LAUREN C. GANNON MD
NPI 1003012733
Internal Medicine in Pleasant Hill, CA

NPI Status: Active since June 21, 2007

Contact Information

2675 PLEASANT HILL RD
PLEASANT HILL, CA
ZIP 94523
Phone: (925) 676-1700

Get Directions Reviews

  • Individual
  • Female
  • Years of Experience 17
  • Internal Medicine
  • PECOS Enrolled
  • Accepts Medicare Approved Payment

About LAUREN GANNON

Lauren Gannon is an internist established in Pleasant Hill, California and her medical specialization is Internal Medicine with more than 17 years of experience. She graduated from Wayne State University School Of Medicine in 2007. The healthcare provider is registered in the NPI registry with number 1003012733 assigned on June 2007. The practitioner's primary taxonomy code is 207R00000X with license number A105771 (CA). The provider is registered as an individual and her NPI record was last updated 3 years ago.

NPI
1003012733
Provider Name
LAUREN C. GANNON MD
Other Name
LAUREN C. WORTH MD
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
2675 PLEASANT HILL RD PLEASANT HILL, CA 94523
Location Phone
(925) 676-1700
Mailing Address
1450 TREAT BLVD # 300 WALNUT CREEK, CA 94597
Mailing Phone
(925) 952-2828
Mailing Fax
Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year
2007
Is Sole Proprietor?
No
Enumeration Date
06-21-2007
Last Update Date
07-06-2021
Code Navigator

An internist like Lauren Gannon is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Lauren Gannon 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.

The typical physician office visit costs for Medicare beneficiaries in this area are: $39.19 for a new patient copayment and $30.64 for an established patient copayment.

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

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
License No.
A105771
License State
CA
Taxonomy Description
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1208000000XAllopathic & Osteopathic Physicians

Pediatrics

A105771 (CA)

PECOS Enrollment and Medicare Participation Status

Lauren Gannon 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: 8224251095

    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: I20140523000476

    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 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 94523 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $156.78
  • Minimum New Patient Price $69.92
  • Maximum New Patient Price $206.38
  • Average New Patient Copayment $39.19
  • Minimum New Patient Copayment $17.48
  • Maximum New Patient Copayment $51.59

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $122.57
  • Minimum Established Patient Price $22.97
  • Maximum Established Patient Price $169.96
  • Average Established Patient Copayment $30.64
  • Minimum Established Patient Copayment $5.74
  • Maximum Established Patient Copayment $42.49

* 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.

Clinician Services

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2020. The reported codes are based on the top 5 codes for each available specialty, excluding evaluation and management codes.

  • 23

    Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)

Hospital Affiliations

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Lauren Gannon is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
JOHN MUIR MEDICAL CENTER - WALNUT CREEK CAMPUS1601 YGNACIO VALLEY RD
WALNUT CREEK, CA 94598
(925) 939-3000Acute Care Hospitals
ALTA BATES SUMMIT MEDICAL CENTER - ALTA BATES CAMP2450 ASHBY AVENUE
BERKELEY, CA 94705
(510) 204-4444Acute Care Hospitals
JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS2540 EAST ST
CONCORD, CA 94520
(925) 682-8200Acute Care Hospitals

Reviews for LAUREN C. GANNON MD

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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.
1003012733
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
200301476
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 1 + 4 + 7 + 6 + 24 = 47
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 47 = 33

The NPI number 1003012733 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1194388470 MICHELLE JANE LIM DO
Individual
Family Medicine2675 PLEASANT HILL RD
PLEASANT HILL, CA 94523
(925) 692-5520
1346803731 LAUREN AZUMA MD
Individual
Family Medicine2675 PLEASANT HILL RD
PLEASANT HILL, CA 94523
(925) 692-5570
1497163547 MARIE JOSE MOUBARAK
Individual
Pediatrics2675 PLEASANT HILL RD
PLEASANT HILL, CA 94523
(925) 692-5570
1770106007MS. MILISSA A BURIEL FNP
Individual
Nurse Practitioner (Family)2675 PLEASANT HILL RD
PLEASANT HILL, CA 94523
(925) 254-9840
1063831386 RON YALON
Individual
Pediatrics2675 PLEASANT HILL RD
PLEASANT HILL, CA 94523
(925) 692-5570
1740534551 MEAGHAN ELISE PUGH PNP
Individual
Nurse Practitioner (Pediatrics)2675 PLEASANT HILL RD
PLEASANT HILL, CA 94523
(925) 692-5570
1326895236 TIVOLI MELNICK
Individual
Physical Therapy Assistant2675 PLEASANT HILL RD
PLEASANT HILL, CA 94523
(925) 900-3393

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003012733, enumerated in the NPI registry as an "individual" on June 21, 2007

The provider is located at 2675 Pleasant Hill Rd Pleasant Hill, Ca 94523 and the phone number is (925) 676-1700

The provider's speciality is Internal Medicine with taxonomy code 207R00000X

The provider has more than 17 years of experience. She graduated from Wayne State University School Of Medicine in 2007.

Yes, as of June 14, 2024 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 $156.78 with an average copayment of $39.19 for new patient appointments. Established patients should expect a typical charge of $122.57 and an average copayment of 30.64. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit.

The practitioner is affiliated to the following hospital(s): JOHN MUIR MEDICAL CENTER - WALNUT CREEK CAMPUS, ALTA BATES SUMMIT MEDICAL CENTER - ALTA BATES CAMP and JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on June 21, 2007. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.