James Gesling, PA
NPI 1588086474 · Physician Assistant · Columbia, MO
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
James Gesling, PA is a Physician Assistant provider in Columbia, MO (NPI 1588086474).
Provider details
- NPI number
- 1588086474
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- License
- 2014002419 (MO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
12 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
362 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Emergency Department Visit With Moderate Level of Medical Decision Making99284 | 216 | $103 |
| Emergency Department Visit With High Level of Medical Decision Making99285 | 101 | $150 |
| Emergency Department Visit With Low Level of Medical Decision Making99283 | 45 | $61 |
Typical Medicare-allowed amounts for these services range $61–$150 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 17 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Naproxen | 56 | 54 |
| Ondansetronbrand: Ondansetron Odt | 53 | 53 |
| Baclofen | 51 | 50 |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 50 | 48 |
| Methylprednisolone | 42 | 40 |
| Prednisone | 35 | 34 |
| Doxycycline Hyclate | 31 | 31 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$286 across 14 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2014-01-10
- Last updated
- 2018-11-20
Frequently asked questions
- What is James Gesling's NPI number?
- James Gesling's National Provider Identifier (NPI) is 1588086474, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is James Gesling's specialty?
- James Gesling is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is James Gesling located?
- James Gesling's practice location on file with NPPES is One Hospital Dr, Columbia, MO 65212-0001.
- What is James Gesling's phone number?
- The practice phone number listed in the NPPES registry for James Gesling is (573) 884-4400.
- Does James Gesling accept Medicare?
- James Gesling is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is James Gesling's NPI active?
- Yes — James Gesling's NPI (1588086474) is active in the NPPES registry as of the last update on 2018-11-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.