DR. JOHN STUART GAUL III MD
NPI 1902888902
Orthopaedic Surgery - Hand Surgery in Charlotte, NC

Active since November 16, 2005PECOS Enrolled
95.35/100
CMS Quality Rating
1915 RANDOLPH RD, CHARLOTTE, NC 28207(704) 323-2000 Get Directions Write a Review

NPPES record last updated: October 17, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. John Stuart Gaul Iii Md NPPES

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

DR. JOHN STUART GAUL III MD (NPI 1902888902) is an individual hand surgery provider in Charlotte, North Carolina, licensed in North Carolina (28412) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902888902
Entity TypeIndividualMale
Primary Taxonomy207XS0106X
Provider Legal NameDR. JOHN STUART GAUL IIICredential: MD
Location Address1915 RANDOLPH RDCharlotte, NC 28207-1101
Mailing Address4601 Park Rd, Ste 300Charlotte, NC 28209-3239 · (704) 323-2000
Sole ProprietorNo
Enumeration DateNovember 16, 2005
Last NPPES UpdateOctober 17, 2011
NPI 1902888902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic Surgery · Hand SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0106X
License Licensed in NC · 28412
Definition
An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 28412 (NC)
1915 RANDOLPH RD, Charlotte, NC 28207

Other Identifiers 7

MedicaidN28412SC
Medicaid8934974NC
Medicare PIN206549CNC
Medicare UPINC83990NC
Medicare NSC0397730020NC
Medicare NSC0397730002NC
Medicare NSC0397730007NC

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 (PECOS)

Dr. John Stuart Gaul Iii Md 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 28207 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Neuromuscular stimulator, electronic shock unit E0745
DME-Other DME · category DE000N
1 supplier14 claims14 services$57.86 avg. paid by Medicare
Hand finger orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment L3913
DME-Orthotic Devices · category DF000N
3 suppliers17 claims17 services$196.72 avg. paid by Medicare
Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf L3924
DME-Orthotic Devices · category DF000N
2 suppliers12 claims12 services$66.12 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Orthopaedic Surgery
1915 RANDOLPH RD
CHARLOTTE, NC 28207
Physician Assistant
1915 RANDOLPH RD
CHARLOTTE, NC 28207
Plastic Surgery
1915 RANDOLPH RD
CHARLOTTE, NC 28207
Orthopaedic Surgery
1915 RANDOLPH RD, SUITE 300
CHARLOTTE, NC 28207
Orthopaedic Surgery (Hand Surgery)
1915 RANDOLPH RD
CHARLOTTE, NC 28207
Orthopaedic Surgery
1915 RANDOLPH RD
CHARLOTTE, NC 28207
Orthopaedic Surgery (Hand Surgery)
1915 RANDOLPH RD
CHARLOTTE, NC 28207
Orthopaedic Surgery
1915 RANDOLPH RD
CHARLOTTE, NC 28207

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 John Gaul's NPI number?

The NPI number for John Gaul is 1902888902. It was assigned to this individual provider in the NPPES registry on November 16, 2005.

Where is John Gaul located?

John Gaul practices at 1915 Randolph Rd, Charlotte, NC 28207. The listed phone number is (704) 323-2000.

What is John Gaul's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.

Is John Gaul enrolled in Medicare?

Yes. John Gaul is registered in the Medicare PECOS enrollment system.

What insurance does John Gaul accept?

Health plans from Blue Cross and Blue Shield of NC and First Choice Next list John Gaul 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 John Gaul was last updated on October 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.