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DR. THOMAS L GAUTSCH M.D.
NPI 1386677227
Orthopaedic Surgery in Gallatin, TN

Active since July 07, 2006PECOS EnrolledAccepts Medicare Assignment
570 HARTSVILLE PIKE, GALLATIN, TN 37066(615) 452-3320(615) 452-2668 Get Directions Write a Review

NPPES record last updated: May 10, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Thomas L Gautsch M.d. NPPES

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

DR. THOMAS L GAUTSCH M.D. (NPI 1386677227) is an individual orthopaedic surgery provider in Gallatin, Tennessee, licensed in Tennessee (26910) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Johns Hopkins University School Of Medicine (1989).

NPPES Registry Identity

NPI1386677227
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. THOMAS L GAUTSCHCredential: M.D.
Location Address570 HARTSVILLE PIKEGallatin, TN 37066-2450
Mailing Address3024 Business Park CirGoodlettsville, TN 37072-3132 · (615) 851-6033 · Fax (615) 851-2018
Phone(615) 452-3320
Fax(615) 452-2668
Sole ProprietorNo
Medical School CMSJohns Hopkins University School Of MedicineGraduated 1989
Enumeration DateJuly 7, 2006
Last NPPES UpdateMay 10, 2017
✔ NPI 1386677227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in TN · 26910
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.
Also ListedSpecialistTaxonomy 174400000X · License MD26910 (TN)
Also ListedOrthopaedic Surgery · Sports MedicineTaxonomy 207XX0005X · License 26910 (TN)
570 HARTSVILLE PIKE, Gallatin, TN 37066
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Other Identifiers 5

OtherP01517622TN · Rr Medicare
Medicare UPING00196TN
Other6030594TN · Bcbs Tn
MedicaidQ010788TN
Medicare PIN103I200647TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.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. Thomas L Gautsch M.d. 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 ID8426029703
PECOS Enrollment IDI20040802000669
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 7

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.

X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
72 services70 patients
X-ray of knee, 1-2 views 73560
An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.
69 services59 patients
Computer-assisted surgery for muscle and bone procedure 20985
Computer-assisted surgery for muscle and bone procedures involves using a computer to aid in planning and performing surgery. This technology helps increase precision, reduce invasiveness, and improve outcomes. It's commonly used in orthopedic surgeries like joint replacements.
56 services49 patients
Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
56 services49 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.
53 services53 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.
39 services36 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37066 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

Other Providers at the Same Location NPPES 6

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

ADVANCED DIAGNOSTIC IMAGING PC
Prosthetic/Orthotic Supplier
570 HARTSVILLE PIKE
GALLATIN, TN 37066
Sumner County (615) 452-3320
PRITI MEHTA
Physical Therapist
570 HARTSVILLE PIKE
GALLATIN, TN 37066
Sumner County (615) 452-3320
SOUTHERN SPORTS MEDICINE INSTITUTE, PLLC
Orthopaedic Surgery
570 HARTSVILLE PIKE, PO 1686
GALLATIN, TN 37066
Sumner County (615) 452-3320
KAREN SIMS
Physical Therapist
570 HARTSVILLE PIKE
GALLATIN, TN 37066
Sumner County (615) 452-3320
MR. HARVEY MICHAEL LEE PT
Physical Therapist
570 HARTSVILLE PIKE
GALLATIN, TN 37066
Sumner County (615) 452-3320
ANDREA MICHELLE DYER DPT
Physical Therapist
570 HARTSVILLE PIKE
GALLATIN, TN 37066
Sumner County (615) 452-3320

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 Thomas Gautsch's NPI number?

The NPI number for Thomas Gautsch is 1386677227. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is Thomas Gautsch located?

Thomas Gautsch practices at 570 Hartsville Pike, Gallatin, TN 37066. The listed phone number is (615) 452-3320.

What is Thomas Gautsch's specialty?

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

Is Thomas Gautsch enrolled in Medicare?

Yes. Thomas Gautsch 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 Thomas Gautsch accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 4 other insurers list Thomas Gautsch 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 Thomas Gautsch was last updated on May 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.