JOHN M GUNSELMAN (D.O.) – Urology Physician, NPI 1194953125

JOHN M GUNSELMAN (D.O.) is a healthcare provider. based in Portland, Oregon. specializing in UROLOGY. They hold the professional credentials D.O.. They hold a License No. DO171400 (OR). The NPI Number for JOHN M GUNSELMAN (D.O.) is 1194953125

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
JOHN M GUNSELMAN (D.O.)
NPI
1194953125
Phone
(503) 215-7628
Address
5050 NE HOYT ST STE 210
Enumeration Date
29 June 2009
Last Update Date
12 February 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5032236223
Graduation Year
2009 (17 years ago)
PAC ID
4385860352
Group Practice PAC ID
2668783770
Professional Enrollment ID
I20150721001810
Address ID
OR972091770PO2055XSTXX401
Telehealth
Yes

Contacts

Secure Messaging
jgunselman541123@oc.providencedirect.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness85
Years active:16State licenses:1Other namesUpdated within 12 months

173 UROLOGY in OR

Provider Addresses for JOHN M GUNSELMAN (D.O.)

  • 5050 NE HOYT ST STE 210

    PORTLAND, OR 972132980

    Phone: (503) 215-7628

    Type: Location

  • 24076 SE Stark St

    Suite 310

    Gresham, OR 97030

    Phone: (503) 492-6510

    Type: Location

  • 24076, Southeast Stark Street, Twelvemile Corner, Gresham, Metro, Multnomah County, Oregon, 97030, United States

    SUITE 310

    GRESHAM, OR 97030

    Phone: (503) 492-6510

    Type: Mailing

  • PO BOX 3158

    PORTLAND, OR 972083158

    Phone: (503) 215-6494

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 64 Open Payments records for all available years, with a total value of $2,291.

Total Amount is formed as General ($2,291) + Research ($0) + Ownership ($0) = $2,291.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: PROCEPT BioRobotics Corporation ($916).

Total Amount

$2,291

General + Research + Ownership

Payments

64

Total payment records

General Amount

$2,291

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2015-07-21

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150721001810IUrologyORTBD

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
81003Automated urinalysis test10282$0
51798Ultrasound measurement of bladder capacity after voiding6964$0
99214Established patient office or other outpatient visit, 30-39 minutes5951$0
99204New patient office or other outpatient visit, 45-59 minutes5151$0
99213Established patient office or other outpatient visit, 20-29 minutes3129$0
View full utilization report →

Insurance plans in this area (ZIP 97213)

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Provider's Procedures

JOHN M GUNSELMAN (D.O.) performs procedures in UROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
UROLOGYOR76872Ultrasound of rectum1212

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: 2668783770View full group profile
NameSpecialtyState
Physician AssistantOR
U R O L O G YOR
Physician AssistantCA
U R O L O G YOR
Physician AssistantOR
U R O L O G YOR
U R O L O G YNC
U R O L O G YOR
U R O L O G YOR
U R O L O G YOR

Reviews

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Frequently asked questions

How is JOHN M GUNSELMAN (D.O.) identified in CMS data?
CMS-hosted NPPES data lists JOHN M GUNSELMAN (D.O.) with NPI 1194953125.
Is JOHN M GUNSELMAN (D.O.) listed as active for patients and plans?
The listing shows JOHN M GUNSELMAN (D.O.) as active in the NPI system.
What is JOHN M GUNSELMAN (D.O.)'s primary classification?
Urology Physician is the headline specialty for JOHN M GUNSELMAN (D.O.) here. Clinical services aligned with this taxonomy classification.
Where should I expect JOHN M GUNSELMAN (D.O.) on a map?
Expect Portland, Oregon as a primary anchor for JOHN M GUNSELMAN (D.O.) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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