GARY L CUSHING M.D.
NPI 1962483545
Internal Medicine - Gastroenterology in San Luis Obispo, CA

NPI Status: Active since November 09, 2005

Contact Information

1551 BISHOP ST
SUITE 510
SAN LUIS OBISPO, CA
ZIP 93401
Phone: (805) 549-7843
Fax: (805) 549-8692

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  • Individual
  • Male
  • Internal Medicine
  • Gastroenterology
  • PECOS Enrolled

About GARY CUSHING

This page provides the complete NPI Profile along with additional information for Gary Cushing, an internist established in San Luis Obispo, California with a medical specialization in Internal Medicine, focusing in gastroenterology . The healthcare provider is registered in the NPI registry with number 1962483545 assigned on November 2005. The practitioner's primary taxonomy code is 207RG0100X with license number A45253 (CA). The provider is registered as an individual and his NPI record was last updated 8 years ago.

NPI
1962483545
Provider Name
GARY L CUSHING M.D.
Gender
Male
Entity Type
Individual
Location Address
1551 BISHOP ST SUITE 510 SAN LUIS OBISPO, CA 93401
Location Phone
(805) 549-7843
Location Fax
(805) 549-8692
Mailing Address
4488 CROSS CREEK WAY SAN LUIS OBISPO, CA 93401
Mailing Phone
(805) 801-5355
Is Sole Proprietor?
No
Enumeration Date
11-09-2005
Last Update Date
09-07-2018
Code Navigator

An internist like Gary Cushing is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Gastroenterology

Taxonomy Code
207RG0100X
Type
Allopathic & Osteopathic Physicians
License No.
A45253
License State
CA
Taxonomy Description
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1174400000XOther Service Providers

Specialist

A45253 (CA)

Medicare Participation & PECOS Enrollment Status

Gary Cushing is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

This service was performed 11 times for 11 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

This service was performed 12 times for 12 patients

Follow-up hospital inpatient care per day, typically 25 minutes

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

This service was performed 11 times for 11 patients

Initial hospital inpatient care per day, typically 70 minutes

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

This service was performed 34 times for 32 patients

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 93401 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $135.73
  • Minimum New Patient Price $59.84
  • Maximum New Patient Price $178.89
  • Average New Patient Copayment $33.93
  • Minimum New Patient Copayment $14.96
  • Maximum New Patient Copayment $44.72

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $104.82
  • Minimum Established Patient Price $19.7
  • Maximum Established Patient Price $146.55
  • Average Established Patient Copayment $26.2
  • Minimum Established Patient Copayment $4.92
  • Maximum Established Patient Copayment $36.63

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1962483545, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 75. The final step is to find the difference between that total and the next multiple of ten (80 - 75 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
2
Unchanged
Pos 5
4
Doubled → 8
Pos 6
8
Unchanged
Pos 7
3
Doubled → 6
Pos 8
5
Unchanged
Pos 9
4
Doubled → 8
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 4 → 8 3 → 6 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 1 + 2 + 2 + 8 + 8 + 6 + 5 + 8 + 24 = 75

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 75 is 80. The difference is the calculated check digit.

80 - 75 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1962483545.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Specialist
1551 BISHOP ST, SUITE 420
SAN LUIS OBISPO, CA 93401
Internal Medicine
1551 BISHOP ST, SUITE 160
SAN LUIS OBISPO, CA 93401
Radiology (Diagnostic Radiology)
1551 BISHOP ST
SAN LUIS OBISPO, CA 93401
Dermatology
1551 BISHOP ST, SUITE 410
SAN LUIS OBISPO, CA 93401
Internal Medicine (Gastroenterology)
1551 BISHOP ST, SUITE 230
SAN LUIS OBISPO, CA 93401
Registered Nurse (Women's Health Care, Ambulatory)
1551 BISHOP ST, SUITE 240
SAN LUIS OBISPO, CA 93401
Registered Nurse
1551 BISHOP ST, STE A160
SAN LUIS OBISPO, CA 93401
Psychiatry & Neurology (Psychiatry)
1551 BISHOP ST, SUITE C-320
SAN LUIS OBISPO, CA 93401
Dentist (Endodontics)
1551 BISHOP ST, 440
SAN LUIS OBISPO, CA 93401
Physician Assistant (Medical)
1551 BISHOP ST, 220
SAN LUIS OBISPO, CA 93401
Internal Medicine (Gastroenterology)
1551 BISHOP ST, SUITE 510
SAN LUIS OBISPO, CA 93401
Internal Medicine (Gastroenterology)
1551 BISHOP ST, SUITE 250
SAN LUIS OBISPO, CA 93401
Dermatology
1551 BISHOP ST, SUITE 410
SAN LUIS OBISPO, CA 93401
Clinic/Center (Medical Specialty)
1551 BISHOP ST, 450
SAN LUIS OBISPO, CA 93401
Registered Nurse (Lactation Consultant)
1551 BISHOP ST, SUITE 240/310
SAN LUIS OBISPO, CA 93401
Registered Nurse
1551 BISHOP ST
SAN LUIS OBISPO, CA 93401
Registered Nurse (Lactation Consultant)
1551 BISHOP ST, SUITE 240 AND 310
SAN LUIS OBISPO, CA 93401
Podiatrist (Foot & Ankle Surgery)
1551 BISHOP ST
SAN LUIS OBISPO, CA 93401
Advanced Practice Midwife
1551 BISHOP ST, C310
SAN LUIS OBISPO, CA 93401
Internal Medicine
1551 BISHOP ST, SUITE 310
SAN LUIS OBISPO, CA 93401

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962483545, enumerated as an "individual" on November 09, 2005.

The provider is located at 1551 BISHOP ST SUITE 510 SAN LUIS OBISPO, CA 93401 and the phone number is (805) 549-7843.

Internal Medicine with taxonomy code 207RG0100X and a focus in Gastroenterology.