LARA GAVALDON PA
NPI 1962042796
Physician Assistant in Benzonia, MI

Active since January 09, 2020PECOS Enrolled
6227 FRANKFORT HWY, BENZONIA, MI 49616(231) 882-9661 Get Directions Write a Review

NPPES record last updated: June 11, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 11, 2020, Jan 9, 2020 (2 updates tracked since 2020).

About Lara Gavaldon Pa NPPES

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

LARA GAVALDON PA (NPI 1962042796) is an individual physician assistant in Benzonia, Michigan, licensed in Michigan (5601009763) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962042796
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLARA GAVALDONCredential: PA
Location Address6227 FRANKFORT HWYBenzonia, MI 49616-8632
Mailing Address6227 Frankfort HwyBenzonia, MI 49616-8632 · (231) 882-9661
Sole ProprietorNo
Enumeration DateJanuary 9, 2020
Last NPPES UpdateJune 11, 20202 updates tracked since enumeration
NPPES CertifiedJune 11, 2020
NPI 1962042796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MI · 5601009763
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

6227 FRANKFORT HWY, Benzonia, MI 49616

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)

Lara Gavaldon Pa 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 49616 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers20 claims20 services$21.25 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers22 claims22 services$119.05 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.

Family Medicine
6227 FRANKFORT HWY
BENZONIA, MI 49616
Internal Medicine
6227 FRANKFORT HWY
BENZONIA, MI 49616
Internal Medicine
6227 FRANKFORT HWY
BENZONIA, MI 49616
Nurse Practitioner (Family)
6227 FRANKFORT HWY
BENZONIA, MI 49616
Nurse Practitioner
6227 FRANKFORT HWY
BENZONIA, MI 49616
Nurse Practitioner (Family)
6227 FRANKFORT HWY
BENZONIA, MI 49616
Physician Assistant
6227 FRANKFORT HWY
BENZONIA, MI 49616
Nurse Practitioner (Family)
6227 FRANKFORT HWY
BENZONIA, MI 49616

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 Lara Gavaldon's NPI number?

The NPI number for Lara Gavaldon is 1962042796. It was assigned to this individual provider in the NPPES registry on January 9, 2020.

Where is Lara Gavaldon located?

Lara Gavaldon practices at 6227 Frankfort Hwy, Benzonia, MI 49616. The listed phone number is (231) 882-9661.

What is Lara Gavaldon's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Lara Gavaldon enrolled in Medicare?

Yes. Lara Gavaldon is registered in the Medicare PECOS enrollment system.

What insurance does Lara Gavaldon accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Lara Gavaldon 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 Lara Gavaldon was last updated on June 11, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.