Gavin D Chartier, M.D.

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

01041179 Issued in IN

Practice address

1813 Willow St # 3B
Vincennes, IN 47591-4276

Phone

(812) 477-7246

Fax

(812) 477-7240

NPI assigned

Feb 18, 2006

Last updated

Feb 23, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IN

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

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pain Management Centers of America, PSC

  • Interventional Pain Medicine Physician
  • Evansville, IN
  • NPI 1992271811
  Medicare reassignment NPD
• Gavin D Chartier LLC

  dba Willow Creek Pain Center

  • Interventional Pain Medicine Physician
  • Vincennes, IN
  • NPI 1497841068
  Authorized official Same address or phone
• Advanced Ambulatory Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Evansville, IN
  • NPI 1033426580
  NPD (past)

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

{
    "created_epoch": "1140220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614038400000",
    "number": "1982679494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 S CLEARVIEW DR",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475915576",
            "telephone_number": "812-886-1151",
            "fax_number": "812-886-5330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1813 WILLOW ST # 3B",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475914276",
            "telephone_number": "812-477-7246",
            "fax_number": "812-477-7240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2020 S. Clearview Dr.",
            "address_purpose": "LOCATION",
            "city": "Vincennes",
            "state": "IN",
            "postal_code": "475911351",
            "country_code": "US",
            "telephone_number": "812-886-1151",
            "fax_number": "812-886-5330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHARTIER",
        "first_name": "GAVIN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-18",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "01041179",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "IN",
            "license": "01041179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100465800",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.healthfusion.com",
            "affiliation": "N",
            "endpointDescription": "emr",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1813 Willow St # 3B",
            "city": "Vincennes",
            "state": "IN",
            "country_code": "US",
            "postal_code": "475914276",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lillybeth Cassel, MSN, RN
• Ashley J Cassem, LCSW
• Melanie Sue Cates, OTR/L
• Christine M Cavanaugh, OTR
• Destany Chambers
• Muhammad Yafaa Naveed Chaudhary, MBCHB
• Alexis Villanueva Chavente, PHYSICAL THERAPIST
• Brandi Chestnut, PTA
• CHI National Home Care, LLC (Good Samaritan Hospice)
• Children & Family Services, Corp. (Grasshopper Group Health Services)

• Interventional Pain Medicine Physician in Vincennes, IN
• Providers in Vincennes, IN by specialty
• Interventional Pain Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; 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.