DARNELLA D. GIST M.D.
NPI 1952331837
Family Medicine in Brookfield, WI

Active since July 04, 2006PECOS EnrolledAccepts Medicare Assignment
82.39/100
CMS Quality Rating
1350 S SUNNY SLOPE RD, BROOKFIELD, WI 53005(262) 798-8750 Get Directions Write a Review

NPPES record last updated: May 3, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Darnella D. Gist M.d. NPPES

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

DARNELLA D. GIST M.D. (NPI 1952331837) is an individual family medicine provider in Brookfield, Wisconsin, licensed in Wisconsin (43353) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Froedtert South Inc., and is a graduate of Other (1998).

NPPES Registry Identity

NPI1952331837
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDARNELLA D. GISTCredential: M.D.
Location Address1350 S SUNNY SLOPE RDBrookfield, WI 53005-7060
Mailing Address1350 S Sunny Slope RdBrookfield, WI 53005-7060 · (262) 798-8750 · Fax (262) 798-8730
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateJuly 4, 2006
Last NPPES UpdateMay 3, 2024
NPPES CertifiedMay 3, 2024
NPI 1952331837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WI · 43353
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1350 S SUNNY SLOPE RD, Brookfield, WI 53005

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

Darnella D. Gist 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 ID7012010689
PECOS Enrollment IDI20070320000351
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 2

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.
64 services34 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.
14 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Froedtert South Inc.

Acute Care Hospitals · Pleasant Prairie, WI
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number520021
Location9555 76th StPleasant Prairie, WI 53158 · Kenosha County
Emergency services

Froedtert Memorial Lutheran Hospital

Acute Care Hospitals · Milwaukee, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520177
Location9200 W Wisconsin AveMilwaukee, WI 53226 · Milwaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53005 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
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.

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.

82.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.88
Promoting Interoperability81
Improvement Activities40
Cost74.38

Referred Medical Equipment & Supplies CMS DME claims 4

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers16 claims52 services$5.29 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
3 suppliers17 claims20 services$16.81 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
3 suppliers34 claims37 services$87.12 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$215.65 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.

Physician Assistant
1350 S SUNNY SLOPE RD
BROOKFIELD, WI 53005
Physical Therapist
1350 S SUNNY SLOPE RD
BROOKFIELD, WI 53005
Family Medicine
1350 S SUNNY SLOPE RD, SUNNYSLOPE PRIMARY CARE CLINIC
BROOKFIELD, WI 53005
Surgery
1350 S SUNNY SLOPE RD
BROOKFIELD, WI 53005
Nurse Practitioner (Family)
1350 S SUNNY SLOPE RD
BROOKFIELD, WI 53005
Family Medicine
1350 S SUNNY SLOPE RD
BROOKFIELD, WI 53005
Nurse Practitioner
1350 S SUNNY SLOPE RD
BROOKFIELD, WI 53005
Internal Medicine
1350 S SUNNY SLOPE RD, SUNNYSLOPE PRIMARY CARE CLINIC
BROOKFIELD, WI 53005

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 Darnella Gist's NPI number?

The NPI number for Darnella Gist is 1952331837. It was assigned to this individual provider in the NPPES registry on July 4, 2006.

Where is Darnella Gist located?

Darnella Gist practices at 1350 S Sunny Slope Rd, Brookfield, WI 53005. The listed phone number is (262) 798-8750.

What is Darnella Gist's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Darnella Gist enrolled in Medicare?

Yes. Darnella Gist 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 Darnella Gist accept?

Health plans from Anthem Blue Cross and Blue Shield and Network Health list Darnella Gist 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 Darnella Gist affiliated with any hospitals?

According to CMS data, Darnella Gist is affiliated with Froedtert South Inc. and Froedtert Memorial Lutheran Hospital.

When was this NPI record last updated?

The NPPES record for Darnella Gist was last updated on May 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.