DR. MICHAEL C GAUDIOSE MD
NPI 1578567939
Family Medicine in Hagerstown, MD
NPI Status: Active since June 13, 2005
Contact Information
11110 MEDICAL CAMPUS RD STE 200
HAGERSTOWN, MD
ZIP 21742
Phone: (301) 714-4400
Fax: (301) 714-4424
- Individual
- Male
- Family Medicine
- PECOS Enrolled
About MICHAEL GAUDIOSE
This page provides the complete NPI Profile along with additional information for Michael Gaudiose, a primary care provider established in Hagerstown, Maryland with a medical specialization in Family Medicine. The healthcare provider is registered in the NPI registry with number 1578567939 assigned on June 2005. The practitioner's primary taxonomy code is 207Q00000X with license number MD023572E (PA). The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1578567939
- Provider Name
- DR. MICHAEL C GAUDIOSE MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 11110 MEDICAL CAMPUS RD STE 200 HAGERSTOWN, MD 21742
- Location Phone
- (301) 714-4400
- Location Fax
- (301) 714-4424
- Mailing Address
- 22 ST PAUL DR STE 200 CHAMBERSBURG, PA 17201
- Mailing Phone
- (717) 709-7922
- Mailing Fax
- (301) 714-4424
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-13-2005
- Last Update Date
- 03-07-2023
- Code Navigator
A primary care provider (PCP) like Michael Gaudiose sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Secondary Locations
- 820 5th Ave
Chambersburg, PA 17201
(717) 709-7999 - 757 Norland Ave Suite 101
Chambersburg, PA 17201
(717) 217-6760 - 757 Norland Ave Suite 101
Chambersburg, PA 17201
(717) 217-6760
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD023572E
- License State
- PA
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 120420409 | OTHER (01) | PA | DEPT OF LABOR |
| 247731 | OTHER (01) | PA | MAMSI |
| 000633588 0016 | MEDICAID (05) | PA | |
| 080087624 | OTHER (01) | PA | RAILROAD MEDICARE |
| 25-1716306 | OTHER (01) | PA | HEALTHNET/TRICARE |
| 25-1716306 | OTHER (01) | PA | INFORMED |
| 122713 | OTHER (01) | PA | UNISON |
| 25-1716306 | OTHER (01) | PA | MULTIPLAN/PHCS |
| 25-1716306 | OTHER (01) | PA | INTERGROUP |
| 842259 | OTHER (01) | PA | AETNA HMO |
| 25-1716306 | OTHER (01) | PA | GREATWEST |
| 25-1716306 | OTHER (01) | PA | DEVON |
| 01651101 | OTHER (01) | PA | CAPITAL BLUECROSS |
| 25-1716306 | OTHER (01) | PA | SOUTH CENTRAL PREFERRED |
| MD023572E | OTHER (01) | PA | LICENSE |
| 4342474 | OTHER (01) | PA | AETNA NON-HMO |
| 867633 | OTHER (01) | PA | MEDICARE GROUP # |
| GA152793 | OTHER (01) | PA | HIGHMARK BLUE SHIELD |
| 1336348 | OTHER (01) | PA | FIRST HEALTH |
| 426729 | OTHER (01) | PA | HEALTH AMERICA |
| P006021 | OTHER (01) | PA | GATEWAY |
Medicare Participation & PECOS Enrollment Status
Michael Gaudiose is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
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.
This service was performed 49 times for 48 patientsThis 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.
This service was performed 26 times for 26 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 21742 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $89.75
- Minimum New Patient Price $57.99
- Maximum New Patient Price $175.57
- Average New Patient Copayment $22.43
- Minimum New Patient Copayment $14.49
- Maximum New Patient Copayment $43.89
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $102.11
- Minimum Established Patient Price $18.66
- Maximum Established Patient Price $143.02
- Average Established Patient Copayment $25.52
- Minimum Established Patient Copayment $4.66
- Maximum Established Patient Copayment $35.75
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for DR. MICHAEL C GAUDIOSE MD
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 7 | 8 | 5 | 6 | 7 | 9 | 3 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 14 | 8 | 10 | 6 | 14 | 9 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 1 + 4 + 8 + 1 + 0 + 6 + 1 + 4 + 9 + 6 + 24 = 71 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 71 = 9 | 9 | ||||||||
The NPI number 1578567939 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
DR. JOSEPH E. ASUNCION MD
Family Medicine
11110 MEDICAL CAMPUS RD STE 200
HAGERSTOWN, MD
ZIP 21742
DR. WILLIAM E ROYSTER JR. M.D.
Family Medicine
11110 MEDICAL CAMPUS RD STE 200
HAGERSTOWN, MD
ZIP 21742
MR. MATTHEW LOUIS KEARNEY P.A.-C
Physician Assistant
(Medical)
11110 MEDICAL CAMPUS RD STE 200
HAGERSTOWN, MD
ZIP 21742
DR. AARON EDWARD GEORGE D.O.
Family Medicine
11110 MEDICAL CAMPUS RD STE 200
HAGERSTOWN, MD
ZIP 21742
OBAFEMI OKUWOBI MD
Family Medicine
11110 MEDICAL CAMPUS RD STE 200
HAGERSTOWN, MD
ZIP 21742
CATHERINE FEAGA DO
Family Medicine
11110 MEDICAL CAMPUS RD STE 200
HAGERSTOWN, MD
ZIP 21742
DOUGLAS ALAN SPOTTS M.D.
Family Medicine
11110 MEDICAL CAMPUS RD STE 200
HAGERSTOWN, MD
ZIP 21742
DR. RASHMI PRIYA SINGH DO
Student in an Organized Health Care Education/Training Program
11110 MEDICAL CAMPUS RD STE 200
HAGERSTOWN, MD
ZIP 21742
DR. BRADLEY JOHN MILLER DO
Family Medicine
11110 MEDICAL CAMPUS RD STE 200
HAGERSTOWN, MD
ZIP 21742
SHREYA PATEL
Student in an Organized Health Care Education/Training Program
11110 MEDICAL CAMPUS RD STE 200
HAGERSTOWN, MD
ZIP 21742
DANIEL JOSHUA DEATON MD
Family Medicine
11110 MEDICAL CAMPUS RD STE 200
HAGERSTOWN, MD
ZIP 21742
MRS. DENISE ANN RINGLEY NP
Nurse Practitioner
(Acute Care)
11110 MEDICAL CAMPUS RD STE 200
HAGERSTOWN, MD
ZIP 21742
HELEN O HARRINGTON D.O.
Family Medicine
11110 MEDICAL CAMPUS RD STE 200
HAGERSTOWN, MD
ZIP 21742
LOGAN HARRISON ROBERTSON
Physician Assistant
(Medical)
11110 MEDICAL CAMPUS RD STE 200
HAGERSTOWN, MD
ZIP 21742
ANDREW HUGHES DITTO MD
Family Medicine
11110 MEDICAL CAMPUS RD STE 200
HAGERSTOWN, MD
ZIP 21742
TARA MCRAE CRNP
Nurse Practitioner
(Pediatrics)
11110 MEDICAL CAMPUS RD STE 200
HAGERSTOWN, MD
ZIP 21742
DR. MALORI MONET CALLENDER M.D.
Family Medicine
11110 MEDICAL CAMPUS RD STE 200
HAGERSTOWN, MD
ZIP 21742
DR. ARIEL LIM-SHARPE DO
Student in an Organized Health Care Education/Training Program
11110 MEDICAL CAMPUS RD STE 200
HAGERSTOWN, MD
ZIP 21742
DR. JOSEPH OUTMEZGUINE MD
Student in an Organized Health Care Education/Training Program
11110 MEDICAL CAMPUS RD STE 200
HAGERSTOWN, MD
ZIP 21742
MRS. TAMARA ALISON YEAGER CRNP
Nurse Practitioner
(Family)
11110 MEDICAL CAMPUS RD STE 200
HAGERSTOWN, MD
ZIP 21742
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1578567939, enumerated as an "individual" on June 13, 2005.
The provider is located at 11110 MEDICAL CAMPUS RD STE 200 HAGERSTOWN, MD 21742 and the phone number is (301) 714-4400.
Family Medicine with taxonomy code 207Q00000X.
The provider might be accepting Accepts: Medicare, Medicaid, Railroad Medicare, Tricare,. Please consult your insurance carrier or call the provider to verify.
