Active NPI 1497726749 Individual Practitioner Female Practitioner

Dr. Gemma C Lim , MD, FACP

Hospitalist • St Cloud, MN

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Gemma Lim, MD, FACP is a certified Hospitalist practicing in St Cloud, MN. With approximately 31 years of clinical experience since completing medical education in 1995, Dr. Lim delivers high-quality medical care to the local community at 1200 SIXTH AVE N.

Dr. Lim maintains professional affiliations with Centracare Health-Paynesville Llc, Centracare Clinic, Centracare Health System-Nr Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

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

Practice Location & Contact Primary Location

Practice Address

1200 Sixth Ave N
Centracare Clinic

St Cloud, MN 563032735

Telephone 3202512700

Fax 3207626847

Associated Practice Facility / Clinic

🏢 St Cloud Pathologists Pa Facility NPI 1396717633

Medicare Profile & Education

Medical School

Other

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Hospitalist in St Cloud, MN

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

31 Yrs +7.4 yrs vs City Avg

City Avg: 23.6 Yrs

State Avg: 18.2 Yrs

Regional Practice Density

29 Specialists

Practicing in St Cloud, MN (402 Statewide)

Telehealth Adoption Rate

34.5% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

70.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Lim (31 Years) 31 Yrs

St Cloud Specialty Average (23.6 Years) 23.6 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
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	268	104	$231.74	$74.00
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	84	83	$616.64	$163.18
99239 Hospital discharge day management, more than 30 minutes	55	55	$344.00	$108.60
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	40	37	$30.08	$7.67
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	37	24	$349.91	$111.54
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	25	25	$417.72	$122.28

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	222	110	$206.09	$75.73
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	112	112	$583.83	$164.20
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	77	47	$305.33	$113.93
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	60	55	$28.48	$7.81
99239 Hospital discharge day management, more than 30 minutes	58	58	$305.81	$109.89
99291 Critical care, first 30-74 minutes	29	18	$777.68	$201.85
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$397.33	$124.16

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	104	102	$552.00	$191.00
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	88	50	$195.79	$68.30
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	83	72	$27.75	$8.08
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	63	43	$281.80	$95.15
99220 Hospital observation care, typically 70 minutes	58	58	$512.84	$171.35
99291 Critical care, first 30-74 minutes	33	23	$701.60	$205.89
99239 Hospital discharge day management, more than 30 minutes	27	27	$289.50	$101.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	176	165	$27.75	$8.15
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	158	84	$208.25	$69.88
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	115	113	$579.00	$194.69
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	96	63	$297.75	$100.49
99239 Hospital discharge day management, more than 30 minutes	55	54	$306.75	$103.95
99220 Hospital observation care, typically 70 minutes	43	42	$550.50	$176.78
99291 Critical care, first 30-74 minutes	27	18	$718.50	$212.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	280	250	$27.43	$8.43
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	229	107	$208.12	$71.47
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	165	165	$570.37	$198.25
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	105	59	$295.88	$102.96
99220 Hospital observation care, typically 70 minutes	47	47	$550.50	$179.61
99238 Hospital discharge day management, 30 minutes or less	29	29	$208.94	$72.35
99239 Hospital discharge day management, more than 30 minutes	28	28	$306.71	$106.09
99291 Critical care, first 30-74 minutes	26	15	$714.61	$217.96
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	21	$389.67	$134.19
99217 Hospital observation care on day of discharge	12	12	$216.25	$71.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	367	326	$25.69	$8.42
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	274	147	$202.87	$71.62
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	219	215	$554.83	$199.11
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	166	106	$283.66	$102.44
99239 Hospital discharge day management, more than 30 minutes	80	79	$302.57	$106.22
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	77	76	$380.30	$134.37
99231 Follow-up hospital inpatient care per day, typically 15 minutes	51	29	$107.25	$38.65
99220 Hospital observation care, typically 70 minutes	37	37	$528.65	$182.86
99291 Critical care, first 30-74 minutes	35	32	$687.93	$217.38
99238 Hospital discharge day management, 30 minutes or less	18	18	$199.39	$72.26

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	243	123	$188.78	$70.97
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	205	129	$272.55	$101.44
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	117	115	$530.82	$197.58
99239 Hospital discharge day management, more than 30 minutes	59	58	$280.33	$105.76
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	28	28	$356.98	$132.83
99231 Follow-up hospital inpatient care per day, typically 15 minutes	24	14	$103.00	$38.08
99291 Critical care, first 30-74 minutes	18	17	$721.42	$215.13
99220 Hospital observation care, typically 70 minutes	14	14	$486.64	$181.81
99238 Hospital discharge day management, 30 minutes or less	13	13	$190.38	$71.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	259	143	$267.35	$101.40
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	210	120	$185.54	$70.25
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	128	124	$521.20	$196.61
99239 Hospital discharge day management, more than 30 minutes	78	78	$275.01	$105.12
99291 Critical care, first 30-74 minutes	27	24	$712.79	$214.77
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$352.07	$132.55
99220 Hospital observation care, typically 70 minutes	13	13	$476.65	$180.90

Medical Specialties & State Licenses

CMS Verified: 2023-03-28

Hospitalist Primary Specialty

NUCC Taxonomy Code: 208M00000X

State License MN 47433

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Specialist

NUCC Taxonomy Code: 174400000X

State License MN 47433

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License MN 47433

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.

Internal Medicine - Endocrinology, Diabetes & Metabolism

NUCC Taxonomy Code: 207RE0101X

State License MN 117433

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

276900000 (MN)

Commercial Insurance / Payer ID America's Ppo

2352948 (MN)

Commercial Insurance / Payer ID Medica

3300205 (MN)

Commercial Insurance / Payer ID Blue Shield

310G6LI (MN)

Commercial Insurance / Payer ID Champus

A028 (MN)

Commercial Insurance / Payer ID Health Partners

HP51319 (MN)

Commercial Insurance / Payer ID Preferred One

1043684 (MN)

Commercial Insurance / Payer ID Ucare

130786D277 (MN)

Hospital & Practice Group Affiliations

Centracare Clinic

1406 6th Ave No, St Cloud, MN 563031901

Centracare Clinic

1406 6th Ave N, St Cloud, MN 563031901

Centracare Clinic

1200 6th N Ave, Saint Cloud, MN 563032735

Phone: 3202525131

Centracare Health System - Long Prairie

50 Centracare Dr, Long Prairie, MN 563472100

Phone: 3207322141

Centracare Clinic

1900 Centracare Cir, Saint Cloud, MN 563035000

Centracare Clinic

1200 6th Ave N, Saint Cloud, MN 563032735

Centracare Health-Paynesville Llc

200 W 1st St, Paynesville, MN 563621445

Phone: 3202433767

Centracare Clinic

1200 6th Ave N, Saint Cloud, MN 563032735

Phone: 3202525131

Centracare Health System-Nr Llc

1013 Hart Blvd, Monticello, MN 553628575

Phone: 7632952945

Centracare Clinic

1200 6th Ave N, St Cloud, MN 563032735

Phone: 3202525131

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Lucas Bachmann , MD

Psychiatry & Neurology - Psychiatry

NPI 1003137449

Doctor of Medicine (M.D.)

Monica Guggenberger , MS LMFT

Marriage & Family Therapist

NPI 1003187899

MSLMFT

Julie Traina , COTA

Occupational Therapy Assistant

NPI 1003345240

Certified Occupational Therapy Assistant

Mary Amundson , APRN, CNP

Pediatrics

NPI 1003439241

Advanced Practice Registered Nurse, Certified Nurse Practitioner

Alexa Herbst

Clinical Exercise Physiologist

NPI 1003557877

Veronica Chapp , FNP-C

Nurse Practitioner - Family

NPI 1003744707

Family Nurse Practitioner (Certified)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active October 30, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location October 30, 2015

Registered at 1200 SIXTH AVE N, CENTRACARE CLINIC, ST CLOUD, MN 563032735 (Tel: 3202512700)

📍

Updated Business Mailing Address October 30, 2015

Registered at 1200 SIXTH AVE N, CENTRACARE CLINIC, ST CLOUD, MN 563032735 (Tel: 3202512700)

👤

Provider Name / Credentials Updated October 30, 2015

Recorded as GEMMA LIM, MD, FACP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 30, 2015

Specialist (License #47433 in MN)

🟢

Initial NPI Registration & Enumeration January 26, 2006

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: 1497726749

Entity Type:

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

Enumeration Date: January 26, 2006

Last Update: March 28, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1200 Sixth Ave N, Centracare Clinic

St Cloud, MN 563032735

Phone: 3202512700

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.