DANIELLE GAGNON MD
NPI 1164051249
Family Medicine in Tiverton, RI
About Danielle Gagnon Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DANIELLE GAGNON MD (NPI 1164051249) is an individual family medicine provider in Tiverton, Rhode Island, licensed in Rhode Island (MD19200) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, is affiliated with Southcoast Hospitals Group, and maintains a secondary practice location in Sayre.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Danielle Gagnon Md 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.
Medicare Billing Reassignments
2Medicare enrollment records show Danielle Gagnon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Riverside, RI 02915
- Reassigned Medicare billing, Rhode Island enrollment
- 268 clinicians in this Medicare group
Riverside, RI 02915
- Reassigned Medicare billing, Rhode Island enrollment
- 1,372 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 7
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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Southcoast Hospitals Group
Acute Care Hospitals · Fall River, MANewport Hospital
Acute Care Hospitals · Newport, RIRhode Island Hospital
Acute Care Hospitals · Providence, RIThe Miriam Hospital
Acute Care Hospitals · Providence, RIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02878 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Danielle Gagnon's NPI number?
The NPI number for Danielle Gagnon is 1164051249. It was assigned to this individual provider in the NPPES registry on April 2, 2020.
Where is Danielle Gagnon located?
Danielle Gagnon practices at 711 Main Rd, Tiverton, RI 02878. The listed phone number is (401) 624-1400.
What is Danielle Gagnon's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Danielle Gagnon enrolled in Medicare?
Yes. Danielle Gagnon 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.
Which organizations bill Medicare for Danielle Gagnon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Danielle Gagnon reassigns Medicare benefits to 2 organizations: Coastal Medical Physicians, Inc. (Riverside, RI) and Lifespan Physician Group, Inc. (Riverside, RI). Each 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 Danielle Gagnon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Danielle Gagnon affiliated with any hospitals?
According to CMS data, Danielle Gagnon is affiliated with Southcoast Hospitals Group, Newport Hospital, Rhode Island Hospital and The Miriam Hospital.
When was this NPI record last updated?
The NPPES record for Danielle Gagnon was last updated on June 12, 2023. 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.
# Danielle Gagnon, MD · NPI 1164051249
Family Medicine physician in Tiverton, Rhode Island. Individual provider, active in the CMS NPPES registry since April 2, 2020.
## Identity
- **NPI:** 1164051249 (Entity type: Individual)
- **Enumerated:** April 2, 2020
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** MD19200 (Rhode Island)
- **Sole proprietor:** No
## Practice location
- **Address:** 711 MAIN RD, Tiverton, RI 02878-1352
- **Phone:** (401) 624-1400
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Coastal Medical Physicians, Inc. (NPI 1093678104, Riverside, RI); Lifespan Physician Group, Inc. (NPI 1215899869, Riverside, RI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** June 12, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1164051249) · Data from the CMS NPPES public registry.