MR. GABRIEL LATHROP DO, MS
NPI 1851859367
Emergency Medicine in Chicago, IL
NPI Status: Active since March 05, 2019
Contact Information
5140 N CALIFORNIA AVE
CHICAGO, IL
ZIP 60625
Phone: (773) 878-8200
- Individual
- Male
- Years of Experience 5
- Emergency Medicine
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About GABRIEL LATHROP
This page provides the complete NPI Profile along with additional information for Gabriel Lathrop, a provider established in Chicago, Illinois with a medical specialization in Emergency Medicine and more than 5 years of experience. The healthcare provider is registered in the NPI registry with number 1851859367 assigned on March 2019. The practitioner's primary taxonomy code is 207P00000X with license number 125078687 (IL). The provider is registered as an individual and his NPI record was last updated 4 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization.
- NPI
- 1851859367
- Provider Name
- MR. GABRIEL LATHROP DO, MS
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 5140 N CALIFORNIA AVE CHICAGO, IL 60625
- Location Phone
- (773) 878-8200
- Mailing Address
- 5140 N CALIFORNIA AVE CHICAGO, IL 60625
- Mailing Phone
- (773) 878-8200
- Medical School Name
- OTHER
- Graduation Year
- 2021
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 03-05-2019
- Last Update Date
- 06-24-2021
- Code Navigator
Location Map
Secondary Locations
- 200 Mullins Dr
Lebanon, OR 97355
(541) 259-0235
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Emergency Medicine
- Taxonomy Code
- 207P00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 125078687
- License State
- IL
- Taxonomy Description
- An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- MyBlue Plus Bronze? 903 - POS
- MyBlue Plus Bronze? 912 - POS
- MyBlue Plus Bronze? Standard - Select Rx Copays - POS
- MyBlue Plus Gold? 909 - POS
- MyBlue Plus Gold? 910 - POS
- MyBlue Plus Gold? Standard - Rx Copays - POS
- MyBlue Plus Silver? 905 - POS
- MyBlue Plus Silver? 906 - POS
- MyBlue Plus Silver? Standard - Select Rx Copays - POS
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Gabriel Lathrop is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Gabriel Lathrop is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 1759724230
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20240212003558
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $23.51 for a new patient copayment and $26.42 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 60625 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $94.06
- Minimum New Patient Price $60.08
- Maximum New Patient Price $183.39
- Average New Patient Copayment $23.51
- Minimum New Patient Copayment $15.02
- Maximum New Patient Copayment $45.84
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $105.7
- Minimum Established Patient Price $18.97
- Maximum Established Patient Price $148.12
- Average Established Patient Copayment $26.42
- Minimum Established Patient Copayment $4.74
- Maximum Established Patient Copayment $37.03
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 8 | 5 | 1 | 8 | 5 | 9 | 3 | 6 | 7 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 8 | 10 | 1 | 16 | 5 | 18 | 3 | 12 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 8 + 1 + 0 + 1 + 1 + 6 + 5 + 1 + 8 + 3 + 1 + 2 + 24 = 63 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 63 = 7 | 7 |
The NPI number 1851859367 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1326046681 | OLGA ZUK M.D. Individual | Internal Medicine (Hematology & Oncology) | 5140 N CALIFORNIA AVE SUITE 115 CHICAGO, IL 60625 (773) 989-3803 |
1871563379 | MS. MARGARET BARRY AGUILAR R.N., F.N.P. Individual | Nurse Practitioner (Family) | 5140 N CALIFORNIA AVE PRE-SURGICAL TESTING CHICAGO, IL 60625 (773) 989-3822 |
1528014065 | DR. IGOR RECHITSKY M.D. Individual | Psychiatry & Neurology (Neurology) | 5140 N CALIFORNIA AVE SUITE 620 CHICAGO, IL 60625 (773) 907-3530 |
1376587030 | DR. ELIAS G GIKAS M.D. Individual | Plastic Surgery | 5140 N CALIFORNIA AVE SUITE 735 CHICAGO, IL 60625 (773) 878-6525 |
1164454534 | COLLEEN SHAUGHNESSY N.P. Individual | Nurse Practitioner | 5140 N CALIFORNIA AVE CHICAGO, IL 60625 (773) 878-8200 |
1770516379 | DR. MAURINA B GALVEZ MD Individual | Pediatrics | 5140 N CALIFORNIA AVE SUITE 715 CHICAGO, IL 60625 (773) 878-3825 |
1073539417 | SHAHEEN A HUMAYUN MD Individual | Family Medicine | 5140 N CALIFORNIA AVE SUITE 700 CHICAGO, IL 60625 (773) 784-2101 |
1275550964 | HAMID M HUMAYUN MD Individual | Internal Medicine (Nephrology) | 5140 N CALIFORNIA AVE SUITE 700 CHICAGO, IL 60625 (773) 784-2101 |
1033139092 | DR. MOYEED AKHTAR M.D. Individual | Pediatrics | 5140 N CALIFORNIA AVE SUITE 700 CHICAGO, IL 60625 (773) 784-2101 |
1003838574 | DR. VASEEM QURESHI M.D. Individual | Internal Medicine (Nephrology) | 5140 N CALIFORNIA AVE SUITE 700 CHICAGO, IL 60625 (773) 784-2101 |
1689687527 | BOFFA MEDICAL GROUP LLC Organization | Surgery | 5140 N CALIFORNIA AVE SUITE 780 CHICAGO, IL 60625 (773) 273-6810 |
1083627897 | DR. JOHN JOSEPH NATALE MD Individual | Surgery (Vascular Surgery) | 5140 N CALIFORNIA AVE SUITE 780 CHICAGO, IL 60625 (847) 222-1443 |
1174633960 | HAN KUCK LIM MD Individual | Ophthalmology | 5140 N CALIFORNIA AVE SUITE 565 CHICAGO, IL 60625 (773) 907-8700 |
1710083894 | SWEDISH COVENANT FACULTY GROUP Organization | Family Medicine | 5140 N CALIFORNIA AVE G400 CHICAGO, IL 60625 (773) 989-3806 |
1205933355 | SUNG SUP KIM M.D. P.C. Organization | Internal Medicine (Cardiovascular Disease) | 5140 N CALIFORNIA AVE SUITE G 465 CHICAGO, IL 60625 (773) 271-8700 |
1639276629 | DR. RAJINDER KUMAR GULIANI MD FACC Individual | Internal Medicine (Cardiovascular Disease) | 5140 N CALIFORNIA AVE SUITE 630 CHICAGO, IL 60625 (773) 728-0929 |
1598847642 | DR. FREDRICK ELLYIN, LTD Organization | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 5140 N CALIFORNIA AVE SUITE 545 CHICAGO, IL 60625 (773) 275-0177 |
1760561872 | DR. CHONG SOO RIM M.D. Individual | Obstetrics & Gynecology | 5140 N CALIFORNIA AVE SUITE 740 CHICAGO, IL 60625 (773) 275-4446 |
1538234075 | BELLA GOLAND, M.D., S.C. Organization | Internal Medicine | 5140 N CALIFORNIA AVE SUITE 525 CHICAGO, IL 60625 (773) 769-1400 |
1629137971 | ILLINOIS BONE AND JOINT INSTITUTE, LLC Organization | Orthopaedic Surgery | 5140 N CALIFORNIA AVE STE 405 CHICAGO, IL 60625 (773) 777-9900 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1851859367, enumerated in the NPI registry as an "individual" on March 05, 2019
The provider is located at 5140 N California Ave Chicago, Il 60625 and the phone number is (773) 878-8200
The provider's speciality is Emergency Medicine with taxonomy code 207P00000X
The provider has more than 5 years of experience.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Illinois. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $94.06 with an average copayment of $23.51 for new patient appointments. Established patients should expect a typical charge of $105.7 and an average copayment of 26.42. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on March 05, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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