DR. MARYELLYN GILFEATHER (M.D.) – Diagnostic Radiology Physician, NPI 1598764847

DR. MARYELLYN GILFEATHER (M.D.) is a healthcare provider. based in Eden prairie, Minnesota. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. 320240-1205 (UT). The NPI Number for DR. MARYELLYN GILFEATHER (M.D.) is 1598764847

Main info

Female
37 Years Of Experience
Name
DR. MARYELLYN GILFEATHER (M.D.)
NPI
1598764847
Phone
(952) 595-1301
Address
11995 SINGLETREE LN STE 500
Enumeration Date
19 July 2005
Last Update Date
4 December 2024

Doctor Profile

Medical School Name
TUFTS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5857237021
Graduation Year
1989 (37 years ago)
PAC ID
7911893722
Group Practice PAC ID
9436060969
Professional Enrollment ID
I20040226000947
Address ID
UT841032266SA54XXXDRXX400

Contacts

Secure Messaging
mgilfeather271401@direct.med.utah.edu
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness85
Years active:20State licenses:2Other namesUpdated within 12 months

1,801 DIAGNOSTIC RADIOLOGY in MN

Provider Addresses for DR. MARYELLYN GILFEATHER (M.D.)

  • 11995 SINGLETREE LN STE 500

    EDEN PRAIRIE, MN 553445349

    Phone: (952) 595-1301

    Fax: (612) 294-4903

    Type: Mailing

  • 3600 MINNESOTA DR STE 800

    EDINA, MN 554357915

    Phone: (952) 595-1301

    Fax: (612) 294-4903

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2023-08-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 5 Medicare enrollment records; no due dates published yet.

Enrollment records

5

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040226000947IDiagnostic RadiologyUTTBD
I20200508000199IDiagnostic RadiologyILTBD
I20220330001309IDiagnostic RadiologyMITBD
I20230629001319IDiagnostic RadiologyWYTBD
I20230809002063IDiagnostic RadiologyMNTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
74177Ct scan of abdomen and pelvis with contrast450447$0
71275Ct scan of blood vessels of chest with contrast373372$0
71045X-ray of chest, 1 view346337$0
70450Ct scan head or brain without contrast323320$0
74176Ct scan of abdomen and pelvis without contrast312309$0
View full utilization report →

Insurance plans in this area (ZIP 55344)

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Provider's Procedures

DR. MARYELLYN GILFEATHER (M.D.) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYUT71250CT scan chest1212
DIAGNOSTIC RADIOLOGYUT73110X-ray of wrist, minimum of 3 views1312
DIAGNOSTIC RADIOLOGYUT73630X-ray of foot, minimum of 3 views1616
DIAGNOSTIC RADIOLOGYUT74177CT scan of abdomen and pelvis with contrast3228

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9436060969View full group profile
NameSpecialtyState
Internal MedicineNY
-NY
Physician AssistantNY
-NY
Registered Dietitian Or Nutrition ProfessionalNY
-NY
Certified Registered Nurse Anesthetist (Crna)NY
Registered Dietitian Or Nutrition ProfessionalNY
-NY
-NY

Reviews

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Frequently asked questions

How do payers reference DR. MARYELLYN GILFEATHER (M.D.)?
For DR. MARYELLYN GILFEATHER (M.D.), use NPI 1598764847 as the unique 10-digit identifier.
Is there an active status for DR. MARYELLYN GILFEATHER (M.D.)?
For scheduling context, DR. MARYELLYN GILFEATHER (M.D.) is shown as active in the registry.
What area of care is associated with DR. MARYELLYN GILFEATHER (M.D.)?
DR. MARYELLYN GILFEATHER (M.D.)'s record emphasizes Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Is DR. MARYELLYN GILFEATHER (M.D.) associated with Eden Prairie?
Public fields place DR. MARYELLYN GILFEATHER (M.D.) around Eden Prairie, Minnesota. Always confirm the exact site before visiting.
What does 4 location(s) imply?
4 practice locations appear in the available data.