Active NPI
Ian Gao, M.D.
- Sports Medicine (Orthopaedic Surgery) Physician
- Spartanburg, SC
National Provider Identifier
1043637481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- License
- 83871
- Practice address
- 1330 Boiling Springs Rd Ste 1600
Spartanburg, SC 29303-4219 - Phone
- (864) 582-6396
- Fax
- (864) 582-1608
- NPI assigned
- Mar 24, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 83871 | SC | Primary |
Addresses
Primary practice location
1330 Boiling Springs Rd Ste 1600
Spartanburg, SC 29303-4219
Mailing address
1330 Boiling Springs Rd Ste 1600
Spartanburg, SC 29303-4219
Phone (864) 582-6396
Other practice location 1
100 Woodruff Cir
Suite 327
Atlanta, GA 30322-0001
Phone (404) 727-5658
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200713003747 | SC | Practitioner - Orthopedic Surgery | 6406279124 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Orthopaedic and Neurosurgical Associates | Sports Medicine | Current | Accepting new patients |
| Carolina Orthopaedic and Neurosurgical Associates | Current | Accepting new patients |
Locations
115 Deacon Tiller Ct
Duncan, SC 29334
Phone (864) 582-6396
220 Roper Mountain Road Ext
Greenville, SC 29615
Phone (864) 242-1163
1330 Boiling Springs Rd
Ste 1600
Spartanburg, SC 29303
Phone (864) 582-6396
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GIBIDD/Endpoint/GIBIDD
- ian.gao.md.1@26879.direct.athenahealth.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Spartanburg, SC
- NPI 1568454056
SC, Sports Medicine
-
- Orthopaedic Surgery Physician
- Columbus, NC
- NPI 1083309074
-
- Orthopaedic Surgery Physician
- Duncan, SC
- NPI 1427508209
-
- Neurological Surgery Physician
- Greenville, SC
- NPI 1932668217
Hospital & facility affiliations 12
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Northwestern University Feinberg Medical School, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Carolina Orthopaedic and Neurosurgical Associates
Practice addresses (Care Compare)
1330 Boiling Springs Rd
Suite 1600
Spartanburg, SC 29303-4219
Phone (864) 582-6396
Hospital & facility affiliations
- Spartanburg Medical Center
- Pelham Medical Center
- St Francis-Downtown
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.05 of 100
- Quality
- 68.98
- Promoting interoperability
- 93
- Improvement activities
- 40
- Cost
- 67.04
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Knee replacement | 1-10 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 29 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 71 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596585600000",
"number": "1043637481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1330 BOILING SPRINGS RD STE 1600",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293034219",
"telephone_number": "864-582-6396",
"fax_number": "864-582-1608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1330 BOILING SPRINGS RD STE 1600",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293034219",
"telephone_number": "864-582-6396",
"fax_number": "864-582-1608"
}
],
"practiceLocations": [
{
"address_1": "100 Woodruff Cir",
"address_2": "Suite 327",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303220001",
"country_code": "US",
"telephone_number": "404-727-5658",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GAO",
"first_name": "IAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-03-24",
"last_updated": "2020-08-05",
"certification_date": "2020-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "SC",
"license": "83871",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spartanburg, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.