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DR. MICHELE ANN GATHERIDGE M.D.
NPI 1952543555
Psychiatry & Neurology - Neurology in Colorado Springs, CO

Active since March 27, 2009PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
5818 N NEVADA AVE STE 225, COLORADO SPRINGS, CO 80918(719) 365-3740(719) 365-3741 Get Directions Write a Review

NPPES record last updated: March 9, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 9, 2023, Apr 22, 2020, Jan 9, 2020 and 1 more (4 updates tracked since 2018).

About Dr. Michele Ann Gatheridge M.d. NPPES

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

DR. MICHELE ANN GATHERIDGE M.D. (NPI 1952543555) is an individual neurology provider in Colorado Springs, Colorado, licensed in Colorado (CDRH.0059764) and active in the NPI registry since March 2009. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of George Washington University School Of Medicine (2009).

NPPES Registry Identity

NPI1952543555
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameDR. MICHELE ANN GATHERIDGECredential: M.D.
Location Address5818 N NEVADA AVE STE 225Colorado Springs, CO 80918-3547
Mailing Address2695 Rocky Mountain Ave Ste 150Loveland, CO 80538-9071 · (970) 624-2412
Phone(719) 365-3740
Fax(719) 365-3741
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 2009
Enumeration DateMarch 27, 2009
Last NPPES UpdateMarch 9, 20234 updates tracked since enumeration
NPPES CertifiedMarch 9, 2023
✔ NPI 1952543555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses✔ Licensed in CO · CDRH.0059764✔ Licensed in CO · DR.0059764
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedPsychiatry & Neurology · Neuromuscular MedicineTaxonomy 2084N0008X · License DR.0059764 (CO), CDRH.0059764 (CO)
5818 N NEVADA AVE STE 225, Colorado Springs, CO 80918
Open in Google Maps ↗

Secondary Practice Locations 2

Location 15770 Flintridge Dr Ste 100Colorado Springs, CO 80918-1870 · Phone (719) 445-9902 · Fax (719) 387-0312
Location 2Brooke Army Medical Center, 3551 Roger Brooke DriveJBSA Fort Sam Houston, TX 78234-4504 · Phone (210) 916-1800

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

Dr. Michele Ann Gatheridge 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 ID6406107358
PECOS Enrollment IDI20180917001161
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.

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.
127 services83 patients
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.
77 services57 patients
Needle measurement of electrical activity in arm or leg muscles, complete study 95886
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.
65 services38 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
42 services42 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
33 services23 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.
15 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80918 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
$132.55 typical visit price
range $58.06 – $174.82
Typical copayment $33.13 (range $14.51 – $43.70)
Most-billed visit code 99204
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NUPUR BRAHMBHATT M.D.
Psychiatry & Neurology (Neurology)
5818 N NEVADA AVE STE 225
COLORADO SPRINGS, CO 80918
El Paso County (719) 365-3740
DR. DIANE REBECCA HESSELBROCK M.D.
Psychiatry & Neurology (Neurology)
5818 N NEVADA AVE STE 225
COLORADO SPRINGS, CO 80918
El Paso County (719) 365-6300
MR. NIKHIL ARJUN DHUNA
Psychiatry & Neurology (Neurology)
5818 N NEVADA AVE STE 225
COLORADO SPRINGS, CO 80918
El Paso County (719) 365-3740
POUDRE VALLEY MEDICAL GROUP, LLC
Internal Medicine (Cardiovascular Disease)
5818 N NEVADA AVE STE 225
COLORADO SPRINGS, CO 80918
El Paso County (719) 365-7630

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 Michele Gatheridge's NPI number?

The NPI number for Michele Gatheridge is 1952543555. It was assigned to this individual provider in the NPPES registry on March 27, 2009.

Where is Michele Gatheridge located?

Michele Gatheridge practices at 5818 N Nevada Ave Ste 225, Colorado Springs, CO 80918. The listed phone number is (719) 365-3740.

What is Michele Gatheridge's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Michele Gatheridge enrolled in Medicare?

Yes. Michele Gatheridge 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.

When was this NPI record last updated?

The NPPES record for Michele Gatheridge was last updated on March 9, 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.