Gary Gansen, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

078754 Issued in IA

Practice address

804 Kenyon Rd
Suite 310
Fort Dodge, IA 50501-5742

Phone

(515) 574-6880

NPI assigned

Dec 3, 2015

Last updated

Dec 3, 2015By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mercy Medical Center-CentervilleGroup PAC ID 9739077652, shared by 4 NPIs, 37 clinicians

Monroe County HospitalGroup PAC ID 1759299217, shared by 4 NPIs, 26 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercyone Centerville Medical Center Hospital, Centerville, IA, CCN 161377
• Monroe County Hospital Hospital, Albia, IA, CCN 161342

Merit-based Incentive Payment System (MIPS)

Final score

93.78 of 100Reported as apm

Quality

80.38

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ggansen3945150@direct.trinity-health.org

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.

• Mercy Medical Center-Centerville

  dba Mercyone Centerville Medical Center

  • Critical Access Hospital
  • Centerville, IA
  • NPI 1356391635
  Medicare reassignment NPD
• Mercy Medical Center-Centerville

  • Emergency Care Clinic/Center
  • Centerville, IA
  • NPI 1528018801
  Medicare reassignment NPD
• Monroe County Hospital

  • Critical Access Hospital
  • Albia, IA
  • NPI 1205895299
  Medicare reassignment NPD
• Monroe County Hospital

  dba MCH Clinic

  • Rural Health Clinic/Center
  • Albia, IA
  • NPI 1245469378
  Medicare reassignment NPD
• Mercy Medical Center-Centerville

  dba MercyOne Ottumwa Family and Internal Medicine Clinic

  • Multi-Specialty Clinic/Center
  • Ottumwa, IA
  • NPI 1093360679
  NPD
• Monroe County Hospital

  • Family Medicine Physician
  • Albia, IA
  • NPI 1730274424
  NPD
• Mercy Medical Center-Centerville

  • Nursing Facility/Intermediate Care Facility
  • Centerville, IA
  • NPI 1265482541
  NPD (past)

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

• Mercy Medical Center-Centerville

  dba Mercyone Centerville Medical Center

  • Critical Access Hospital
  • Centerville, IA
  • NPI 1356391635
  Care Compare affiliation
• Monroe County Hospital

  • Critical Access Hospital
  • Albia, IA
  • NPI 1205895299
  Care Compare affiliation

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

{
    "created_epoch": "1449100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449100800000",
    "number": "1992170856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 KENYON RD",
            "address_2": "SUITE 310",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505015742",
            "telephone_number": "515-574-6880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 KENYON RD",
            "address_2": "SUITE 310",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505015742",
            "telephone_number": "515-574-6880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANSEN",
        "first_name": "GARY",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-12-03",
        "last_updated": "2015-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IA",
            "license": "078754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greg Frommelt, RPH
• Jeffrey Neal Frye
• Caryl Marie Fuoss, LISW
• Ga Combine LLC
• Ga Combine LLC
• Danette L Garcia, RN
• Jessica Marie Gardner
• Karrie Nicolle Garnica, RN
• John H Garton, DDS
• Genesis Mental Health Associates LLC

• Foot & Ankle Surgery Podiatrist in Fort Dodge, IA
• Providers in Fort Dodge, IA by specialty
• Foot & Ankle Surgery Podiatrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2015; 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.