Collin Gabriel, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

58031790 Issued in OH

Practice address

1155 E Main St
Lancaster, OH 43130-4056

Phone

(740) 689-6758

Fax

(740) 689-6759

NPI assigned

Apr 29, 2020

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Ohio University, College of Osteopathic Medicine, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fairfield Healthcare Professionals IncGroup PAC ID 4789596362, 144 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Caretenders Vna Home health agency, Lancaster, OH, CCN 367137
• Fairfield Medical Center Hospital, Lancaster, OH, CCN 360072
• Licking Memorial Hospital Hospital, Newark, OH, CCN 360218

Merit-based Incentive Payment System (MIPS)

Final score

76.95 of 100Reported as group

Quality

43.39

Promoting interoperability

100

Improvement activities

40

Cost

76.51

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Fairfield Healthcare Professionals Inc

  • Surgery Physician
  • Lancaster, OH
  • NPI 1457396368

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Fairfield Healthcare Professionals, Inc.

  • Urgent Care Clinic/Center
  • Lancaster, OH
  • NPI 1700334182
  NPD
• Fairfield Healthcare Professionals, Inc.

  • Family Medicine Physician
  • Baltimore, OH
  • NPI 1174579791
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Caretenders VS of Ohio, LLC

  • Home Health Agency
  • Lancaster, OH
  • NPI 1740434067
  Care Compare affiliation
• Fairfield Medical Center

  • General Acute Care Hospital
  • Lancaster, OH
  • NPI 1467433763
  Care Compare affiliation
• Licking Memorial Hospital

  • General Acute Care Hospital
  • Newark, OH
  • NPI 1568446755
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1588118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592524800000",
    "number": "1689295842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 E MAIN ST",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431304056",
            "telephone_number": "740-689-6758",
            "fax_number": "740-689-6759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 E MAIN ST",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431304056",
            "telephone_number": "740-689-6758",
            "fax_number": "740-689-6759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABRIEL",
        "first_name": "COLLIN",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-29",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "58031790",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Funderburk
• Funding Advisors Claims Recovery LLC
• Matthew Fyie, MD
• Jennifer Gable
• Brian Gabriel, DO
• Nicole Gabriel, M.S.ED, LPC
• Gahanna Physical Therapy Limited Partnership
• Salina Jane Gaier, LISW-S
• Chantelle Marie Gallihugh, LPC
• Aubrey Gang

• Family Medicine Physician in Lancaster, OH
• Providers in Lancaster, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.