JANICE ANN GAULT MD
NPI 1780673137
Ophthalmology in Philadelphia, PA
About Janice Ann Gault Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JANICE ANN GAULT MD (NPI 1780673137) is an individual ophthalmology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD050661L) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS, is affiliated with Wills Eye Hospital, and is a graduate of Duke University School Of Medicine (1991).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
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
Janice Ann Gault 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.
Medicare Billing Reassignments
2Medicare enrollment records show Janice Gault reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Philadelphia, PA 19107
- Reassigned Medicare billing, Pennsylvania enrollment
- 230 clinicians in this Medicare group
Voorhees, NJ 08043
- Reassigned Medicare billing, New Jersey and Pennsylvania enrollments
- 14 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.
Areas of Expertise CMS Part B claims 11
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Wills Eye Hospital
Acute Care Hospitals · Philadelphia, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19107 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
PHILADELPHIA, PA 19107
PHILADELPHIA, PA 19107
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 Janice Gault's NPI number?
The NPI number for Janice Gault is 1780673137. It was assigned to this individual provider in the NPPES registry on October 18, 2005.
Where is Janice Gault located?
Janice Gault practices at 840 Walnut St Suite 1240, Philadelphia, PA 19107. The listed phone number is (215) 928-3138.
What is Janice Gault's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is Janice Gault enrolled in Medicare?
Yes. Janice Gault 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 Janice Gault's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Janice Gault reassigns Medicare benefits to 2 organizations: Wills Eye Ophthalmology Clinic, Inc (Philadelphia, PA) and Eye Physicians PC (Voorhees, NJ). 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 Janice Gault's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Janice Gault accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Anthem Blue Cross and Blue Shield and Blue Cross Blue Shield of Wyoming and 8 other insurers list Janice Gault 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.
Is Janice Gault affiliated with any hospitals?
According to CMS data, Janice Gault is affiliated with Wills Eye Hospital.
When was this NPI record last updated?
The NPPES record for Janice Gault was last updated on July 13, 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.
# Janice Ann Gault, MD · NPI 1780673137
Ophthalmology physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since October 18, 2005.
## Identity
- **NPI:** 1780673137 (Entity type: Individual)
- **Enumerated:** October 18, 2005
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **State license:** MD050661L (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 840 WALNUT ST, SUITE 1240, Philadelphia, PA 19107-5109
- **Phone:** (215) 928-3138 · **Fax:** (610) 668-7454
## 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): Wills Eye Ophthalmology Clinic, Inc (NPI 1184624009, Philadelphia, PA); Eye Physicians PC (NPI 1063459931, Voorhees, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Duke University School Of Medicine, class of 1991
## Record status
- **NPPES last updated:** July 13, 2026
- **Other identifiers:** Medicaid 0016296410007 (PA); Medicaid 6811108 (NJ)
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Source: [NPI Profile](https://npiprofile.com/npi/1780673137) · Data from the CMS NPPES public registry.