Doctor profile · Federal record
Dr. Valerie Gausman, M.D.
Gastroenterology Physician (CMS: Gastroenterology) · Gastroenterology Physician · New York, NY
- NPI 1285089797
- Accepts Medicare
- MIPS 84.5 / 100 · 2023
- 10 yrs in practice
- Licensed in 2 states
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 3 locations .
- Primary practice
-
550 1St Ave
New York, NY 100166402
(718) 376-1004 - Additional location
-
33 Overlook RD Ste 201
Summit, NJ 079013562
(908) 522-5040
fax (908) 522-5041 - Additional location
-
525 Central Ave Ste C
Westfield, NJ 070902545
(908) 522-5040
fax (908) 522-5041
Credentials & registration
- NPI registered
- May 2016 — 10 yrs on file
- Profile last updated
- July 30, 2024
- Year of graduation
- 2016 — 10 yrs since
- Specialty taxonomy
- 207RG0100X — NUCC code
- State licenses (2)
- New York #294119 · New Jersey #25MA12061500
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1285089797. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
369
Distinct HCPCS
9
Medicare allowed
$49,226
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 123 | 93 | $148 | |
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 45 | 35 | $91 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 39 | 35 | $106 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 38 | 38 | $195 | |
99223 |
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 36 | 35 | $199 | |
36415 |
Insertion of needle into vein for collection of blood sample | 35 | 30 | $8 | |
99233 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 25 | 17 | $136 | |
43239 |
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 17 | 17 | $112 | |
45385 |
Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 11 | 11 | $238 |
In context: peer comparison
Among 165 peers in this city , average services per provider: 69. This provider delivers 5.3× the peer median.Open Payments
Industry payments received
All-time total
$150
Transactions
9
Manufacturers
7
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| ABBVIE INC. | 3 | $49.05 | |
| Insulet Corporation | 1 | $24.67 | |
| PFIZER INC. | 1 | $17.30 | |
| Ardelyx, Inc. | 1 | $16.20 | |
| Ferring Pharmaceuticals Inc. | 1 | $15.14 | |
| Phathom Pharmaceuticals, Inc. | 1 | $14.06 | |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC | 1 | $13.89 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
260
Patients
80
Total drug cost
$95,928
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Omeprazole | Generic | 62 | 29 | $1,366 |
| Linzess (Linaclotide) | Brand | 40 | 15 | $32,948 |
| Pantoprazole Sodium | Generic | 35 | 13 | $510 |
| Famotidine | Generic | 24 | 12 | $504 |
| Esomeprazole Magnesium | Generic | 21 | 0 | $1,036 |
| Creon (Lipase/Protease/Amylase) | Brand | 16 | 0 | $35,820 |
| Dicyclomine Hcl | Generic | 16 | 0 | $395 |
| Ursodiol | Generic | 12 | 0 | $1,999 |
| Vemlidy (Tenofovir Alafenamide) | Brand | 12 | 0 | $18,448 |
| Dexlansoprazole Dr (Dexlansoprazole) | Brand | 11 | 0 | $2,803 |
Frequently asked questions
What is Dr. Valerie Gausman's medical specialty?
Dr. Valerie Gausman practices Gastroenterology Physician in New York, NY.
Where does Dr. Valerie Gausman practice?
Dr. Valerie Gausman practices at 550 1St Ave, New York, NY 100166402. Office phone: 7183761004.
What is Dr. Valerie Gausman's NPI?
Dr. Valerie Gausman's National Provider Identifier (NPI) is 1285089797, issued by NPPES.
Does Dr. Valerie Gausman accept Medicare assignment?
Yes. Dr. Valerie Gausman accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Valerie Gausman commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Subsequent hospital care with moderate levelof medical decision making (HCPCS 99232); Established patient office or other outpatient visit (HCPCS 99213). Source: CMS Medicare Physician & Other Practitioners file.