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GARY S XIAO MD
NPI 1043354616
Surgery in Philadelphia, PA

Active since February 16, 2007PECOS EnrolledAccepts Medicare Assignment
81.19/100
CMS Quality Rating
216 N BROAD ST, 5TH FL, PHILADELPHIA, PA 19102(215) 762-3900(215) 762-3846 Get Directions Write a Review

NPPES record last updated: March 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gary S Xiao Md NPPES

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

GARY S XIAO MD (NPI 1043354616) is an individual surgery provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD426406) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Reading Hospital, and is a graduate of Other (1986).

NPPES Registry Identity

NPI1043354616
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameGARY S XIAOCredential: MD
Location Address216 N BROAD ST, 5TH FLPhiladelphia, PA 19102-1121
Mailing Address230 N Broad StPhiladelphia, PA 19102-1121 · (215) 255-3828 · Fax (215) 255-3577
Phone(215) 762-3900
Fax(215) 762-3846
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateFebruary 16, 2007
Last NPPES UpdateMarch 22, 2021
NPPES CertifiedMarch 22, 2021
✔ NPI 1043354616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in PA · MD426406
Definition
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.
Also ListedTransplant SurgeryTaxonomy 204F00000X · License MD426406 (PA)
216 N BROAD ST, Philadelphia, PA 19102
Open in Google Maps ↗

Other Identifiers 1

Medicaid101877007PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

Gary S Xiao Md 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 ID3870692262
PECOS Enrollment IDI20070626000530
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 8

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
61 services17 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.
50 services39 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
32 services32 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
29 services13 patients
Ultrasonic guidance during surgery 76998
Ultrasonic guidance during surgery is a technique that uses sound waves to create real-time images of the inside of your body. This helps the surgeon navigate and perform procedures more accurately, reducing the risk of complications. It's like a GPS for your body's internal structures.
24 services24 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
24 services23 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Reading Hospital

Acute Care Hospitals · West Reading, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390044
Location420 S 5th AvenueWest Reading, PA 19611 · Berks County
Emergency services Birthing friendly

Pottstown Hospital

Acute Care Hospitals · Pottstown, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390123
Location1600 East High StreetPottstown, PA 19464 · Montgomery County
Emergency services

Phoenixville Hospital

Acute Care Hospitals · Phoenixville, PA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number390127
Location140 Nutt RoadPhoenixville, PA 19460 · Chester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19102 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

81.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.56
Promoting Interoperability97
Improvement Activities40
Cost65.23

Reported Quality Measures

Perioperative Care: Venous Thromboembolism (VTE) Prophylaxis (When Indicated in ALL Patients)
Percentage of surgical patients aged 18 years and older undergoing procedures for which venous thromboembolism (VTE) prophylaxis is indicated in all patients, who had an order for Low Molecular Weight Heparin (LMWH), Low- Dose Unfractionated Heparin (LDUH)…
100%24 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

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

DR. LISSA BETH LEVIN MIZRAHI M.D.
Internal Medicine (Nephrology)
216 N BROAD ST, 5TH FLOOR
PHILADELPHIA, PA 19102
Philadelphia County (215) 762-2688
MRS. KYMBERLEE A MONTGOMERY CRNP
Nurse Practitioner
216 N BROAD ST, 4TH FLOOR
PHILADELPHIA, PA 19102
Philadelphia County (215) 762-3600
DR. SAHIL SAGAR BANKA M.D.
Internal Medicine (Interventional Cardiology)
216 N BROAD ST, 2ND FLOOR, FEINSTEIN BUILDING
PHILADELPHIA, PA 19102
Philadelphia County (215) 762-3333
GREGORY MALAT
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
216 N BROAD ST, MS 417 5TH FLOOR FEINSTEIN BLDG
PHILADELPHIA, PA 19102
Philadelphia County (215) 762-3823
OWEN C MONTGOMERY MD
Obstetrics & Gynecology
216 N BROAD ST, 4TH FLOOR FEINSTEIN
PHILADELPHIA, PA 19102
Philadelphia County (215) 762-3600
DREXEL UNIVERSITY
Radiology (Radiation Oncology)
216 N BROAD ST, 1ST FLOOR
PHILADELPHIA, PA 19102
Philadelphia County (215) 762-8409
BURCKHARDT RINGE MD
Transplant Surgery
216 N BROAD ST, 5TH FL
PHILADELPHIA, PA 19102
Philadelphia County (215) 762-3900
KAREN M BERKOWITZ MD
Obstetrics & Gynecology (Reproductive Endocrinology)
216 N BROAD ST, 4TH FLOOR
PHILADELPHIA, PA 19102
Philadelphia County (215) 762-3600

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 Gary Xiao's NPI number?

The NPI number for Gary Xiao is 1043354616. It was assigned to this individual provider in the NPPES registry on February 16, 2007.

Where is Gary Xiao located?

Gary Xiao practices at 216 N Broad St 5th Fl, Philadelphia, PA 19102. The listed phone number is (215) 762-3900.

What is Gary Xiao's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Gary Xiao enrolled in Medicare?

Yes. Gary Xiao 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.

What insurance does Gary Xiao accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Gary Xiao as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Gary Xiao affiliated with any hospitals?

According to CMS data, Gary Xiao is affiliated with Reading Hospital, Pottstown Hospital and Phoenixville Hospital.

When was this NPI record last updated?

The NPPES record for Gary Xiao was last updated on March 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.