GETTYSBURG MEDICAL CLINIC, INC.
NPI 1023116589
Clinic/Center - Multi-Specialty in Merced, CA
About Gettysburg Medical Clinic, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GETTYSBURG MEDICAL CLINIC, INC. (NPI 1023116589) is a healthcare organization registered as a multi-specialty in Merced, California and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through April 26, 2028 and lists Grace Wee Lim, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Gettysburg Medical Clinic, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Gettysburg Medical Clinic, Inc., which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 05D0945143
Gettysburg Medical Clinic Inc · Merced, CAFrequently 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 Gettysburg Medical Clinic, Inc.'s NPI number?
The NPI number for Gettysburg Medical Clinic, Inc. is 1023116589. It was assigned to this organization in the NPPES registry on September 20, 2006.
Where is Gettysburg Medical Clinic, Inc. located?
Gettysburg Medical Clinic, Inc. is located at 143 W Main St, Merced, CA 95340. The listed phone number is (209) 725-2060.
What is Gettysburg Medical Clinic, Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Is Gettysburg Medical Clinic, Inc. enrolled in Medicare?
Yes. Gettysburg Medical Clinic, Inc. is registered in the Medicare PECOS enrollment system.
When is Gettysburg Medical Clinic, Inc.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Gettysburg Medical Clinic, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Gettysburg Medical Clinic, Inc., in Allergy/Immunology, Internal Medicine and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Gettysburg Medical Clinic, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D0945143) is associated with this NPI, valid through April 26, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Gettysburg Medical Clinic, Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Gettysburg Medical Clinic, Inc. · NPI 1023116589
Multi-Specialty organization in Merced, California. Organization record, active in the CMS NPPES registry since September 20, 2006.
## Identity
- **NPI:** 1023116589 (Entity type: Organization)
- **Enumerated:** September 20, 2006
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Organization subpart:** No
- **Authorized official:** Grace Lim, PRESIDENT
## Practice location
- **Address:** 143 W MAIN ST, Merced, CA 95340-4930
- **Phone:** (209) 725-2060 · **Fax:** (209) 725-2072
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 4 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Allergy/Immunology (1), Internal Medicine (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2020
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1023116589) · Data from the CMS NPPES public registry.