SCOTT C GOGULSKI (DO) – Family Medicine Physician, NPI 1558332718

SCOTT C GOGULSKI (DO) is a healthcare provider. based in College station, Texas. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. 200501860 (NC). The NPI Number for SCOTT C GOGULSKI (DO) is 1558332718

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
SCOTT C GOGULSKI (DO)
NPI
1558332718
Phone
(979) 458-8300
Address
1264 Tamu
Enumeration Date
27 January 2006
Last Update Date
13 April 2023

Doctor Profile

Medical School Name
MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Secondary Phone
8122821720
Graduation Year
2000 (26 years ago)
PAC ID
8123017142
Group Practice PAC ID
7012811284
Professional Enrollment ID
I20180626001088
Address ID
IN471292278CL2051XBLVD302

Contacts

Secure Messaging
sgogulski178091@direct.nortonhealthcare.org
FHIR Endpoint
https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience86
Completeness85
Years active:20State licenses:4Other namesUpdated within 12 months

8,705 FAMILY PRACTICE in TX

Provider Addresses for SCOTT C GOGULSKI (DO)

  • 1264 Tamu

    A.P. Beutel Health Center

    College Station, TX 778431264

    Phone: (979) 458-8300

    Fax: (979) 458-8319

    Type: Location

  • 485 Valley Rd

    Mocksville, NC 270282074

    Phone: (336) 751-8000

    Type: Location

  • Music Box Theatre, 3733, North Southport Avenue, Wrigleyville, Lake View, Lakeview, Chicago, Lake View Township, Cook County, Illinois, 60613, United States

    CHICAGO, IL 606776351

    Phone: (025) 889-4905

    Fax: (502) 272-5116

    Type: Mailing

  • Preston Highway, Louisville, Jefferson County, Kentucky, 40229, United States

    LOUISVILLE, KY 402193848

    Phone: (502) 964-4357

    Fax: (502) 966-5948

    Type: Location

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: 2020-02-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20180626001088IFamily PracticeINTBD
I20200227001787IFamily PracticeKYTBD

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
87636Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19) and influenza virus types a and b9593$0
99213Established patient office or other outpatient visit, 20-29 minutes9490$0
99214Established patient office or other outpatient visit, 30-39 minutes7069$0
81003Automated urinalysis test3938$0
71046X-ray of chest, 2 views1515$0
View full utilization report →

Insurance plans in this area (ZIP 77843)

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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: 7012811284View full group profile
NameSpecialtyState
Nurse PractitionerIL
Orthopedic SurgeryIN
Nurse PractitionerKY
Nurse PractitionerIL
Family PracticeIL
Nurse PractitionerKY
-IL
Internal MedicineKY
Nurse PractitionerIL
Nurse PractitionerIL

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is SCOTT C GOGULSKI (DO)'s NPI number?
SCOTT C GOGULSKI (DO)'s NPI is 1558332718 — the number used across U.S. healthcare to identify this provider.
Would SCOTT C GOGULSKI (DO) appear as active to a payer?
You can treat SCOTT C GOGULSKI (DO) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe SCOTT C GOGULSKI (DO)'s focus?
For SCOTT C GOGULSKI (DO), the primary taxonomy reads as Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for SCOTT C GOGULSKI (DO)?
Travel planning: use College Station, Texas as the reference point for SCOTT C GOGULSKI (DO), then confirm.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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