GINA ROSE BATHURST NORD (MD) – Anesthesiology Physician, NPI 1194993329
Anesthesiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,591 ANESTHESIOLOGY in TX
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Provider Addresses for GINA ROSE BATHURST NORD (MD)
1905, Wakefield Lane, Tipton Trails, Bloomington, McLean County, Illinois, 61704, United States
BLOOMINGTON, IL 617049197
Phone: (214) 709-7568
Fax: (469) 277-3190
Type: Mailing
Texas Health Allen, 1105, Central Expressway North, Cottonwood Creek, Allen, Collin County, Texas, 75013, United States
SUITE 375
ALLEN, TX 750136103
Phone: (972) 747-5830
Fax: (972) 747-5841
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $151.
Total Amount is formed as General ($151) + Research ($0) + Ownership ($0) = $151.
Last reported payment date: 2024-04-30 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($109).
Total Amount
$151
General + Research + Ownership
Payments
8
Total payment records
General Amount
$151
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Merck Sharp & Dohme LLC | $109 |
| Edwards Lifesciences Corporation | $42 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2016-06-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160629000412 | I | Anesthesiology | IL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 00790 | Anesthesia for other procedure on upper abdomen | 20 | 20 | $0 |
| 01922 | Anesthesia for x-ray or radiation therapy | 19 | 19 | $0 |
| 36620 | Insertion of artery tube for blood sampling or infusion through skin | 18 | 18 | $0 |
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 13 | 13 | $0 |
| 01402 | Anesthesia for procedure for total knee joint replacement | 13 | 13 | $0 |
Insurance plans in this area (ZIP 61704)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | IL | |
| - | IL | |
| - | IL | |
| - | IL | |
| Certified Registered Nurse Anesthetist (Crna) | VA | |
| Certified Registered Nurse Anesthetist (Crna) | IL | |
| - | - | |
| Certified Registered Nurse Anesthetist (Crna) | IL | |
| A N E S T H E S I O L O G Y | IL | |
| A N E S T H E S I O L O G Y | IL |
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