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RICHARD LARRY GASTON M.D.
NPI 1033347075
Hospitalist in Florence, KY

Active since June 29, 2009PECOS EnrolledAccepts Medicare Assignment
90.38/100
CMS Quality Rating
4900 HOUSTON RD, FLORENCE, KY 41042(859) 301-8074(859) 212-4357 Get Directions Write a Review

NPPES record last updated: June 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 27, 2025, Feb 14, 2022, Sep 5, 2018 and 3 more (6 updates tracked since 2017).

About Richard Larry Gaston M.d. NPPES

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

RICHARD LARRY GASTON M.D. (NPI 1033347075) is an individual hospitalist provider in Florence, Kentucky, licensed in Kentucky (48502) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, is affiliated with St Elizabeth Ft Thomas, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1033347075
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameRICHARD LARRY GASTONCredential: M.D.
Location Address4900 HOUSTON RDFlorence, KY 41042-4824
Mailing AddressPo Box 635283Cincinnati, OH 45263-5283 · (859) 301-8074 · Fax (859) 301-4945
Phone(859) 301-8074
Fax(859) 212-4357
Sole ProprietorYes
Medical School CMSOtherGraduated 2005
Enumeration DateJune 29, 2009
Last NPPES UpdateJune 27, 20256 updates tracked since enumeration
NPPES CertifiedJune 27, 2025
✔ NPI 1033347075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in KY · 48502
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedPreventive Medicine · Addiction MedicineTaxonomy 2083A0300X · License 48502 (KY)
4900 HOUSTON RD, Florence, KY 41042
Open in Google Maps ↗

Other Identifiers 3

Medicaid0144763OH
Medicaid7100385920KY
Medicaid201358060IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health 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

Richard Larry Gaston M.d. 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 ID9032350723
PECOS Enrollment IDI20150909002532
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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
339 services173 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
324 services196 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
174 services169 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
171 services165 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
28 services16 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Elizabeth Ft Thomas

Acute Care Hospitals · Fort Thomas, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180001
Location85 North Grand AvenueFort Thomas, KY 41075 · Campbell County
Emergency services

St Elizabeth Edgewood

Acute Care Hospitals · Edgewood, KY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180035
Location1 Medical Village DriveEdgewood, KY 41017 · Kenton County
Emergency services Birthing friendly

St Elizabeth Florence

Acute Care Hospitals · Florence, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180045
Location4900 Houston RoadFlorence, KY 41042 · Boone County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41042 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.76
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

KARAN MOTIANI M.D.
Hospitalist
4900 HOUSTON RD
FLORENCE, KY 41042
Boone County (859) 301-8074
CLEBERT ISMA JR. MD
Hospitalist
4900 HOUSTON RD
FLORENCE, KY 41042
Boone County (859) 301-8074
AISHWARYA RUSHYAL SHYAMRAJ M.D.
Internal Medicine (Gastroenterology)
4900 HOUSTON RD
FLORENCE, KY 41042
Boone County (859) 331-6466
DANIELLE HARTIGAN RN
Registered Nurse
4900 HOUSTON RD
FLORENCE, KY 41042
Boone County (859) 212-7823
ALLISON MARIE KREATE APRN
Nurse Practitioner
4900 HOUSTON RD
FLORENCE, KY 41042
Boone County (859) 331-6466
MIRANDA JEAN MILLER NP
Nurse Practitioner
4900 HOUSTON RD
FLORENCE, KY 41042
Boone County (859) 212-4625
KARLY FRYE PA-C
Physician Assistant
4900 HOUSTON RD
FLORENCE, KY 41042
Boone County (859) 212-5441
BRITTANY M DIEHL RD
Dietitian, Registered
4900 HOUSTON RD
FLORENCE, KY 41042
Boone County (859) 212-4625

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 Richard Gaston's NPI number?

The NPI number for Richard Gaston is 1033347075. It was assigned to this individual provider in the NPPES registry on June 29, 2009.

Where is Richard Gaston located?

Richard Gaston practices at 4900 Houston Rd, Florence, KY 41042. The listed phone number is (859) 301-8074.

What is Richard Gaston's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Richard Gaston enrolled in Medicare?

Yes. Richard Gaston 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 Richard Gaston accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Richard Gaston 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.

Is Richard Gaston affiliated with any hospitals?

According to CMS data, Richard Gaston is affiliated with St Elizabeth Ft Thomas, St Elizabeth Edgewood and St Elizabeth Florence.

When was this NPI record last updated?

The NPPES record for Richard Gaston was last updated on June 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.