JEAN-MARC GAUGUET MD/PHD
NPI 1609018399
Radiology - Pediatric Radiology in Hershey, PA
About Jean-marc Gauguet Md/phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEAN-MARC GAUGUET MD/PHD (NPI 1609018399) is an individual pediatric radiology provider in Hershey, Pennsylvania, licensed in California (C206832) and active in the NPI registry since March 2009. He is enrolled in Medicare PECOS, maintains 8 additional practice locations, and is a graduate of Harvard Medical School (2007).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 8
Other Identifiers 1
Accepted Insurance
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
Jean-marc Gauguet Md/phd 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.
Medicare Billing Reassignments
2Medicare enrollment records show Jean-marc Gauguet reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Oxford, MA 01540
- Reassigned Medicare billing, Massachusetts enrollment
- 2,902 clinicians in this Medicare group
Worcester, MA 01655
- Reassigned Medicare billing, Massachusetts enrollment
- 169 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.
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.
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.
HERSHEY, PA 17033
HERSHEY, PA 17033
HERSHEY, PA 17033
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 Jean-marc Gauguet's NPI number?
The NPI number for Jean-marc Gauguet is 1609018399. It was assigned to this individual provider in the NPPES registry on March 27, 2009.
Where is Jean-marc Gauguet located?
Jean-marc Gauguet practices at 500 University Dr, Hershey, PA 17033. The listed phone number is (717) 531-4935.
What is Jean-marc Gauguet's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Pediatric Radiology, with taxonomy code 2085P0229X.
Is Jean-marc Gauguet enrolled in Medicare?
Yes. Jean-marc Gauguet 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 Jean-marc Gauguet's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jean-marc Gauguet reassigns Medicare benefits to 2 organizations: Umass Memorial Medical Group, Inc. (Oxford, MA) and Umass Memorial Radiology Phys Serv (Worcester, MA). 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 Jean-marc Gauguet's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jean-marc Gauguet accept?
Health plans from Taro Health list Jean-marc Gauguet 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 Jean-marc Gauguet was last updated on October 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days 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.
# Jean-Marc Gauguet, MD/PHD · NPI 1609018399
Pediatric Radiology physician in Hershey, Pennsylvania. Individual provider, active in the CMS NPPES registry since March 27, 2009.
## Identity
- **NPI:** 1609018399 (Entity type: Individual)
- **Enumerated:** March 27, 2009
- **Primary specialty:** Radiology - Pediatric Radiology · taxonomy 2085P0229X
- **State license:** C206832 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 500 UNIVERSITY DR, Hershey, PA 17033-2360
- **Phone:** (717) 531-4935
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Umass Memorial Medical Group, Inc. (NPI 1982381018, Oxford, MA); Umass Memorial Radiology Phys Serv (NPI 1639122096, Worcester, MA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Harvard Medical School, class of 2007
## Record status
- **NPPES last updated:** October 22, 2026
- **Other identifiers:** Medicaid 110096034A (MA)
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Source: [NPI Profile](https://npiprofile.com/npi/1609018399) · Data from the CMS NPPES public registry.