ANDREA GAULT DO
NPI 1891803599
Family Medicine in Annapolis, MD

Active since August 25, 2006PECOS EnrolledAccepts Medicare Assignment
2051 WEST ST, ANNAPOLIS, MD 21401(443) 603-0758 Get Directions Write a Review

NPPES record last updated: March 21, 2019. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Mar 21, 2019, Dec 30, 2016, Feb 25, 2016 (3 updates tracked since 2016).

About Andrea Gault Do NPPES

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

ANDREA GAULT DO (NPI 1891803599) is an individual family medicine provider in Annapolis, Maryland, licensed in Maryland (H0060072) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1891803599
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameANDREA GAULTCredential: DO
Location Address2051 WEST STAnnapolis, MD 21401-3006
Mailing Address5000 Cox RdGlen Allen, VA 23060-9263 · (804) 968-5700 · Fax (804) 217-7991
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateAugust 25, 2006
Last NPPES UpdateMarch 21, 20193 updates tracked since enumeration
✔ NPI 1891803599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in MD · H0060072✔ Licensed in WV · 2180✔ Licensed in MD · D36761
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 2180 (WV), 65060 (WI)
2051 WEST ST, Annapolis, MD 21401

Other Identifiers 12

Other2200372MD · Mamsi- Specialist
OtherP00875673MD · Railroad Medicare
Other7605-0099MD · Carefirst
Other224132MD · Jhhc- Provider Number
Medicaid415385500MD
OtherP18266MD · Carefirst Mpos
Other8200372MD · Mamsi- Primary Care
Other893418-05MD · Carefirst Md Rendering
Other7605-0099MD · Blue Choice
Other1923578MD · Aetna Capitated
Other2717215MD · United Healthcare
Other7387630MD · Aetna- Fee For Service

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

Andrea Gault Do 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 ID1557347838
PECOS Enrollment IDI20081003000379
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

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.
43 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21401 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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 9

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

Family Medicine
2051 WEST ST
ANNAPOLIS, MD 21401
Physician Assistant
2051 WEST ST
ANNAPOLIS, MD 21401
Family Medicine
2051 WEST ST
ANNAPOLIS, MD 21401
Family Medicine
2051 WEST ST
ANNAPOLIS, MD 21401
Physician Assistant
2051 WEST ST
ANNAPOLIS, MD 21401
Non-Pharmacy Dispensing Site
2051 WEST ST
ANNAPOLIS, MD 21401
Physician Assistant
2051 WEST ST
ANNAPOLIS, MD 21401
Emergency Medicine
2051 WEST ST
ANNAPOLIS, MD 21401

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 Andrea Gault's NPI number?

The NPI number for Andrea Gault is 1891803599. It was assigned to this individual provider in the NPPES registry on August 25, 2006.

Where is Andrea Gault located?

Andrea Gault practices at 2051 West St, Annapolis, MD 21401. The listed phone number is (443) 603-0758.

What is Andrea Gault's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Andrea Gault enrolled in Medicare?

Yes. Andrea 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 Andrea Gault accept?

Health plans from CareSource list Andrea 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.

When was this NPI record last updated?

The NPPES record for Andrea Gault was last updated on March 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.