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JUSTIN GAUSE
NPI 1336703180
Family Medicine in Hereford, AZ

Active since April 26, 2019PECOS EnrolledAccepts Medicare Assignment
10524 AZ-92, HEREFORD, AZ 85615(520) 366-0300 Get Directions Write a Review

NPPES record last updated: March 4, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 4, 2025, Oct 8, 2024, Apr 26, 2019 (3 updates tracked since 2019).

About Justin Gause NPPES

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

JUSTIN GAUSE (NPI 1336703180) is an individual family medicine provider in Hereford, Arizona, licensed in Arizona (66937) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS and is a graduate of University Of Washington School Of Medicine (2019).

NPPES Registry Identity

NPI1336703180
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJUSTIN GAUSE
Location Address10524 AZ-92Hereford, AZ 85615
Mailing Address101 Cole AveBisbee, AZ 85603-1327 · (520) 432-5082
Phone(520) 366-0300
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 2019
Enumeration DateApril 26, 2019
Last NPPES UpdateMarch 4, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 28, 2025
✔ NPI 1336703180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AZ · 66937
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.

10524 AZ-92, Hereford, AZ 85615
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona.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

Justin Gause 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 ID9931577103
PECOS Enrollment IDI20221118000937
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 85615 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

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 Justin Gause's NPI number?

The NPI number for Justin Gause is 1336703180. It was assigned to this individual provider in the NPPES registry on April 26, 2019.

Where is Justin Gause located?

Justin Gause practices at 10524 Az-92, Hereford, AZ 85615. The listed phone number is (520) 366-0300.

What is Justin Gause's specialty?

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

Is Justin Gause enrolled in Medicare?

Yes. Justin Gause 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 Justin Gause accept?

Health plans from Ambetter from Arizona Complete Health and Blue Cross Blue Shield of Arizona list Justin Gause 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 Justin Gause was last updated on March 4, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.