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LANCE GATOR GAULT D.O.
NPI 1164615811
Family Medicine in Clovis, CA

Active since August 24, 2007PECOS EnrolledAccepts Medicare Assignment
2740 HERNDON AVE, CLOVIS, CA 93611(559) 299-2608(559) 299-1341 Get Directions Write a Review

NPPES record last updated: January 19, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lance Gator Gault D.o. NPPES

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

LANCE GATOR GAULT D.O. (NPI 1164615811) is an individual family medicine provider in Clovis, California, licensed in California (20A10128) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS and is a graduate of College Of Osteo Med Of The Pacific At Pomona (2006).

NPPES Registry Identity

NPI1164615811
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameLANCE GATOR GAULTCredential: D.O.
Location Address2740 HERNDON AVEClovis, CA 93611-6813
Mailing Address2740 Herndon AveClovis, CA 93611-6813 · (559) 299-2608 · Fax (559) 299-1341
Phone(559) 299-2608
Fax(559) 299-1341
Sole ProprietorYes
Medical School CMSCollege Of Osteo Med Of The Pacific At PomonaGraduated 2006
Enumeration DateAugust 24, 2007
Last NPPES UpdateJanuary 19, 2022
NPPES CertifiedJanuary 19, 2022
✔ NPI 1164615811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · 20A10128
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2740 HERNDON AVE, Clovis, CA 93611
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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

Lance Gator Gault D.o. 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 ID1951465095
PECOS Enrollment IDI20090204000228
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93611 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

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.

DR. MEENAKSHI DHINGRA MD
Family Medicine
2740 HERNDON AVE
CLOVIS, CA 93611
Fresno County (559) 299-2608
AIMEE VICTORIA
Dental Hygienist
2740 HERNDON AVE
CLOVIS, CA 93611
Fresno County (559) 299-4264
PE LEE RDH
Dental Hygienist
2740 HERNDON AVE
CLOVIS, CA 93611
Fresno County (559) 299-2608
RANJANI SRINIVASAN RD
Dietitian, Registered
2740 HERNDON AVE
CLOVIS, CA 93611
Fresno County (559) 299-2578
GLORIA CHRISTINA SUDETA NP-C
Nurse Practitioner (Psychiatric/Mental Health)
2740 HERNDON AVE
CLOVIS, CA 93611
Fresno County (559) 299-2608
NICOLE SUSAN SPOONER RDH
Dental Hygienist
2740 HERNDON AVE
CLOVIS, CA 93611
Fresno County (559) 299-2578
MIKA DANIELLE FISHER MPH, RDN, CPH
Dietitian, Registered
2740 HERNDON AVE
CLOVIS, CA 93611
Fresno County (559) 299-2608
ROUDABAK MAHJOOB RD
Dietitian, Registered
2740 HERNDON AVE
CLOVIS, CA 93611
Fresno County (559) 299-4264

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 Lance Gault's NPI number?

The NPI number for Lance Gault is 1164615811. It was assigned to this individual provider in the NPPES registry on August 24, 2007.

Where is Lance Gault located?

Lance Gault practices at 2740 Herndon Ave, Clovis, CA 93611. The listed phone number is (559) 299-2608.

What is Lance Gault's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Lance Gault enrolled in Medicare?

Yes. Lance Gault 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.

When was this NPI record last updated?

The NPPES record for Lance Gault was last updated on January 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.