Active NPI 1639690589 Individual Practitioner Male Practitioner

Gavin Stormont

Urology • New Ulm, MN

Professional Overview & Biography Verified Profile Summary

Gavin Stormont is a certified Urology practicing in New Ulm, MN. With approximately 9 years of clinical experience since completing medical education in 2017, Gavin Stormont delivers high-quality medical care to the local community at 1217 8TH ST N.

Gavin Stormont is affiliated with Ccm Health and does not directly accept Medicare assignment.

Frequently performed procedures and clinical services include visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, established patient outpatient office visit, insertion of needle into vein for collection of blood sample. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1217 8th St N

New Ulm, MN 560731552

Telephone 5072175000

Associated Practice Facility / Clinic

🏢 Allina Health System Facility NPI 1619911658

Medicare Profile & Education

Medical School

Other

Graduation Year

2017

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in New Ulm, MN

Experienced Practitioner (5-10 Yrs)

Practitioner Clinical Experience

9 Yrs Matches City Avg

City Avg: 9.0 Yrs

State Avg: 21.4 Yrs

Regional Practice Density

1 Specialists

Practicing in New Ulm, MN (299 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

74.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Stormont (9 Years) 9 Yrs

New Ulm Specialty Average (9.0 Years) 9.0 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
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	205	177	$49.00	$15.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	198	158	$379.00	$124.21
99213 Established patient office or other outpatient visit, typically 15 minutes	152	141	$268.00	$88.25
36415 Insertion of needle into vein for collection of blood sample	148	118	$27.56	$8.59
81001 Manual urinalysis test with examination using microscope, automated	116	90	$26.80	$3.11
84153 Psa (prostate specific antigen) measurement, total	116	89	$104.19	$18.02
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	102	81	$531.00	$172.45
J0696 Injection, ceftriaxone sodium, per 250 mg	85	19	$13.00	$0.45
87088 Bacterial urine culture	69	52	$47.96	$7.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	66	66	$494.00	$160.22
52000 Diagnostic exam of bladder and urethra using an endoscope	63	56	$994.98	$225.91
87077 Bacterial culture for aerobic isolates	61	34	$37.04	$7.92
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	54	31	$45.36	$14.03
82565 Blood creatinine level	19	19	$26.70	$4.78
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	19	12	$109.08	$34.84
76872 Ultrasound scan of pelvic region through rectum	18	18	$832.14	$138.38
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	18	18	$240.12	$56.87
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	15	$168.00	$55.13
55700 Biopsy of prostate gland	15	15	$994.98	$217.69
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic	15	11	$42.00	$12.76
76856 Complete ultrasound scan of pelvis	15	15	$438.84	$101.31
51741 Electronic assessment of bladder emptying	14	13	$55.50	$9.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$333.00	$107.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	188	139	$363.75	$123.80
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	113	88	$513.13	$172.57
36415 Insertion of needle into vein for collection of blood sample	95	73	$27.56	$8.40
81001 Manual urinalysis test with examination using microscope, automated	83	54	$26.80	$3.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	80	80	$475.30	$160.24
J0696 Injection, ceftriaxone sodium, per 250 mg	80	19	$13.00	$0.51
87088 Bacterial urine culture	68	46	$47.96	$7.93
52000 Diagnostic exam of bladder and urethra using an endoscope	66	58	$1008.78	$227.01
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	63	33	$44.52	$13.94
84153 Psa (prostate specific antigen) measurement, total	60	45	$104.19	$18.02
99213 Established patient office or other outpatient visit, typically 15 minutes	51	41	$258.02	$88.10
87077 Bacterial culture for aerobic isolates	42	26	$37.39	$7.92
76856 Complete ultrasound scan of pelvis	34	32	$440.22	$106.72
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic	28	24	$40.74	$12.47
76872 Ultrasound scan of pelvic region through rectum	25	25	$843.18	$138.18
52332 Insertion of stent in urinary duct (ureter) using an endoscope	24	16	$1758.06	$84.85
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	23	18	$1324.80	$314.62
51741 Electronic assessment of bladder emptying	23	22	$56.58	$8.20
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	19	19	$628.56	$212.51
82565 Blood creatinine level	18	18	$26.70	$5.02
55700 Biopsy of prostate gland	17	17	$996.36	$222.55
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	16	16	$237.36	$57.54
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$319.13	$108.47
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	13	11	$103.88	$33.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	41	40	$353.44	$125.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$457.78	$162.61
36415 Insertion of needle into vein for collection of blood sample	27	25	$27.56	$2.94
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	23	23	$604.42	$214.79
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	23	22	$493.50	$176.52
84153 Psa (prostate specific antigen) measurement, total	16	16	$104.19	$18.02
81001 Manual urinalysis test with examination using microscope, automated	14	11	$26.80	$3.11
87088 Bacterial urine culture	13	11	$47.96	$7.93
52000 Diagnostic exam of bladder and urethra using an endoscope	13	13	$953.58	$247.21
99213 Established patient office or other outpatient visit, typically 15 minutes	12	12	$249.10	$89.13

Medical Specialties & State Licenses

CMS Verified: 2024-09-04

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License MN 71498

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Hospital & Practice Group Affiliations

Ccm Health

824 N 11th St, Montevideo, MN 562651629

Phone: 3202698877

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Charles Sieberg , PharmD

Pharmacist

NPI 1013403641

Doctor of Pharmacy (Pharm.D.)

Dr. Kellie Newman , MD

Surgery

NPI 1023119583

Doctor of Medicine (M.D.)

Dr. Susan Rudolph , MD

Dermatology

NPI 1043244213

Doctor of Medicine (M.D.)

Claire Byers , OTR, L

Occupational Therapist

NPI 1043973936

Occupational Therapist Registered, L

Dr. Alyssa Rubey , PharmD

Pharmacist

NPI 1053131383

Doctor of Pharmacy (Pharm.D.)

Erika Sletten , LICSW

Social Worker - Clinical

NPI 1053811901

Licensed Independent Clinical Social Worker

Career & Practice History Timeline

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

11 Historical Events

📍

Updated Practice Location September 04, 2024

Registered at 1217 8TH ST N, NEW ULM, MN 560731552 (Tel: 5072175000)

📍

Updated Business Mailing Address September 04, 2024

Registered at 2925 CHICAGO AVE, MINNEAPOLIS, MN 554071321 (Tel: 6122625000)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 04, 2024

Urology (License #71498 in MN)

📍

Updated Practice Location June 27, 2022

Registered at 1421 PREMIER DR, MANKATO, MN 560016076 (Tel: 5076251811)

📍

Updated Business Mailing Address June 27, 2022

Registered at 1421 PREMIER DR, MANKATO, MN 560016076

✅

NPI Profile Active June 30, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location June 30, 2017

Registered at 983280 NEBRASKA MEDICAL CTR, OMAHA, NE 681983280 (Tel: 4025595510)

📍

Updated Business Mailing Address June 30, 2017

Registered at 983280 NEBRASKA MEDICAL CTR, OMAHA, NE 681983280

👤

Provider Name / Credentials Updated June 30, 2017

Recorded as GAVIN STORMONT

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 30, 2017

Surgery (License #8112 in NE)

🟢

Initial NPI Registration & Enumeration June 30, 2017

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: 1639690589

Entity Type:

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

Enumeration Date: June 30, 2017

Last Update: September 04, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2925 Chicago Ave

Minneapolis, MN 554071321

Phone: 6122625000

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.