Provider Type Icon

GARY W.O. YOUNG M.D. NPI 1689601155


NPI Information

NPI: 1689601155
Provider Name: GARY W.O. YOUNG, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Organization: MARSHALL MEDICAL CENTER

PECOS Registration: Yes

Address:
4341 GOLDEN CENTER DR
SUITE B
PLACERVILLE, CA
ZIP 95667
Phone: (530) 621-3600
Get Directions

Gary W.o. Young, M.D. is a family medicine in Placerville, CA with 37 years of experience. The provider is 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. Gary W.o. Young, M.D. NPI is 1689601155. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1987

The provider's business location address is:

4341 GOLDEN CENTER DR
SUITE B
PLACERVILLE, CA
ZIP 95667-260
Phone: (530) 621-3600
Fax: (530) 626-7617

The NPI 1689601155 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Destruction of 2-14 skin growths (HCPCS:17003)
  • Destruction of skin growth (HCPCS:17000)
  • Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)
  • Removal of impact ear wax, one ear (HCPCS:69210)
  • Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report (HCPCS:93010)
  • Physician certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imple (HCPCS:G0180)

The enumeration date for this NPI number is 6/28/2006 and was last updated on 12/18/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineG678890CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1E72136MEDICARE UPINCALIFORNIA
200G678890MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
3GR0070790MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.