DR. MEGAN GAUSE DO
NPI 1639601263
Family Medicine in Fort Collins, CO

Active since April 02, 2017PECOS EnrolledAccepts Medicare Assignment
98.71/100
CMS Quality Rating
1025 PENNOCK PL STE 114, FORT COLLINS, CO 80524(970) 495-8800(970) 495-8820 Get Directions Write a Review

NPPES record last updated: November 14, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 14, 2022, Aug 13, 2021, Jun 17, 2021 and 2 more (5 updates tracked since 2017).

About Dr. Megan Gause Do NPPES

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

DR. MEGAN GAUSE DO (NPI 1639601263) is an individual family medicine provider in Fort Collins, Colorado, licensed in Colorado (DR.0060453) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Lebanon, and is a graduate of Edward Via Col Of Osteo Medicine-carolinas Campus (2017).

NPPES Registry Identity

NPI1639601263
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MEGAN GAUSECredential: DO
Location Address1025 PENNOCK PL STE 114Fort Collins, CO 80524-3257
Mailing Address1025 Pennock Pl Ste 114Fort Collins, CO 80524-3257 · (970) 495-8800 · Fax (970) 495-8820
Fax(970) 495-8820
Sole ProprietorYes
Medical School CMSEdward Via Col Of Osteo Medicine-carolinas CampusGraduated 2017
Enumeration DateApril 2, 2017
Last NPPES UpdateNovember 14, 20225 updates tracked since enumeration
NPPES CertifiedNovember 2, 2022
NPI 1639601263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CO · DR.0060453
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.
Also ListedFamily Medicine · Geriatric MedicineTaxonomy 207QG0300X · License DO204822 (OR), DR.0060453 (CO)
1025 PENNOCK PL STE 114, Fort Collins, CO 80524

Secondary Practice Location 1

Location 1100 Mullins Dr Ste C2Lebanon, OR 97355 · Phone (541) 451-6413

Other Identifiers 1

Medicaid9000154362CO

Accepted 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. Megan Gause 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 ID6002182938
PECOS Enrollment IDI20221221002821
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 8

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.
141 services102 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.
87 services73 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
52 services23 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.
49 services39 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
47 services47 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
20 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80524 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

98.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.18
Promoting Interoperability100
Improvement Activities40
Cost91.87

Other Providers at the Same Location NPPES 11

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

Social Worker (Clinical)
1025 PENNOCK PL STE 114
FORT COLLINS, CO 80524
Social Worker (Clinical)
1025 PENNOCK PL STE 114
FORT COLLINS, CO 80524
Family Medicine
1025 PENNOCK PL STE 114
FORT COLLINS, CO 80524
Family Medicine
1025 PENNOCK PL STE 114
FORT COLLINS, CO 80524
Nurse Practitioner (Family)
1025 PENNOCK PL STE 114
FORT COLLINS, CO 80524
Nurse Practitioner
1025 PENNOCK PL STE 114
FORT COLLINS, CO 80524
Nurse Practitioner (Family)
1025 PENNOCK PL STE 114
FORT COLLINS, CO 80524
Nurse Practitioner
1025 PENNOCK PL STE 114
FORT COLLINS, CO 80524

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 Megan Gause's NPI number?

The NPI number for Megan Gause is 1639601263. It was assigned to this individual provider in the NPPES registry on April 2, 2017.

Where is Megan Gause located?

Megan Gause practices at 1025 Pennock Pl Ste 114, Fort Collins, CO 80524. The listed phone number is (970) 495-8800.

What is Megan Gause's specialty?

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

Is Megan Gause enrolled in Medicare?

Yes. Megan Gause 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 Megan Gause accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Medica and 1 other insurer list Megan Gause 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 Megan Gause was last updated on November 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.