GAVIN KUME-FUNG HO MD
NPI 1760942841
Internal Medicine in Santa Monica, CA

Active since March 23, 2019PECOS EnrolledAccepts Medicare Assignment
1245 16TH ST STE 309, SANTA MONICA, CA 90404(310) 319-4377(310) 319-4425 Get Directions Write a Review

NPPES record last updated: February 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 1, 2022, Mar 23, 2019 (2 updates tracked since 2019).

About Gavin Kume-fung Ho Md NPPES

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

GAVIN KUME-FUNG HO MD (NPI 1760942841) is an individual internal medicine provider in Santa Monica, California, licensed in California (A180278) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS and is a graduate of Georgetown University School Of Medicine (2019).

NPPES Registry Identity

NPI1760942841
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameGAVIN KUME-FUNG HOCredential: MD
Location Address1245 16TH ST STE 309Santa Monica, CA 90404-1239
Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631 · (310) 301-8707 · Fax (310) 301-8751
Fax(310) 319-4425
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 2019
Enumeration DateMarch 23, 2019
Last NPPES UpdateFebruary 2, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2025
NPI 1760942841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in CA · A180278
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1245 16TH ST STE 309, Santa Monica, CA 90404

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

Gavin Kume-fung Ho Md 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 ID8729492053
PECOS Enrollment IDI20220719001502
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 14

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.
324 services244 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.
155 services132 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.
123 services123 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
54 services51 patients
Blood test, clotting time 85610
A clotting time blood test helps determine how quickly your blood forms clots, a process crucial to stop bleeding. During the test, a small blood sample is taken from your arm. The sample is then analyzed in a lab to see how long it takes for a clot to form.
52 services14 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
39 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90404 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

Other Providers at the Same Location NPPES 16

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

Internal Medicine
1245 16TH ST STE 309
SANTA MONICA, CA 90404
Internal Medicine
1245 16TH ST STE 309
SANTA MONICA, CA 90404
Psychologist
1245 16TH ST STE 309
SANTA MONICA, CA 90404
Family Medicine
1245 16TH ST STE 309
SANTA MONICA, CA 90404
Internal Medicine
1245 16TH ST STE 309
SANTA MONICA, CA 90404
Internal Medicine
1245 16TH ST STE 309
SANTA MONICA, CA 90404
Internal Medicine (Nephrology)
1245 16TH ST STE 309
SANTA MONICA, CA 90404
Family Medicine
1245 16TH ST STE 309
SANTA MONICA, CA 90404

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 Gavin Ho's NPI number?

The NPI number for Gavin Ho is 1760942841. It was assigned to this individual provider in the NPPES registry on March 23, 2019.

Where is Gavin Ho located?

Gavin Ho practices at 1245 16th St Ste 309, Santa Monica, CA 90404. The listed phone number is (310) 319-4377.

What is Gavin Ho's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Gavin Ho enrolled in Medicare?

Yes. Gavin Ho 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.

When was this NPI record last updated?

The NPPES record for Gavin Ho was last updated on February 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.