DR. GARY ROBERT CLAUSS JR. DO
NPI 1427613157
Family Medicine in Lancaster, PA

Active since May 08, 2019PECOS EnrolledAccepts Medicare Assignment
71.17/100
CMS Quality Rating
2221 NOLL DR, LANCASTER, PA 17603(717) 327-4694 Get Directions Write a Review

NPPES record last updated: April 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 29, 2026, May 8, 2019 (2 updates tracked since 2019).

About Dr. Gary Robert Clauss Jr. Do NPPES

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

DR. GARY ROBERT CLAUSS JR. DO (NPI 1427613157) is an individual family medicine provider in Lancaster, Pennsylvania, licensed in Pennsylvania (HS000214L) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS, is affiliated with Upmc Lititz, and is a graduate of Philadelphia College Of Osteopathic Medicine (2018).

NPPES Registry Identity

NPI1427613157
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. GARY ROBERT CLAUSS JR.Credential: DO
Location Address2221 NOLL DRLancaster, PA 17603-7614
Mailing Address202 N Queen St Unit 905Lancaster, PA 17603-4775 · (860) 367-6387
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2018
Enumeration DateMay 8, 2019
Last NPPES UpdateApril 29, 20262 updates tracked since enumeration
NPPES CertifiedApril 29, 2026
NPI 1427613157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in PA · HS000214L
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.
2221 NOLL DR, Lancaster, PA 17603

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. Gary Robert Clauss Jr. Do 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 ID6204249154
PECOS Enrollment IDI20230216002861
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 5

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 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.
259 services187 patients
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.
117 services109 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
59 services46 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
34 services33 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
16 services15 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Upmc Lititz

Acute Care Hospitals · Lititz, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390068
Location1500 Highlands DriveLititz, PA 17543 · Lancaster County
Emergency services Birthing friendly

Penn State Health St. Joseph

Acute Care Hospitals · Reading, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390096
Location2500 Bernville RoadReading, PA 19605 · Berks County
Emergency services Birthing friendly

Lancaster General Hospital

Acute Care Hospitals · Lancaster, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390100
Location555 North Duke StreetLancaster, PA 17602 · Lancaster County
Emergency services Birthing friendly

Milton S Hershey Medical Center

Acute Care Hospitals · Hershey, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390256
Location500 University DriveHershey, PA 17033 · Dauphin County
Emergency services Birthing friendly

Penn State Health Lancaster Medical Center

Acute Care Hospitals · Lancaster, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number390339
Location2160 State RoadLancaster, PA 17601 · Lancaster County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17603 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

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.

71.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality46.05
Promoting Interoperability99
Improvement Activities40
Cost58.7

Other Providers at the Same Location NPPES 12

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

Nurse Practitioner (Family)
2221 NOLL DR
LANCASTER, PA 17603
Audiologist
2221 NOLL DR
LANCASTER, PA 17603
Internal Medicine (Rheumatology)
2221 NOLL DR, STE 2000
LANCASTER, PA 17603
Nurse Practitioner
2221 NOLL DR
LANCASTER, PA 17603
Durable Medical Equipment & Medical Supplies
2221 NOLL DR
LANCASTER, PA 17603
Internal Medicine
2221 NOLL DR
LANCASTER, PA 17603
Internal Medicine (Hematology & Oncology)
2221 NOLL DR
LANCASTER, PA 17603
Family Medicine
2221 NOLL DR
LANCASTER, PA 17603

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 Gary Clauss's NPI number?

The NPI number for Gary Clauss is 1427613157. It was assigned to this individual provider in the NPPES registry on May 8, 2019.

Where is Gary Clauss located?

Gary Clauss practices at 2221 Noll Dr, Lancaster, PA 17603. The listed phone number is (717) 327-4694.

What is Gary Clauss's specialty?

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

Is Gary Clauss enrolled in Medicare?

Yes. Gary Clauss 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.

Is Gary Clauss affiliated with any hospitals?

According to CMS data, Gary Clauss is affiliated with Upmc Lititz, Penn State Health St. Joseph, Lancaster General Hospital, Milton S Hershey Medical Center and Penn State Health Lancaster Medical Center.

When was this NPI record last updated?

The NPPES record for Gary Clauss was last updated on April 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.