42B96GIMN · Bcbs
Other0700801MN · Medica
Other123771MN · Ucare
Medicare UPINH03242

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kevin P Gildner M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

5

Medicare enrollment records show Kevin Gildner reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
1601 GOLF COURSE RD
Grand Rapids, MN 55744
  • Reassigned Medicare billing, Minnesota enrollment
  • 555 clinicians in this Medicare group
Rehabilitation, Substance Use Disorder Unit
701 DELLWOOD ST S
Cambridge, MN 55008
  • Reassigned Medicare billing, Minnesota enrollment
  • 3,733 clinicians in this Medicare group
Rural Health
112 SAINT OLAF AVE S
Canby, MN 56220
  • Reassigned Medicare billing, South Dakota enrollment
  • 422 clinicians in this Medicare group
Otolaryngology
600 4TH ST NE, SUITE 101
Watertown, SD 57201
  • Reassigned Medicare billing, South Dakota enrollment
  • 826 clinicians in this Medicare group
Rural Health
305 HOSPITAL DR
Estelline, SD 57234
  • Reassigned Medicare billing, South Dakota enrollment
  • 1,097 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55744 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

82.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.81
Promoting Interoperability99
Improvement Activities40
Cost52.95

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.

Nurse Practitioner (Family)
1601 GOLF COURSE RD
GRAND RAPIDS, MN 55744
Non-Pharmacy Dispensing Site
1601 GOLF COURSE RD
GRAND RAPIDS, MN 55744
Student in an Organized Health Care Education/Training Program
1601 GOLF COURSE RD
GRAND RAPIDS, MN 55744
Nurse Practitioner (Psychiatric/Mental Health)
1601 GOLF COURSE RD
GRAND RAPIDS, MN 55744
Family Medicine
1601 GOLF COURSE RD
GRAND RAPIDS, MN 55744
Nurse Practitioner (Family)
1601 GOLF COURSE RD
GRAND RAPIDS, MN 55744
Nurse Practitioner (Family)
1601 GOLF COURSE RD
GRAND RAPIDS, MN 55744
Physician Assistant
1601 GOLF COURSE RD
GRAND RAPIDS, MN 55744

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 Kevin Gildner's NPI number?

The NPI number for Kevin Gildner is 1922086958. It was assigned to this individual provider in the NPPES registry on January 9, 2006.

Where is Kevin Gildner located?

Kevin Gildner practices at 1601 Golf Course Rd, Grand Rapids, MN 55744. The listed phone number is (218) 326-5000.

What is Kevin Gildner's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Kevin Gildner enrolled in Medicare?

Yes. Kevin Gildner is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kevin Gildner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Gildner reassigns Medicare benefits to 5 organizations: Grand Itasca Clinic And Hospital (Grand Rapids, MN), Allina Health System (Cambridge, MN), Sanford Health Network (Canby, MN), Sanford Clinic (Watertown, SD) and Sanford Medical Center (Estelline, SD). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kevin Gildner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kevin Gildner accept?

Health plans from Blue Cross Blue Shield of North Dakota and Wellmark of South Dakota, Inc. list Kevin Gildner 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.

When was this NPI record last updated?

The NPPES record for Kevin Gildner was last updated on December 17, 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.