DR. PAUL R GAUSE MD
NPI 1871708255
Orthopaedic Surgery in Scottsdale, AZ

Active since May 11, 2007PECOS EnrolledAccepts Medicare Assignment
65.45/100
CMS Quality Rating
9735 N 90TH PL, SCOTTSDALE, AZ 85258(602) 953-9500(602) 953-1782 Get Directions Write a Review

NPPES record last updated: June 1, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Paul R Gause Md NPPES

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

DR. PAUL R GAUSE MD (NPI 1871708255) is an individual orthopaedic surgery provider in Scottsdale, Arizona, licensed in Arizona (40324) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS and is a graduate of University Of California, Geffen School Of Medicine (2002).

NPPES Registry Identity

NPI1871708255
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. PAUL R GAUSECredential: MD
Location Address9735 N 90TH PLScottsdale, AZ 85258-5067
Mailing Address9735 N 90th PlScottsdale, AZ 85258-5067 · (602) 953-9500 · Fax (602) 953-1782
Fax(602) 953-1782
Sole ProprietorNo
Medical School CMSUniversity Of California, Geffen School Of MedicineGraduated 2002
Enumeration DateMay 11, 2007
Last NPPES UpdateJune 1, 2009
NPI 1871708255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses Licensed in AZ · 40324 Licensed in OH · 35089696
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
9735 N 90TH PL, Scottsdale, AZ 85258

Other Identifiers 4

Other1811189897AZ · Group Npi
Medicaid333969AZ
Medicare UPINZ121975
Other24038AZ · Group Medicare

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. Paul R Gause 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 ID446358683
PECOS Enrollment IDI20080602000095
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 19

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.
325 services223 patients
X-ray of lower and sacral spine, minimum of 4 views 72110
An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.
144 services133 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
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.
112 services88 patients
Fusion of additional segment of spine 22614
Fusion of an additional segment of the spine is a surgical procedure to join two or more vertebrae together. This is done to stabilize the spine and reduce pain or correct a deformity. The procedure involves using bone grafts, rods, or screws to secure the spine.
75 services15 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.
71 services61 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85258 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

65.45/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.83
Promoting Interoperability100
Improvement Activities40
Cost10

Reported Quality Measures

Documentation of Current Medications in the Medical Record
0%4,081 patients1/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%526 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
14%1,131 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
7%2,391 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 0% · 475 patients
0%475 patients
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.

Other Providers at the Same Location NPPES 19

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

Orthopaedic Surgery
9735 N 90TH PL
SCOTTSDALE, AZ 85258
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
9735 N 90TH PL
SCOTTSDALE, AZ 85258
Clinic/Center
9735 N 90TH PL
SCOTTSDALE, AZ 85258
Registered Nurse (Orthopedic)
9735 N 90TH PL
SCOTTSDALE, AZ 85258
Physician Assistant (Surgical)
9735 N 90TH PL
SCOTTSDALE, AZ 85258
Orthopaedic Surgery
9735 N 90TH PL
SCOTTSDALE, AZ 85258
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
9735 N 90TH PL
SCOTTSDALE, AZ 85258
Orthopaedic Surgery
9735 N 90TH PL
SCOTTSDALE, AZ 85258

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 Paul Gause's NPI number?

The NPI number for Paul Gause is 1871708255. It was assigned to this individual provider in the NPPES registry on May 11, 2007.

Where is Paul Gause located?

Paul Gause practices at 9735 N 90th Pl, Scottsdale, AZ 85258. The listed phone number is (602) 953-9500.

What is Paul Gause's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Paul Gause enrolled in Medicare?

Yes. Paul 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.

When was this NPI record last updated?

The NPPES record for Paul Gause was last updated on June 1, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.