RAUL J GAGUCAS M.D.
NPI 1144273053
Pathology - Anatomic Pathology & Clinical Pathology in Gallipolis, OH

Active since May 19, 2006PECOS EnrolledAccepts Medicare Assignment
81.42/100
CMS Quality Rating
100 JACKSON PIKE, GALLIPOLIS, OH 45631(740) 446-5148(740) 446-5488 Get Directions Write a Review

NPPES record last updated: January 21, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Raul J Gagucas M.d. NPPES

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

RAUL J GAGUCAS M.D. (NPI 1144273053) is an individual anatomic pathology & clinical pathology provider in Gallipolis, Ohio, licensed in Ohio (35-07-2887) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Holzer Medical Center, and is a graduate of Other (1984).

NPPES Registry Identity

NPI1144273053
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameRAUL J GAGUCASCredential: M.D.
Location Address100 JACKSON PIKEGallipolis, OH 45631-1560
Mailing Address90 Jackson PikeGallipolis, OH 45631-1560 · (740) 446-5148 · Fax (740) 446-5488
Fax(740) 446-5488
Sole ProprietorNo
Medical School CMSOtherGraduated 1984
Enumeration DateMay 19, 2006
Last NPPES UpdateJanuary 21, 2021
NPPES CertifiedJanuary 21, 2021
NPI 1144273053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
Licenses Licensed in OH · 35-07-2887 Licensed in WV · 17773
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
100 JACKSON PIKE, Gallipolis, OH 45631

Other Identifiers 7

Other2031376OH · Molina Medicaid
Medicaid2031376OH
Other000000007412Anthem Bcbs
Medicaid0102973000WV
Other000000191258OH · Unison Medicaid
Other310917085139OH · Caresource Medicaid
Other220020393Rr Medicare

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

Raul J Gagucas 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 ID840253712
PECOS Enrollment IDI20041111000092, I20041111000124
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 83

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
2,933 services1,356 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
1,985 services1,174 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
1,789 services1,122 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
1,365 services988 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
884 services560 patients
Blood test, thyroid stimulating hormone (tsh) 84443
A TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.
843 services610 patients

Hospital Affiliations CMS Care Compare 2

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

Holzer Medical Center

Acute Care Hospitals · Gallipolis, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360054
Location100 Jackson PikeGallipolis, OH 45631 · Gallia County
Emergency services Birthing friendly

Holzer Medical Center Jackson

Critical Access Hospitals · Jackson, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361320
Location500 Burlington RoadJackson, OH 45640 · Jackson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45631 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

81.42/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.28
Promoting Interoperability100
Improvement Activities40
Cost57.96

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 Anesthetist, Certified Registered
100 JACKSON PIKE
GALLIPOLIS, OH 45631
Emergency Medicine
100 JACKSON PIKE
GALLIPOLIS, OH 45631
Orthopaedic Surgery
100 JACKSON PIKE
GALLIPOLIS, OH 45631
Nurse Practitioner
100 JACKSON PIKE
GALLIPOLIS, OH 45631
Audiologist
100 JACKSON PIKE
GALLIPOLIS, OH 45631
Nurse Practitioner (Family)
100 JACKSON PIKE
GALLIPOLIS, OH 45631
Internal Medicine
100 JACKSON PIKE
GALLIPOLIS, OH 45631
Pediatrics
100 JACKSON PIKE
GALLIPOLIS, OH 45631

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 Raul Gagucas's NPI number?

The NPI number for Raul Gagucas is 1144273053. It was assigned to this individual provider in the NPPES registry on May 19, 2006.

Where is Raul Gagucas located?

Raul Gagucas practices at 100 Jackson Pike, Gallipolis, OH 45631. The listed phone number is (740) 446-5148.

What is Raul Gagucas's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Raul Gagucas enrolled in Medicare?

Yes. Raul Gagucas 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 Raul Gagucas accept?

Health plans from Antidote Health Plan of Ohio, Inc. and CareSource list Raul Gagucas 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 Raul Gagucas affiliated with any hospitals?

According to CMS data, Raul Gagucas is affiliated with Holzer Medical Center and Holzer Medical Center Jackson.

When was this NPI record last updated?

The NPPES record for Raul Gagucas was last updated on January 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.