Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JANICE ANN GAULT MD
NPI 1780673137
Ophthalmology in Philadelphia, PA

Active since October 18, 2005PECOS Enrolled
88.33/100
CMS Quality Rating
840 WALNUT ST, SUITE 1240, PHILADELPHIA, PA 19107(215) 928-3138(610) 668-7454 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 13, 2026, May 17, 2018 (2 updates tracked since 2018).

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

NPI1780673137
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameJANICE ANN GAULTCredential: MD
Location Address840 WALNUT ST, SUITE 1240Philadelphia, PA 19107-5109
Mailing Address1113 Brynlawn RdVillanova, PA 19085-2101 · (484) 222-6197
Fax(610) 668-7454
Sole ProprietorNo
Medical School CMSDuke University School Of MedicineGraduated 1991
Enumeration DateOctober 18, 2005
Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration
NPI 1780673137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in PA · MD050661L Licensed in NJ · 25MA06068600
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
840 WALNUT ST, Philadelphia, PA 19107

Other Identifiers 2

Medicaid0016296410007PA
Medicaid6811108NJ

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

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.

PECOS PAC ID1254230675
PECOS Enrollment IDI20040301000602
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 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.

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.
271 services238 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.
84 services58 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
71 services49 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
56 services34 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
50 services42 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
47 services39 patients

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, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number390331
Location840 Walnut StreetPhiladelphia, PA 19107 · Philadelphia County

Physician 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.

New Patient
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
Most-billed visit code 99213
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.

88.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.67
Promoting Interoperability100
Improvement Activities40
Cost69.44

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.

Optometrist
840 WALNUT ST
PHILADELPHIA, PA 19107
Ophthalmology
840 WALNUT ST, SUITE 1020
PHILADELPHIA, PA 19107
Ophthalmology
840 WALNUT ST, SUITE 930
PHILADELPHIA, PA 19107
Ophthalmology
840 WALNUT ST, SUITE 1020
PHILADELPHIA, PA 19107
Ophthalmology
840 WALNUT ST
PHILADELPHIA, PA 19107
Nurse Anesthetist, Certified Registered
840 WALNUT ST
PHILADELPHIA, PA 19107
Ophthalmology
840 WALNUT ST
PHILADELPHIA, PA 19107
Student in an Organized Health Care Education/Training Program
840 WALNUT ST
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.

What insurance does Janice Gault accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 6 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 29 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.