Active NPI 1669695888 Individual Practitioner Male Practitioner

Dr. Nicholas E Gilpin , DO

Internal Medicine • Grosse Pointe, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Nicholas Gilpin, DO is a certified Internal Medicine practicing in Grosse Pointe, MI. With approximately 20 years of clinical experience since graduating from Michigan State University College Of Human Medicine in 2006, Dr. Gilpin delivers high-quality medical care to the local community at 468 CADIEUX RD.

Dr. Gilpin is affiliated with Beaumont Medical Group Hospital Based Services and accepts Medicare assignment.

Frequently performed procedures and clinical services include follow-up hospital inpatient care per day, initial hospital care with moderate level of medical decision making, if using time, at least, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

468 Cadieux Rd

Grosse Pointe, MI 482301507

Telephone 3134731000

Associated Practice Facility / Clinic

🏢 Beaumont Pharmacy And Health Services Inc Facility NPI 1093701963

Medicare Profile & Education

Medical School

Michigan State University College Of Human Medicine

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Grosse Pointe, MI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

20 Yrs +8.3 yrs vs City Avg

City Avg: 11.7 Yrs

State Avg: 26.5 Yrs

Regional Practice Density

13 Specialists

Practicing in Grosse Pointe, MI (6010 Statewide)

Telehealth Adoption Rate

7.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

48.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gilpin (20 Years) 20 Yrs

Grosse Pointe Specialty Average (11.7 Years) 11.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	49	36	$78.31	$50.51
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	47	45	$367.30	$175.33
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	46	28	$149.07	$79.77
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$253.50	$133.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	75	75	$323.08	$179.79
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	37	30	$118.81	$82.04
99231 Follow-up hospital inpatient care per day, typically 15 minutes	28	26	$65.43	$50.58
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$198.24	$135.50
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	14	12	$164.71	$123.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	92	89	$301.64	$202.20
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	37	31	$122.32	$72.70
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	25	25	$179.36	$138.59
99231 Follow-up hospital inpatient care per day, typically 15 minutes	22	19	$71.91	$39.95
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	16	15	$173.19	$104.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	87	87	$485.09	$208.46
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	80	48	$201.25	$74.08
99231 Follow-up hospital inpatient care per day, typically 15 minutes	42	37	$115.33	$39.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	19	$355.00	$135.39
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$327.63	$142.03
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	15	14	$263.00	$107.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	58	40	$197.52	$74.14
99231 Follow-up hospital inpatient care per day, typically 15 minutes	53	45	$101.92	$41.05
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	47	45	$506.79	$212.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	18	$268.53	$113.42
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	11	$305.92	$146.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	79	64	$56.00	$41.33
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	56	54	$282.00	$208.56
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	46	32	$107.00	$72.17
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	32	20	$150.00	$108.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	19	$159.00	$108.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	88	79	$269.00	$209.81
99231 Follow-up hospital inpatient care per day, typically 15 minutes	82	65	$53.00	$40.68
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	77	49	$98.21	$75.20
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	48	33	$143.00	$107.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	25	$151.00	$99.94
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$162.13	$141.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	200	172	$269.00	$203.41
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	195	104	$98.00	$73.20
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	156	67	$143.00	$105.92
99231 Follow-up hospital inpatient care per day, typically 15 minutes	123	94	$53.00	$39.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	69	39	$151.00	$105.66
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	26	26	$160.00	$140.15

Medical Specialties & State Licenses

CMS Verified: 2020-10-22

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License MI 5101016884

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Hospital & Practice Group Affiliations

Beaumont Medical Group Hospital Based Services

25631 Little Mack Ave, Saint Clair Shores, MI 480812108

Phone: 5864432930

Beaumont Medical Group Hospital Based Services

468 Cadieux Rd, Grosse Pointe, MI 482301507

Phone: 3134731605

Beaumont Medical Group Hospital Based Services

44201 Dequindre Rd Ec, Troy, MI 480851117

Phone: 2489645111

Beaumont Medical Group Hospital Based Services

3535 W 13 Mile Rd, Royal Oak, MI 480736770

Beaumont Medical Group Hospital Based Services

3601 W 13 Mile Rd Ec, Royal Oak, MI 480736712

Phone: 2488980575

Beaumont Medical Group Hospital Based Services

44201 Dequindre Rd, Troy, MI 480851117

Phone: 2489641187

Beaumont Medical Group Hospital Based Services

3601 W 13 Mile Rd, Royal Oak, MI 480736712

Secondary Practice Locations

15200 Kercheval Ave

Grosse Pointe Park, MI 482301356

Phone: 3134176100

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Evelyn Arnold

Physician Assistant

NPI 1023844677

Jenna Zech

Physician Assistant

NPI 1033665153

Nayna Lal , CRNA

Nurse Anesthetist, Certified Registered

NPI 1073853339

Certified Registered Nurse Anesthetist

Dr. Ronak Patel , DO

Internal Medicine

NPI 1093383838

Doctor of Osteopathic Medicine (D.O.)

Dr. Ashwin Kumar , MD

Radiology - Diagnostic Radiology

NPI 1104484021

Doctor of Medicine (M.D.)

Natalie Chornoby , CRNA

Nurse Anesthetist, Certified Registered

NPI 1114801867

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

📍

Updated Practice Location October 22, 2020

Registered at 468 CADIEUX RD, GROSSE POINTE, MI 482301507 (Tel: 3134731000)

✅

NPI Profile Active June 28, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location June 28, 2011

Registered at 15200 KERCHEVAL AVE, GROSSE POINTE PARK, MI 482301356 (Tel: 3134176100)

📍

Updated Business Mailing Address June 28, 2011

Registered at 2915 JOHN R ST, APT 208, DETROIT, MI 482012908 (Tel: 5172061469)

👤

Provider Name / Credentials Updated June 28, 2011

Recorded as NICHOLAS GILPIN, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 28, 2011

Internal Medicine (License #5101016884 in MI)

🟢

Initial NPI Registration & Enumeration April 10, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1669695888

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 10, 2007

Last Update: October 22, 2020

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

2915 John R St, Apt 208

Detroit, MI 482012908

Phone: 5172061469

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.