DR. CAROLINE DIANE GAYNOR DPM
NPI 1174515589
Podiatrist - Foot Surgery in San Antonio, TX

Active since August 22, 2005PECOS EnrolledAccepts Medicare Assignment
98.66/100
CMS Quality Rating
11212 STATE HWY 151, MEDICAL PLAZA 1 STE. 370, SAN ANTONIO, TX 78251(210) 664-4700(210) 314-1771 Get Directions Write a Review

NPPES record last updated: May 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 7, 2025, Jan 8, 2025, Aug 3, 2020 (3 updates tracked since 2020).

About Dr. Caroline Diane Gaynor Dpm NPPES

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

DR. CAROLINE DIANE GAYNOR DPM (NPI 1174515589) is an individual foot surgery provider in San Antonio, Texas, licensed in Texas (1909) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS, is affiliated with Methodist Hospital, and maintains a secondary practice location in San Antonio.

NPPES Registry Identity

NPI1174515589
Entity TypeIndividualFemale
Primary Taxonomy213ES0131X
Provider Legal NameDR. CAROLINE DIANE GAYNORCredential: DPM
Location Address11212 STATE HWY 151, MEDICAL PLAZA 1 STE. 370San Antonio, TX 78251-4504
Mailing Address11212 State Hwy 151, Medical Plaza 1 Ste. 370San Antonio, TX 78251-4504 · (210) 664-4700 · Fax (210) 314-1771
Fax(210) 314-1771
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 2003
Enumeration DateAugust 22, 2005
Last NPPES UpdateMay 7, 20253 updates tracked since enumeration
NPPES CertifiedApril 25, 2025
NPI 1174515589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPodiatrist · Foot SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0131X
License Licensed in TX · 1909
Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X · License 1909 (TX)
11212 STATE HWY 151, MEDICAL PLAZA 1 STE. 370, San Antonio, TX 78251

Other Names 1

Other Name (5)Dr. Caroline Diane Gaynor-elko Dpm

Secondary Practice Location 1

Location 15126 W Loop 1604 N Ste 110San Antonio, TX 78251-4408 · Phone (210) 664-4700 · Fax (210) 314-1771

Other Identifiers 2

Other8BT931TX · Bcbs
Medicaid215975801TX

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. Caroline Diane Gaynor Dpm 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 ID6901842350
PECOS Enrollment IDI20100422000551
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 12

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
293 services172 patients
Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
181 services83 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
95 services95 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
67 services58 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.
55 services47 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
49 services49 patients

Hospital Affiliations CMS Care Compare

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

Methodist Hospital

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450388
Location7700 Floyd Curl DrSan Antonio, TX 78229 · Bexar County
Emergency services Birthing friendly

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.

98.66/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality97.57
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Advance Care Plan
27%584 patients2/55-star benchmark: 100%
Diabetes: Eye Exam
87%406 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
96%2,496 patients4/55-star benchmark: 100%
e-Prescribing
96%447 patients3/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
95%567 patients4/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 96% · 649 patients
Patients screened: 98% · 649 patients
66%50 patients3/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
96%1,236 patients4/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
95%328 patients4/55-star benchmark: 98%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 606 patients
Patients totalRate: 0% · 606 patients
0%606 patients5/55-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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500
DME-Orthotic Devices · category DF000N
2 suppliers19 claims38 services$60.59 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

Podiatrist (Foot Surgery)
11212 STATE HWY 151, MEDICAL PLAZA 1 STE. 370
SAN ANTONIO, TX 78251

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 Caroline Gaynor's NPI number?

The NPI number for Caroline Gaynor is 1174515589. It was assigned to this individual provider in the NPPES registry on August 22, 2005. The provider is also known as Dr. Caroline Diane Gaynor-Elko Dpm.

Where is Caroline Gaynor located?

Caroline Gaynor practices at 11212 State Hwy 151, Medical Plaza 1 Ste. 370, San Antonio, TX 78251. The listed phone number is (210) 664-4700.

What is Caroline Gaynor's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot Surgery, with taxonomy code 213ES0131X.

Is Caroline Gaynor enrolled in Medicare?

Yes. Caroline Gaynor 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 Caroline Gaynor accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list Caroline Gaynor 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 Caroline Gaynor affiliated with any hospitals?

According to CMS data, Caroline Gaynor is affiliated with Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Caroline Gaynor was last updated on May 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.