DR. ERIK GAENSLER MD
NPI 1376598474
Radiology - Vascular & Interventional Radiology in Walnut Creek, CA

Active since May 24, 2006PECOS EnrolledAccepts Medicare Assignment
90.81/100
CMS Quality Rating
2125 OAK GROVE RD, SUITE 200, WALNUT CREEK, CA 94598(925) 296-7150(925) 296-7171 Get Directions Write a Review

NPPES record last updated: December 12, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Erik Gaensler Md NPPES

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

DR. ERIK GAENSLER MD (NPI 1376598474) is an individual vascular & interventional radiology provider in Walnut Creek, California, licensed in California (G56651) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Harvard Medical School (1984).

NPPES Registry Identity

NPI1376598474
Entity TypeIndividualMale
Primary Taxonomy2085R0204X
Provider Legal NameDR. ERIK GAENSLERCredential: MD
Location Address2125 OAK GROVE RD, SUITE 200Walnut Creek, CA 94598-2536
Mailing Address2125 Oak Grove Rd, Suite 200Walnut Creek, CA 94598-2536 · (925) 296-7150 · Fax (925) 296-7171
Fax(925) 296-7171
Sole ProprietorNo
Medical School CMSHarvard Medical SchoolGraduated 1984
Enumeration DateMay 24, 2006
Last NPPES UpdateDecember 12, 2023
NPPES CertifiedDecember 12, 2023
✔ NPI 1376598474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0204X
License✔ Licensed in CA · G56651
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License G56651 (CA)
2125 OAK GROVE RD, Walnut Creek, CA 94598

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Erik Gaensler 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 ID6507941234
PECOS Enrollment IDI20080305000548
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Erik Gaensler reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Diagnostic Radiology
2125 OAK GROVE RD STE 200
Walnut Creek, CA 94598
  • Reassigned Medicare billing, California enrollment
  • 181 clinicians in this Medicare group
Diagnostic Radiology
1601 YGNACIO VALLEY RD
Walnut Creek, CA 94598
  • Reassigned Medicare billing, California enrollment
  • 129 clinicians in this Medicare group
Trauma Surgery
1601 YGNACIO VALLEY RD
Walnut Creek, CA 94598
  • Reassigned Medicare billing, California enrollment
  • 810 clinicians in this Medicare group
Diagnostic Radiology
5730 TELEGRAPH AVE
Oakland, CA 94609
  • Reassigned Medicare billing, California enrollment
  • 158 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 42

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.

Injection, gadobutrol, 0.1 ml A9585
Gadobutrol is a contrast agent used during MRI scans to help provide clearer images. It's injected into your vein before the scan. This helps doctors to see certain areas more clearly for better diagnosis. It's generally safe with few side effects.
10,559 services134 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
370 services353 patients
Mri scan of brain without contrast 70551
An MRI scan of the brain without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your brain. It helps in detecting abnormalities like tumors, stroke, inflammation, or infection.
175 services174 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
149 services148 patients
Mri scan of brain before and after contrast 70553
An MRI scan of the brain, both before and after contrast, helps visualize different brain structures. Initially, images are taken without a contrast agent. Then, a safe dye is injected which helps highlight certain areas, providing clearer, more detailed images.
125 services122 patients
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
69 services67 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94598 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
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.

90.81/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.12
Improvement Activities40

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.

Radiology (Diagnostic Radiology)
2125 OAK GROVE RD, #200
WALNUT CREEK, CA 94598
Radiology (Diagnostic Radiology)
2125 OAK GROVE RD, SUITE 200
WALNUT CREEK, CA 94598
Radiology (Diagnostic Radiology)
2125 OAK GROVE RD, SUITE 200
WALNUT CREEK, CA 94598
Radiology (Diagnostic Radiology)
2125 OAK GROVE RD, SUITE 200
WALNUT CREEK, CA 94598
Radiology (Vascular & Interventional Radiology)
2125 OAK GROVE RD, #200
WALNUT CREEK, CA 94598
Radiology (Diagnostic Radiology)
2125 OAK GROVE RD, SUITE 200
WALNUT CREEK, CA 94598
Radiology (Diagnostic Radiology)
2125 OAK GROVE RD, #200
WALNUT CREEK, CA 94598
Radiology (Diagnostic Radiology)
2125 OAK GROVE RD, #200
WALNUT CREEK, CA 94598

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 Erik Gaensler's NPI number?

The NPI number for Erik Gaensler is 1376598474. It was assigned to this individual provider in the NPPES registry on May 24, 2006.

Where is Erik Gaensler located?

Erik Gaensler practices at 2125 Oak Grove Rd Suite 200, Walnut Creek, CA 94598. The listed phone number is (925) 296-7150.

What is Erik Gaensler's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Is Erik Gaensler enrolled in Medicare?

Yes. Erik Gaensler 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.

Which organizations bill Medicare for Erik Gaensler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Erik Gaensler reassigns Medicare benefits to 4 organizations: Bay Imaging Consultants Medical Group Inc (Walnut Creek, CA), John Muir Magnetic Imaging Center (Walnut Creek, CA), John Muir Trauma Physicians Billing Service (Walnut Creek, CA) and Magnetic Imaging Affiliates, LLC (Oakland, CA). Each 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 Erik Gaensler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Erik Gaensler was last updated on December 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.