NPIMap

Individual provider Active NPI

Gregory Gill, MD

  • Family Medicine Physician
  • Wausau, WI
National Provider Identifier
1922109784
Registry record updated Nov 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25268 Issued in WI
Practice address
425 Wind Ridge Dr
Wausau, WI 54401-4149
Phone
(715) 675-3391
Fax
(715) 675-4253
NPI assigned
Sep 26, 2006
Last updated
Nov 11, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25268 WI Primary

Addresses

Primary practice location

425 Wind Ridge Dr
Wausau, WI 54401-4149

Mailing address

425 Wind Ridge Dr
Wausau, WI 54401-4149
Phone (715) 675-3391

Other identifiers 1

IdentifierTypeStateIssuer
30674600MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090617000286 WI Practitioner - Family Practice 1052461845 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Wisconsin School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aspirus Wausau Hospital IncGroup PAC ID 6406757442, 242 clinicians

Practice addresses (Care Compare)

333 Pine Ridge Blvd
Wausau, WI 54401-4102

425 Wind Ridge Dr
Wausau, WI 54401-4149
Phone (715) 675-3391

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.56 of 100Reported as group
Quality
87.43
Promoting interoperability
100
Improvement activities
40
Cost
78.24

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25268WIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Wausau Hospital, Inc. CurrentSince Jan 1, 2014 Accepting new patients
Aspirus Wausau Hospital Inc CurrentSince Jan 1, 2014 Accepting new patients
Aspirus Wausau Hospital, Inc. Current Accepting new patients
Marshfield Clinic Inc CurrentSince Dec 13, 2010 Accepting new patients
Aspirus Wausau Hospital, Inc. Past Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

1000 Starr Ave
Eau Claire, WI 54703
Phone (715) 858-4850

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

1205 O Day St
Merrill, WI 54452
Phone (715) 539-0101

601 S Center Ave
Merrill, WI 54452
Phone (715) 536-5511

1821 N 4th Ave
Wausau, WI 54401
Phone (715) 675-9451

333 Pine Ridge Blvd
Wausau, WI 54401
Phone (715) 847-2160

425 Wind Ridge Dr
Wausau, WI 54401
Phone (715) 675-3391

Organizations & group practices 5

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

Hospital & facility affiliations 10

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668124800000",
    "number": "1922109784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 WIND RIDGE DR",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544014149",
            "telephone_number": "715-675-3391",
            "fax_number": "715-675-4253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 WIND RIDGE DR",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544014149",
            "telephone_number": "715-675-3391",
            "fax_number": "715-675-4253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILL",
        "first_name": "GREGORY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2022-11-11",
        "certification_date": "2022-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "25268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30674600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wausau, WI

Sources for this page

Verify at the official NPI Registry.