RICHARD B GANONG – Internal Medicine Physician, NPI 1932255403

RICHARD B GANONG is a healthcare provider. based in Truckee, California. specializing in INTERNAL MEDICINE, EMERGENCY MEDICINE. They hold a License No. G29712 (CA). The NPI Number for RICHARD B GANONG is 1932255403

Main info

Male
52 Years Of Experience
Accepts Medicare Assignment
Name
RICHARD B GANONG
NPI
1932255403
Phone
Not provided
Address
10115 W RIVER ST
Enumeration Date
26 January 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Secondary Phone
5305877461
Graduation Year
1974 (52 years ago)
PAC ID
8123066701
Group Practice PAC ID
0446161335
Professional Enrollment ID
I20081204000580
Address ID
CA961614870TR10051AVEX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

21,511 INTERNAL MEDICINE in CA

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Provider Addresses for RICHARD B GANONG

  • 10115, West River Street, Truckee, Nevada County, California, 96161, United States

    TRUCKEE, CA 961610324

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-12-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20081204000580IInternal MedicineCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes2320$0
View full utilization report →

Insurance plans in this area (ZIP 96161)

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Provider's Procedures

RICHARD B GANONG performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINECA81002Urinalysis, manual test4430
INTERNAL MEDICINECA83036Hemoglobin A1C level3938
INTERNAL MEDICINECA90670Pneumococcal vaccine for injection into muscle2323

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0446161335View full group profile
NameSpecialtyState
Physician AssistantCA
General SurgeryCA
-CA
A N E S T H E S I O L O G YAZ
A N E S T H E S I O L O G YNV
Internal MedicineNV
Nurse PractitionerCA
Nurse PractitionerCA
Physician AssistantCA
O B S T E T R I C S/ G Y N E C O L O G YNV

Reviews

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Frequently asked questions

Can I use this page to confirm RICHARD B GANONG's NPI?
Yes. RICHARD B GANONG is listed with NPI 1932255403 in the public NPI dataset.
Is RICHARD B GANONG listed as active for patients and plans?
The listing shows RICHARD B GANONG as active in the NPI system.
What taxonomy line describes RICHARD B GANONG?
For research purposes, treat RICHARD B GANONG as Internal Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for RICHARD B GANONG?
RICHARD B GANONG's geographic hint is Truckee, California in our summary view.
Why does RICHARD B GANONG have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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