GERALD R. GAUL M.D.
NPI 1801893490
Ophthalmology in Grand Forks, ND

Q: What is Gerald Gaul's NPI number?

The NPI number for Gerald Gaul is 1801893490. It was assigned to this individual provider in the NPPES registry on June 28, 2005.

Q: What is Gerald Gaul's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Gerald Gaul was last updated on June 23, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 28, 2005PECOS Enrolled

3035 DEMERS AVE, GRAND FORKS, ND 58201(701) 775-3151(701) 775-3153 Get Directions Write a Review

NPPES record last updated: June 23, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Gerald R. Gaul M.d. NPPES

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

GERALD R. GAUL M.D. (NPI 1801893490) is an individual ophthalmology provider in Grand Forks, North Dakota, licensed in North Dakota (5783) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801893490

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameGERALD R. GAULCredential: M.D.

Location Address3035 DEMERS AVEGrand Forks, ND 58201-4018

Mailing Address3035 Demers AveGrand Forks, ND 58201-4018 · (701) 775-3151 · Fax (701) 775-3153

Phone(701) 775-3151

Fax(701) 775-3153

Sole ProprietorNo

Enumeration DateJune 28, 2005

Last NPPES UpdateJune 23, 2014

✔ NPI 1801893490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in ND · 5783

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.

Also ListedSpecialistTaxonomy 174400000X · License 5783 (ND)

3035 DEMERS AVE, Grand Forks, ND 58201

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Other Identifiers 4

Medicare UPINE25355ND

Medicaid16160ND

Medicare NSC0352000001ND

Medicare PINN4767ND

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gerald R. Gaul M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58201 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

$127.45 typical visit price

range $55.75 – $168.12

Typical copayment $31.86 (range $13.93 – $42.03)

Most-billed visit code 99204

Established Patient

$69.48 typical visit price

range $18.11 – $137.65

Typical copayment $17.37 (range $4.52 – $34.41)

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.

Reported Quality Measures

Diabetes: Eye Exam

Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period

100%44 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.