DR. IAN GAO M.D.
NPI 1043637481
Orthopaedic Surgery - Sports Medicine in Spartanburg, SC

Active since March 24, 2014PECOS EnrolledAccepts Medicare Assignment
60.97/100
CMS Quality Rating
1330 BOILING SPRINGS RD STE 1600, SPARTANBURG, SC 29303(864) 582-6396(864) 582-1608 Get Directions Write a Review

NPPES record last updated: August 5, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Ian Gao M.d. NPPES

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

DR. IAN GAO M.D. (NPI 1043637481) is an individual sports medicine provider in Spartanburg, South Carolina, licensed in South Carolina (83871) and active in the NPI registry since March 2014. He is enrolled in Medicare PECOS, is affiliated with Spartanburg Medical Center, and maintains a secondary practice location in Atlanta.

NPPES Registry Identity

NPI1043637481
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameDR. IAN GAOCredential: M.D.
Location Address1330 BOILING SPRINGS RD STE 1600Spartanburg, SC 29303-4219
Mailing Address1330 Boiling Springs Rd Ste 1600Spartanburg, SC 29303-4219 · (864) 582-6396 · Fax (864) 582-1608
Fax(864) 582-1608
Sole ProprietorNo
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 2014
Enumeration DateMarch 24, 2014
Last NPPES UpdateAugust 5, 2020
NPPES CertifiedAugust 5, 2020
NPI 1043637481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License Licensed in SC · 83871
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
1330 BOILING SPRINGS RD STE 1600, Spartanburg, SC 29303

Secondary Practice Location 1

Location 1100 Woodruff Cir, Suite 327Atlanta, GA 30322-0001 · Phone (404) 727-5658

Accepted 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

Dr. Ian Gao 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 ID6406279124
PECOS Enrollment IDI20200713003747
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 19

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.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
453 services90 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.
357 services192 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
319 services157 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
294 services172 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
169 services119 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
97 services70 patients

Hospital Affiliations CMS Care Compare 3

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

Spartanburg Medical Center

Acute Care Hospitals · Spartanburg, SC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420007
Location101 E Wood StSpartanburg, SC 29303 · Spartanburg County
Emergency services Birthing friendly

St Francis-Downtown

Acute Care Hospitals · Greenville, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420023
LocationOne St Francis DrGreenville, SC 29601 · Greenville County
Emergency services Birthing friendly

Pelham Medical Center

Acute Care Hospitals · Greer, SC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420103
Location250 Westmoreland RoadGreer, SC 29651 · Greenville County
Emergency services

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.

60.97/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality51.13
Promoting Interoperability92
Improvement Activities40
Cost25.43

Reported Quality Measures

Breast Cancer Screening
1%485 patients1/55-star benchmark: 93%
Cervical Cancer Screening
0%676 patients1/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
48%697 patients3/55-star benchmark: 87%
Documentation of Current Medications in the Medical Record
23%3,530 patients1/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
81%450 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
31%1,790 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
2%955 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
6%3,199 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 90% · 1,400 patients
Patients screened: 90% · 1,400 patients
99%141 patients4/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 1% · 450 patients
Patients totalRate: 4% · 450 patients
4%450 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Nurse Practitioner
1330 BOILING SPRINGS RD STE 1600
SPARTANBURG, SC 29303
Physician Assistant
1330 BOILING SPRINGS RD STE 1600
SPARTANBURG, SC 29303
Physician Assistant
1330 BOILING SPRINGS RD STE 1600
SPARTANBURG, SC 29303
Physician Assistant (Surgical)
1330 BOILING SPRINGS RD STE 1600
SPARTANBURG, SC 29303
Nurse Practitioner (Gerontology)
1330 BOILING SPRINGS RD STE 1600
SPARTANBURG, SC 29303
Orthopaedic Surgery (Sports Medicine)
1330 BOILING SPRINGS RD STE 1600
SPARTANBURG, SC 29303
Physician Assistant
1330 BOILING SPRINGS RD STE 1600
SPARTANBURG, SC 29303
Physician Assistant (Surgical)
1330 BOILING SPRINGS RD STE 1600
SPARTANBURG, SC 29303

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 Ian Gao's NPI number?

The NPI number for Ian Gao is 1043637481. It was assigned to this individual provider in the NPPES registry on March 24, 2014.

Where is Ian Gao located?

Ian Gao practices at 1330 Boiling Springs Rd Ste 1600, Spartanburg, SC 29303. The listed phone number is (864) 582-6396.

What is Ian Gao's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Ian Gao enrolled in Medicare?

Yes. Ian Gao 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 Ian Gao accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, First Choice Next and InStil Health and 2 other insurers list Ian Gao 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 Ian Gao affiliated with any hospitals?

According to CMS data, Ian Gao is affiliated with Spartanburg Medical Center, St Francis-Downtown and Pelham Medical Center.

When was this NPI record last updated?

The NPPES record for Ian Gao was last updated on August 5, 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.