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ERICH GAUGER MD
NPI 1245486612
Orthopaedic Surgery in Edina, MN

Active since August 17, 2008PECOS EnrolledAccepts Medicare Assignment
83.53/100
CMS Quality Rating
SPORTS AND ORTHOPAEDIC SPECIALISTS, 8100 W 78TH ST SUITE 230, EDINA, MN 55439(763) 780-9155 Get Directions Write a Review

NPPES record last updated: March 11, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 11, 2021, Feb 21, 2019, Jul 5, 2018 (3 updates tracked since 2018).

About Erich Gauger Md NPPES

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

ERICH GAUGER MD (NPI 1245486612) is an individual orthopaedic surgery provider in Edina, Minnesota, licensed in Minnesota (52666) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS, is affiliated with Cambridge Medical Center, and is a graduate of Northwestern University Feinberg Medical School (2008).

NPPES Registry Identity

NPI1245486612
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameERICH GAUGERCredential: MD
Location AddressSPORTS AND ORTHOPAEDIC SPECIALISTS, 8100 W 78TH ST SUITE 230Edina, MN 55439
Mailing AddressSports And Orthopaedic Specialists, 8100 W 78th St Suite 230Edina, MN 55439 · (952) 946-9777
Phone(763) 780-9155
Sole ProprietorNo
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 2008
Enumeration DateAugust 17, 2008
Last NPPES UpdateMarch 11, 20213 updates tracked since enumeration
NPPES CertifiedMarch 11, 2021
✔ NPI 1245486612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in MN · 52666
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
SPORTS AND ORTHOPAEDIC SPECIALISTS, Edina, MN 55439
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica.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

Erich Gauger 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.

PECOS PAC ID7810218377
PECOS Enrollment IDI20181005002350
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 9

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.

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.
60 services60 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.
42 services39 patients
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
34 services27 patients
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.
33 services28 patients
X-ray of wrist, minimum of 3 views 73110
An X-ray of the wrist, minimum of 3 views, is a diagnostic procedure that uses radiation to create images of your wrist from different angles. This helps detect fractures, infections, or other abnormalities for accurate diagnosis and treatment planning.
28 services17 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.
26 services26 patients

Hospital Affiliations CMS Care Compare 3

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

Cambridge Medical Center

Acute Care Hospitals · Cambridge, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240020
Location701 South Dellwood AvenueCambridge, MN 55008 · Isanti County
Emergency services

Abbott Northwestern Hospital

Acute Care Hospitals · Minneapolis, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240057
Location800 East 28th StreetMinneapolis, MN 55407 · Hennepin County
Emergency services Birthing friendly

Mercy Hospital

Acute Care Hospitals · Coon Rapids, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240115
Location4050 Coon Rapids BlvdCoon Rapids, MN 55433 · Anoka County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55439 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
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.

83.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.79
Promoting Interoperability100
Improvement Activities40
Cost63.31

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.

Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908
DME-Orthotic Devices · category DF000N
1 supplier12 claims13 services$44.58 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.

MISS CORA LEE GIBBS PA
Physician Assistant (Surgical)
SPORTS AND ORTHOPAEDIC SPECIALISTS, 8100 W 78TH STREET, SUITE 230
EDINA, MN 55439
Hennepin County (952) 946-9777

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 Erich Gauger's NPI number?

The NPI number for Erich Gauger is 1245486612. It was assigned to this individual provider in the NPPES registry on August 17, 2008.

Where is Erich Gauger located?

Erich Gauger practices at Sports And Orthopaedic Specialists 8100 W 78th St Suite 230, Edina, MN 55439. The listed phone number is (763) 780-9155.

What is Erich Gauger's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Erich Gauger enrolled in Medicare?

Yes. Erich Gauger 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 Erich Gauger accept?

Health plans from HealthPartners and Medica list Erich Gauger 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 Erich Gauger affiliated with any hospitals?

According to CMS data, Erich Gauger is affiliated with Cambridge Medical Center, Abbott Northwestern Hospital and Mercy Hospital.

When was this NPI record last updated?

The NPPES record for Erich Gauger was last updated on March 11, 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.