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DR. SCOTT THOMAS GHERINI M.D.
NPI 1033175187
Orthopaedic Surgery in Ukiah, CA

Active since April 25, 2006PECOS EnrolledAccepts Medicare Assignment
73.79/100
CMS Quality Rating
721 S DORA ST, UKIAH, CA 95482(707) 367-8430 Get Directions Write a Review

NPPES record last updated: February 10, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 10, 2019, May 13, 2016 (2 updates tracked since 2016).

About Dr. Scott Thomas Gherini M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SCOTT THOMAS GHERINI M.D. (NPI 1033175187) is an individual orthopaedic surgery provider in Ukiah, California, licensed in California (G51159) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Cincinnati College Of Medicine (1982).

NPPES Registry Identity

NPI1033175187
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. SCOTT THOMAS GHERINICredential: M.D.
Location Address721 S DORA STUkiah, CA 95482-5300
Mailing AddressPo Box 2027Ukiah, CA 95482-2230 · (707) 467-5278
Phone(707) 367-8430
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 1982
Enumeration DateApril 25, 2006
Last NPPES UpdateFebruary 10, 20192 updates tracked since enumeration
✔ NPI 1033175187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in CA · G51159
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
721 S DORA ST, Ukiah, CA 95482
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Scott Thomas Gherini M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID446296990
PECOS Enrollment IDI20050706000565
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
335 services49 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
275 services140 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
81 services45 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
61 services61 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
25 services24 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95482 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

73.79/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.87
Promoting Interoperability92
Improvement Activities40
Cost36.93

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEVEN C WIRTH MD
Family Medicine
721 S DORA ST
UKIAH, CA 95482
Mendocino County (707) 462-3300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Scott Gherini's NPI number?

The NPI number for Scott Gherini is 1033175187. It was assigned to this individual provider in the NPPES registry on April 25, 2006.

Where is Scott Gherini located?

Scott Gherini practices at 721 S Dora St, Ukiah, CA 95482. The listed phone number is (707) 367-8430.

What is Scott Gherini's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Scott Gherini enrolled in Medicare?

Yes. Scott Gherini is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Scott Gherini was last updated on February 10, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.