K G GAUNTT DPM PC
NPI 1275770349
Podiatrist in Newberg, OR

Q: What is K G Gauntt Dpm PC's NPI number?

The NPI number for K G Gauntt Dpm PC is 1275770349. It was assigned to this organization in the NPPES registry on January 12, 2009.

Q: What is K G Gauntt Dpm PC's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Q: When was this NPI record last updated?

The NPPES record for K G Gauntt Dpm PC was last updated on January 12, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since January 12, 2009

410 VILLA ROAD, NEWBERG, OR 97132(503) 538-0466(503) 538-0913 Get Directions Write a Review

NPPES record last updated: January 12, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About K G Gauntt Dpm Pc NPPES

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

K G GAUNTT DPM PC (NPI 1275770349) is a healthcare organization registered as a podiatrist in Newberg, Oregon and active in the NPI registry since January 2009. The organization lists Kim Gary Gauntt, President, as its authorized official.

NPPES Registry Identity

NPI1275770349

Entity TypeOrganization

Primary Taxonomy213E00000X

Legal Business NameK G GAUNTT DPM PC

Location Address410 VILLA ROADNewberg, OR 97132

Mailing Address410 Villa RoadNewberg, OR 97132 · (503) 538-0466 · Fax (503) 538-0913

Phone(503) 538-0466

Fax(503) 538-0913

Organization SubpartNo

Authorized OfficialKim Gary GaunttPresident · (503) 538-0466

Enumeration DateJanuary 12, 2009

✔ NPI 1275770349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers

Taxonomy Code213E00000X

License✔ Licensed in OR · DP00197

Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

410 VILLA ROAD, Newberg, OR 97132

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Other Identifiers 3

Medicare UPIN101887OR

Medicaid001656OR

Medicare UPIN101888OR

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

K G Gauntt Dpm Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to K G Gauntt DPM PC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Kim Gauntt, D.P.M.

Podiatry

NPI 1902908171

410 VILLA ROAD
Newberg, OR 97132

(503) 538-0466

✔ PECOS✔ Accepts Medicare0.1 mi

Lacey Beth Lockhart

Podiatry

NPI 1497149454

5125 SKYLINE RD S
Salem, OR 97306

(800) 813-2000

✔ PECOS✔ Accepts Medicare30 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 K G Gauntt Dpm PC's NPI number?

The NPI number for K G Gauntt Dpm PC is 1275770349. It was assigned to this organization in the NPPES registry on January 12, 2009.

Where is K G Gauntt Dpm PC located?

K G Gauntt Dpm PC is located at 410 Villa Road, Newberg, OR 97132. The listed phone number is (503) 538-0466.

What is K G Gauntt Dpm PC's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is K G Gauntt Dpm PC enrolled in Medicare?

Yes. K G Gauntt Dpm PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through K G Gauntt Dpm PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Podiatry, reassign their Medicare billing to K G Gauntt Dpm PC. A 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 the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does K G Gauntt Dpm PC accept?

Health plans from Moda Health Plan, Inc. list K G Gauntt Dpm PC 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.

When was this NPI record last updated?

The NPPES record for K G Gauntt Dpm PC was last updated on January 12, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.