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DR. NICK LADDHAPHOL GUNASAYAN D.P.M.
NPI 1417903337
Podiatrist - Foot & Ankle Surgery in San Luis Obispo, CA

Active since May 25, 2006PECOS EnrolledAccepts Medicare Assignment
93.43/100
CMS Quality Rating
862 MEINECKE AVE STE 204, SAN LUIS OBISPO, CA 93405(805) 540-5770(888) 851-4755 Get Directions Write a Review

NPPES record last updated: January 26, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Nick Laddhaphol Gunasayan D.p.m. NPPES

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

DR. NICK LADDHAPHOL GUNASAYAN D.P.M. (NPI 1417903337) is an individual foot & ankle surgery provider in San Luis Obispo, California, licensed in California (E4414) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Templeton, and is a graduate of California School Of Podiatric Medicine (1999).

NPPES Registry Identity

NPI1417903337
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameDR. NICK LADDHAPHOL GUNASAYANCredential: D.P.M.
Location Address862 MEINECKE AVE STE 204San Luis Obispo, CA 93405-3703
Mailing AddressPo Box 759Grover Beach, CA 93483-0759 · (805) 712-6867 · Fax (888) 851-4755
Phone(805) 540-5770
Fax(888) 851-4755
Sole ProprietorNo
Medical School CMSCalifornia School Of Podiatric MedicineGraduated 1999
Enumeration DateMay 25, 2006
Last NPPES UpdateJanuary 26, 2024
NPPES CertifiedJanuary 26, 2024
✔ NPI 1417903337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in CA · E4414
862 MEINECKE AVE STE 204, San Luis Obispo, CA 93405
Open in Google Maps ↗

Other Names 1

Other Name (5)Dr. Laddhaphol Nick Gunasayan Dpm

Secondary Practice Location 1

Location 11310 Las Tablas Rd Ste 205Templeton, CA 93465-9747 · Phone (805) 226-4060 · Fax (888) 851-4755

Other Identifiers 1

OtherE4414CA · State License

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. Nick Laddhaphol Gunasayan D.p.m. 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 ID5991707556
PECOS Enrollment IDI20070209000641
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 Reassignment

Medicare enrollment records show Nick Gunasayan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Nick L. Gunasayan, D.P.M., Inc.
Same address
Foot & Ankle Surgery
862 MEINECKE AVE STE 204
San Luis Obispo, CA 93405
  • Reassigned Medicare billing, California enrollment
  • 2 clinicians in this Medicare group
NPI 1427132000 (805) 540-5770

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 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.

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.
960 services399 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.
173 services173 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
171 services112 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.
46 services46 patients
X-ray of ankle, minimum of 3 views 73610
An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.
33 services17 patients
Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
16 services15 patients

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.

93.43/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality86.86
Improvement Activities40

Reported Quality Measures

Patient-Centered Surgical Risk Assessment and Communication
48%85 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500
DME-Orthotic Devices · category DF000N
2 suppliers15 claims28 services$61.62 avg. paid by Medicare
For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each A5513
DME-Orthotic Devices · category DF000N
2 suppliers14 claims82 services$37.51 avg. paid by Medicare
Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis only L2330
DME-Orthotic Devices · category DF000N
2 suppliers12 claims12 services$398.15 avg. paid by Medicare
Addition to lower extremity orthosis, soft interface for molded plastic, below knee section L2820
DME-Orthotic Devices · category DF000N
2 suppliers14 claims14 services$90.60 avg. paid by Medicare
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf L4361
DME-Orthotic Devices · category DF003N
2 suppliers40 claims40 services$240.58 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 2

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

LANT JARVIS ABERNATHY DPM
Podiatrist (Foot & Ankle Surgery)
862 MEINECKE AVE STE 204
SAN LUIS OBISPO, CA 93405
San Luis Obispo County (805) 540-5770
NICK L. GUNASAYAN, D.P.M., INC.
Podiatrist (Foot & Ankle Surgery)
862 MEINECKE AVE STE 204
SAN LUIS OBISPO, CA 93405
San Luis Obispo County (805) 540-5770

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 Nick Gunasayan's NPI number?

The NPI number for Nick Gunasayan is 1417903337. It was assigned to this individual provider in the NPPES registry on May 25, 2006. The provider is also known as Dr. Laddhaphol Nick Gunasayan Dpm.

Where is Nick Gunasayan located?

Nick Gunasayan practices at 862 Meinecke Ave Ste 204, San Luis Obispo, CA 93405. The listed phone number is (805) 540-5770.

What is Nick Gunasayan's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Nick Gunasayan enrolled in Medicare?

Yes. Nick Gunasayan 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 organization bills Medicare for Nick Gunasayan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nick Gunasayan reassigns Medicare benefits to Nick L. Gunasayan, D.P.M., Inc. (San Luis Obispo, CA). The 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 Nick Gunasayan'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 Nick Gunasayan was last updated on January 26, 2024. 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.