Valerie Gausman, M.D.
NPI 1285089797 · Gastroenterology Physician · New York, NY
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Valerie Gausman, M.D. is a Gastroenterology Physician provider in New York, NY (NPI 1285089797).
Provider details
- NPI number
- 1285089797
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 25MA12061500 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
10 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
339 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 72 | $83 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 58 | $144 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 50 | $189 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 47 | $138 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 25 | $9 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 10 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Omeprazole | 97 | 43 |
| Pantoprazole Sodium | 51 | 14 |
| Linaclotidebrand: Linzess | 41 | — |
| Dicyclomine Hcl | 33 | — |
| Famotidine | 27 | — |
| Furosemide | 12 | — |
| Esomeprazole Magnesium | 12 | — |
| Spironolactone |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$150 across 9 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (2)
- 33 Overlook Rd Ste 201Summit, NJ 07901-3562Phone: (908) 522-5040Fax: (908) 522-5041
- 525 Central Ave Ste CWestfield, NJ 07090-2545Phone: (908) 522-5040Fax: (908) 522-5041
Registry dates
- Enumerated
- 2016-05-03
- Last updated
- 2024-07-30
- Certified
- 2024-07-30
Frequently asked questions
- What is Valerie Gausman's NPI number?
- Valerie Gausman's National Provider Identifier (NPI) is 1285089797, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Valerie Gausman's specialty?
- Valerie Gausman is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Valerie Gausman located?
- Valerie Gausman's practice location on file with NPPES is 550 1st Ave, New York, NY 10016-6402.
- What is Valerie Gausman's phone number?
- The practice phone number listed in the NPPES registry for Valerie Gausman is (718) 376-1004.
- Does Valerie Gausman accept Medicare?
- Valerie Gausman is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Valerie Gausman's NPI active?
- Yes — Valerie Gausman's NPI (1285089797) is active in the NPPES registry as of the last update on 2024-07-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.