Active NPI
Lawrence G Gill III, M.D.
- Obstetrics & Gynecology Physician
- Sheridan, WY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 3578A
- Practice address
- 1333 W 5TH St, Ste 210
Sheridan, WY 82801-2752 - Phone
- (307) 672-2522
- Fax
- (307) 672-3732
- NPI assigned
- Nov 22, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 3578A | WY | |
| Obstetrics & Gynecology Physician | 207V00000X | 3578A | WY | Primary |
Addresses
Primary practice location
1333 W 5TH St, Ste 210
Sheridan, WY 82801-2752
Mailing address
1333 W. 5TH St, Ste 110
Sheridan, WY 82801-2752
Phone (307) 672-2522
Other practice location 1
700 S Park St
Madison, WI 53715-1830
Phone (608) 251-6100
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 97253 | Medicaid | MT | |
| 110391100 | Medicaid | WY | |
| 3578A | Other | WY | STATE LICENSE NUMBER |
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lgill@sheridan.cernerdirect.com | Direct | |
| FHIR URL | https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ | Other | |
| Direct Messaging Address | lgill417425@direct-ehr-ssmhc.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230306001127 | NM | Practitioner - Obstetrics/Gynecology | 0547279382 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- New York University School of Medicine, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Presbyterian Healthcare Services
Practice addresses (Care Compare)
2200 W 21St St
Clovis, NM 88101-2011
Phone (505) 769-7577
Hospital & facility affiliations
- Plains Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.66 of 100
- Quality
- 82.09
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 75.1
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.53 of 100
- Quality
- 77.33
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.68 of 100
- Quality
- 82.35
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.6
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3578A | WY | MD | Obstetrics & Gynecology Physician |
| 1698 | WI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Presbyterian Healthcare Services | Current | Accepting new patients | |
| Presbyterian Healthcare Services | Obstetrics & Gynecology | Current | Accepting new patients |
| Presbyterian Healthcare Services | Past | Accepting new patients | |
| Sheridan Women'S Health P.C. | Specialist | Past | Accepting new patients |
Locations
2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577
2100 N Mlk Blvd
Clovis, NM 88101
Phone (505) 769-2141
Interoperability endpoints
- lgill@sheridan.cernerdirect.com
- lgill226848@direct.phs.org
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Albuquerque, NM
- NPI 1104802354
NM, Obstetrics & Gynecology
-
- Specialist
- Sheridan, WY
- NPI 1629182019
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1215913470
-
- Rural Acute Care Hospital
- Clovis, NM
- NPI 1629053509
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1780667808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1333 W. 5TH ST, STE 110",
"city": "SHERIDAN",
"state": "WY",
"postal_code": "828012752",
"telephone_number": "307-672-2522",
"fax_number": "307-672-3732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1333 W 5TH ST, STE 210",
"city": "SHERIDAN",
"state": "WY",
"postal_code": "828012752",
"telephone_number": "307-672-2522",
"fax_number": "307-672-3732"
}
],
"practiceLocations": [
{
"address_1": "700 S Park St",
"address_purpose": "LOCATION",
"city": "Madison",
"state": "WI",
"postal_code": "537151830",
"country_code": "US",
"telephone_number": "608-251-6100",
"fax_number": "608-258-6772",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GILL",
"first_name": "LAWRENCE",
"middle_name": "G",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-22",
"last_updated": "2023-03-07",
"certification_date": "2022-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WY",
"license": "3578A",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "WY",
"license": "3578A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "97253",
"state": "MT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110391100",
"state": "WY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "3578A",
"state": "WY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lgill@sheridan.cernerdirect.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "1333 W 5TH ST, STE 210",
"city": "Sheridan",
"state": "WY",
"country_code": "US",
"postal_code": "828012752",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "FHIR API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "700 S Park St",
"city": "Madison",
"state": "WI",
"country_code": "US",
"postal_code": "537151830",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lgill417425@direct-ehr-ssmhc.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "lgill417425@direct-ehr-ssmhc.com",
"address_1": "700 S Park St",
"city": "Madison",
"state": "WI",
"country_code": "US",
"postal_code": "537151830",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Sheridan, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.