Active NPI 1477533164 Individual Practitioner Female Practitioner

Dr. Justine A Gavagan , MD

Surgery • Pullman, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Justine Gavagan, MD is a certified Surgery practicing in Pullman, WA. With approximately 27 years of clinical experience since completing medical education in 1999, Dr. Gavagan delivers high-quality medical care to the local community at 825 SE BISHOP BLVD STE 130.

Dr. Gavagan maintains professional affiliations with Public Hospital District 1-A Of Whitman County, St Johns Lutheran Hospital Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include initial hospital care with straightforward or low-level medical decision making, if using time, at least, subsequent hospital care with moderate levelof medical decision making, if using time, at least, follow-up hospital inpatient care per day. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

825 Se Bishop Blvd Ste 130

Pullman, WA 991635517

Telephone 5093380632

Fax 5097152130

Associated Practice Facility / Clinic

🏢 Palouse Ent, Llc Facility NPI 1346377249

Medicare Profile & Education

Medical School

Other

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Pullman, WA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

27 Yrs +3.2 yrs vs City Avg

City Avg: 23.8 Yrs

State Avg: 22.8 Yrs

Regional Practice Density

6 Specialists

Practicing in Pullman, WA (818 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

54.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gavagan (27 Years) 27 Yrs

Pullman Specialty Average (23.8 Years) 23.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	29	29	$309.00	$129.94
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	27	17	$164.00	$78.63
99231 Follow-up hospital inpatient care per day, typically 15 minutes	25	21	$89.00	$49.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	19	15	$89.00	$49.86
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	15	14	$164.00	$79.38
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$309.00	$125.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	27	27	$309.00	$134.11
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	22	22	$164.00	$70.63
99231 Follow-up hospital inpatient care per day, typically 15 minutes	15	14	$89.00	$38.51
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	13	11	$235.00	$101.75
99219 Hospital observation care, typically 50 minutes	11	11	$307.00	$131.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$94.70	$76.83
99231 Follow-up hospital inpatient care per day, typically 15 minutes	26	22	$89.00	$38.34
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	18	15	$164.00	$71.80
99213 Established patient office or other outpatient visit, typically 15 minutes	15	14	$91.80	$62.39
49650 Repair of groin hernia using an endoscope	14	14	$1152.57	$451.42
47562 Removal of gallbladder using an endoscope	14	14	$1553.29	$679.78
99202 New patient office or other outpatient visit, typically 20 minutes	13	13	$54.69	$45.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	50	50	$87.52	$77.94
99231 Follow-up hospital inpatient care per day, typically 15 minutes	15	11	$89.00	$40.58
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$309.00	$142.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$154.08	$134.16
49650 Repair of groin hernia using an endoscope	12	12	$1199.92	$508.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$83.00	$81.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	46	28	$83.78	$40.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	42	42	$83.02	$79.15
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	40	40	$301.13	$141.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	32	$92.16	$78.76
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$149.63	$133.12
49650 Repair of groin hernia using an endoscope	19	19	$1146.47	$548.45
47562 Removal of gallbladder using an endoscope	17	17	$1578.71	$731.76
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	12	11	$164.00	$74.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	51	33	$78.35	$40.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	46	46	$137.96	$131.88
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	27	27	$274.78	$141.54
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$79.00	$77.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	22	$80.00	$78.78
99213 Established patient office or other outpatient visit, typically 15 minutes	16	16	$53.00	$52.23
47562 Removal of gallbladder using an endoscope	13	13	$1437.31	$701.41
49650 Repair of groin hernia using an endoscope	12	12	$1046.83	$530.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$134.00	$132.17
99231 Follow-up hospital inpatient care per day, typically 15 minutes	26	15	$78.00	$40.11
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	24	16	$145.00	$73.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$79.00	$77.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	19	$80.00	$79.03
49650 Repair of groin hernia using an endoscope	17	17	$885.00	$513.46
99213 Established patient office or other outpatient visit, typically 15 minutes	15	15	$53.00	$51.92
47562 Removal of gallbladder using an endoscope	14	14	$1390.43	$699.32

Medical Specialties & State Licenses

CMS Verified: 2025-09-29

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License WA MD00048932

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Hospital & Practice Group Affiliations

St Johns Lutheran Hospital Inc

209 Health Park Dr, Libby, MT 599232001

Phone: 4062837000

Public Hospital District 1-A Of Whitman County

825 Se Bishop Blvd, Pullman, WA 991635517

Phone: 5093380632

Secondary Practice Locations

1333 Surgical Services Way

Kalispell, MT 599014844

Phone: 4067525000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners

Dr. Ronald Martin , MD

Surgery

NPI 1194826925

Doctor of Medicine (M.D.)

Kathryn Jones

Surgery

NPI 1245775444

Dr. Nancy Panko , MD

Surgery

NPI 1285076737

Doctor of Medicine (M.D.)

Dr. Justin Cochrane , DO

Internal Medicine - Gastroenterology

NPI 1487940714

Doctor of Osteopathic Medicine (D.O.)

Lisa Arrett , ARNP

Nurse Practitioner

NPI 1508328097

Advanced Registered Nurse Practitioner

Dr. John Visger , MD

Surgery

NPI 1902899982

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events

📍

Updated Practice Location September 29, 2025

Registered at 825 SE BISHOP BLVD STE 130, PULLMAN, WA 991635517 (Tel: 5093380632)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 29, 2025

Surgery (License #MD00048932 in WA)

📍

Updated Practice Location June 30, 2020

Registered at 1333 SURGICAL SERVICES WAY, KALISPELL, MT 599014844 (Tel: 4067525000)

📍

Updated Business Mailing Address June 30, 2020

Registered at 1333 SURGICAL SERVICES WAY, KALISPELL, MT 599014844 (Tel: 4067525000)

✅

NPI Profile Active May 16, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location May 16, 2012

Registered at 1273 BURNS WAY, KALISPELL, MT 599013109 (Tel: 4067525000)

📍

Updated Business Mailing Address May 16, 2012

Registered at 1273 BURNS WAY, KALISPELL, MT 599013109 (Tel: 4067525000)

👤

Provider Name / Credentials Updated May 16, 2012

Recorded as JUSTINE GAVAGAN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 16, 2012

Surgery (License #MD23834 in OR)

🟢

Initial NPI Registration & Enumeration January 19, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1477533164

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: January 19, 2006

Last Update: September 29, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1333 Surgical Services Way

Kalispell, MT 599014844

Phone: 4067525000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.