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HEATHER GAUGER OD
NPI 1003334863
Optometrist in Cocoa Beach, FL

Active since August 31, 2017PECOS EnrolledAccepts Medicare Assignment
5505 N ATLANTIC AVE STE 105, COCOA BEACH, FL 32931(321) 783-2002 Get Directions Write a Review

NPPES record last updated: December 15, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 15, 2022, Sep 18, 2017, Aug 31, 2017 (3 updates tracked since 2017).

About Heather Gauger Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEATHER GAUGER OD (NPI 1003334863) is an individual optometrist in Cocoa Beach, Florida, licensed in Florida (OPC5371) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Davie, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1003334863
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameHEATHER GAUGERCredential: OD
Location Address5505 N ATLANTIC AVE STE 105Cocoa Beach, FL 32931-5118
Mailing Address209 Sykes Loop DrMerritt Island, FL 32953-3074
Phone(321) 783-2002
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 31, 2017
Last NPPES UpdateDecember 15, 20223 updates tracked since enumeration
NPPES CertifiedDecember 15, 2022
✔ NPI 1003334863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in FL · OPC5371
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
5505 N ATLANTIC AVE STE 105, Cocoa Beach, FL 32931
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Secondary Practice Location 1

Location 13200 S University DrDavie, FL 33328-2018 · Phone (954) 262-4200

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Heather Gauger Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2264798826
PECOS Enrollment IDI20171114003541
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
138 services137 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
95 services95 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
59 services55 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
53 services53 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
51 services47 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
22 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32931 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEANNA SHEA EAGERTON OD
Optometrist
5505 N ATLANTIC AVE STE 105
COCOA BEACH, FL 32931
Brevard County (321) 383-1332

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Heather Gauger's NPI number?

The NPI number for Heather Gauger is 1003334863. It was assigned to this individual provider in the NPPES registry on August 31, 2017.

Where is Heather Gauger located?

Heather Gauger practices at 5505 N Atlantic Ave Ste 105, Cocoa Beach, FL 32931. The listed phone number is (321) 783-2002.

What is Heather Gauger's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Heather Gauger enrolled in Medicare?

Yes. Heather Gauger is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Heather Gauger accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 10 other insurers list Heather Gauger as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Heather Gauger was last updated on December 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.