DR. CLAIRE LAUREN GAHM MD
NPI 1750709077
Pediatrics - Pediatric Emergency Medicine in Aurora, CO
NPI Status: Active since April 03, 2014
- Individual
- Female
- Years of Experience 12
- Pediatrics
- Pediatric Emergency Medicine
- Accepts Insurance
- Accepts Medicare Approved Payment
About CLAIRE GAHM
This page provides the complete NPI Profile along with additional information for Claire Gahm, a pediatrician established in Aurora, Colorado with a medical specialization in Pediatrics, focusing in pediatric emergency medicine and more than 12 years of experience. The healthcare provider is registered in the NPI registry with number 1750709077 assigned on April 2014. The practitioner's primary taxonomy code is 2080P0204X with license number DR.0072577 (CO). The provider is registered as an individual and her NPI record was last updated February 2025.
- NPI
- 1750709077
- Provider Name
- DR. CLAIRE LAUREN GAHM MD
- Other Name
- CLAIRE GAHM MD
- Other Name Type
- Other Name (5)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 13123 E 16TH AVE AURORA, CO 80045
- Location Phone
- (720) 777-6888
- Mailing Address
- PO BOX 110429 AURORA, CO 80042
- Medical School Name
- OTHER
- Graduation Year
- 2014
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-03-2014
- Last Update Date
- 02-10-2025
- Code Navigator
A pediatrician like Claire Gahm is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics Pediatric Emergency Medicine
- Taxonomy Code
- 2080P0204X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- DR.0072577
- License State
- CO
- Taxonomy Description
- A pediatrician who has special qualifications to manage emergencies in infants and children.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 2080P0204X | Allopathic & Osteopathic Physicians | Pediatrics | A185973 (CA) |
| 2 | 2080P0204X | Allopathic & Osteopathic Physicians | Pediatrics | R6782 (TX) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Medica Insure Bronze $0 Copay PCP Visits - EPO
- Medica Insure Bronze Premier - EPO
- Medica Insure Bronze Share - EPO
- Medica Insure Expanded Bronze Standard - EPO
- Medica Insure Gold $0 Copay PCP Visits - EPO
- Medica Insure Gold Share - EPO
- Medica Insure Gold Standard - EPO
- Medica Insure Silver $0 Copay PCP Visits - EPO
- Medica Insure Silver Share - EPO
- Medica Insure Silver Standard - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Claire Gahm is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
PECOS PAC ID: 9638441876
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20241011003341
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 5 | 0 | 7 | 0 | 9 | 0 | 7 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 10 | 0 | 14 | 0 | 18 | 0 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 0 + 0 + 1 + 4 + 0 + 1 + 8 + 0 + 1 + 4 + 24 = 53 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 53 = 7 | 7 | ||||||||
The NPI number 1750709077 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1841288065 | LISA WANGER PA Individual | Physician Assistant | 13123 E 16TH AVE AURORA, CO 80045 (720) 777-1234 |
| 1972586436 | JOYCE MARIE GIBBONS PA C Individual | Physician Assistant | 13123 E 16TH AVE B145 AURORA, CO 80045 (720) 777-6652 |
| 1316921398 | DAVID ECKHARDT PA Individual | Physician Assistant | 13123 E 16TH AVE AURORA, CO 80045 (720) 777-1234 |
| 1699753376 | RAJEEV VIBHAKAR MD Individual | Pediatrics (Pediatric Hematology-Oncology) | 13123 E 16TH AVE AURORA, CO 80045 (720) 777-1234 |
| 1992771091 | STANLEY LOFTNESS MD Individual | Anesthesiology | 13123 E 16TH AVE AURORA, CO 80045 (720) 777-1234 |
| 1134196538 | SEAN O'LEARY MD Individual | Pediatrics (Pediatric Infectious Diseases) | 13123 E 16TH AVE AURORA, CO 80045 (720) 777-1234 |
| 1073582706 | FREDERICK SUCHY M.D. Individual | Pediatrics (Pediatric Gastroenterology) | 13123 E 16TH AVE THE CHILDRENS HOSPITAL AURORA, CO 80045 (720) 777-1234 |
| 1154385987 | ROBIN SAWARYNSKI PA Individual | Physician Assistant | 13123 E 16TH AVE AURORA, CO 80045 (720) 777-1234 |
| 1649238593 | DUNCAN WILCOX MD Individual | Urology (Pediatric Urology) | 13123 E 16TH AVE AURORA, CO 80045 (720) 777-1234 |
| 1902856511 | DR. KRISTA A YORK MD Individual | Pediatrics | 13123 E 16TH AVE AURORA, CO 80045 (720) 777-1234 |
| 1225074594 | KENDRA BJORAKER PHD Individual | Clinical Neuropsychologist | 13123 E 16TH AVE AURORA, CO 80045 (720) 777-1234 |
| 1144258815 | ERIKA SIDNEY MD Individual | Pediatrics (Pediatric Emergency Medicine) | 13123 E 16TH AVE AURORA, CO 80045 (720) 777-1234 |
| 1003844143 | ROBERT KRAMER MD Individual | Pediatrics (Pediatric Gastroenterology) | 13123 E 16TH AVE AURORA, CO 80045 (720) 777-1234 |
| 1356379952 | TRISTA BOWYER MD Individual | Pediatrics | 13123 E 16TH AVE AURORA, CO 80045 (720) 777-1234 |
| 1104854645 | RICHARD HENDERSHOT MD Individual | Anesthesiology | 13123 E 16TH AVE AURORA, CO 80045 (720) 777-1234 |
| 1679504039 | TRAVIS HEARE MD Individual | Orthopaedic Surgery | 13123 E 16TH AVE AURORA, CO 80045 (720) 777-1234 |
| 1427089440 | BETSEY H BUCCA LCSW Individual | Social Worker (Clinical) | 13123 E 16TH AVE AURORA, CO 80045 (720) 777-1932 |
| 1376561183 | PATRICIA LAVESSER OTR Individual | Occupational Therapist | 13123 E 16TH AVE AURORA, CO 80045 (720) 777-1234 |
| 1184645806 | DR. DESMOND K RUNYAN MD Individual | Pediatrics | 13123 E 16TH AVE B390 AURORA, CO 80045 (303) 864-5364 |
| 1659395127 | MS. MELANIE SABERIAN PNP Individual | Nurse Practitioner (Pediatrics) | 13123 E 16TH AVE THE CHILDREN'S HOSPITAL AURORA, CO 80045 (720) 777-1234 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750709077, enumerated in the NPI registry as an "individual" on April 03, 2014
The provider is located at 13123 E 16th Ave Aurora, Co 80045 and the phone number is (720) 777-6888
The provider's speciality is Pediatrics with taxonomy code 2080P0204X with a focus in Pediatric Emergency Medicine
The provider has more than 12 years of experience.
The provider might be accepting Accepts: Medica. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on April 03, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.