William L. Gummelt, MD
NPI 1285670281ActiveIndividual· Family Medicine· Saint Joseph, MO
Family Medicine (MD) in Saint Joseph, Missouri, trained at University of Texas Medical School at San Antonio (class of 1985). 458 Medicare patients in 2024, $46,693 paid; nearly all of their 211 Part D prescriptions were generic (96%).
Overview
| NPI | 1285670281 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jun 20, 2006 |
| Last updated in NPPES | Feb 10, 2026 |
| Certified by provider | Feb 10, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 112084 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (MO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 458 |
|---|---|
| Services billed | 839 across 23 procedure codes |
| Paid by Medicare | $46,693 |
Part D prescriptions in 2024
| Prescriptions (claims) | 211 · 212 30-day fills |
|---|---|
| Patients | 159 |
| Total drug cost | $2,333 |
| Generic share | 96% of claims |
Education and affiliations
| Medical school | University of Texas Medical School at San Antonio |
|---|---|
| Graduation year | 1985 |
| Medicare specialty | Family Practice |
Medical group
- Heartland Regional Medical CenterSt Joseph, MO · 394 clinicians
Hospital affiliation
- Mosaic Life Care at St JosephSaint Joseph, MO
Other facilities
- Aseracare HospiceHospice · Savannah, MO
- Belleview Care CenterNursing home · Saint Joseph, MO
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 46 family medicine physicians in Saint Joseph · All family medicine physicians in Missouri