DR. CHARLES D GERLACH M.D.
NPI 1053369447
Internal Medicine in Harrisburg, PA

Active since May 05, 2006PECOS EnrolledAccepts Medicare Assignment
82.54/100
CMS Quality Rating
805 SIR THOMAS CT, 1ST FLOOR, HARRISBURG, PA 17109(717) 988-0020(717) 703-5746 Get Directions Write a Review

NPPES record last updated: January 2, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 2, 2021, Jun 9, 2020, May 13, 2019 and 3 more (6 updates tracked since 2016).

About Dr. Charles D Gerlach M.d. NPPES

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

DR. CHARLES D GERLACH M.D. (NPI 1053369447) is an individual internal medicine provider in Harrisburg, Pennsylvania, licensed in Pennsylvania (MD040699L) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Upmc Carlisle, and is a graduate of Other (1985).

NPPES Registry Identity

NPI1053369447
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. CHARLES D GERLACHCredential: M.D.
Location Address805 SIR THOMAS CT, 1ST FLOORHarrisburg, PA 17109-4839
Mailing Address805 Sir Thomas Ct Fl 1Harrisburg, PA 17109-4839
Fax(717) 703-5746
Sole ProprietorNo
Medical School CMSOtherGraduated 1985
Enumeration DateMay 5, 2006
Last NPPES UpdateJanuary 2, 20216 updates tracked since enumeration
NPPES CertifiedJanuary 2, 2021
NPI 1053369447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in PA · MD040699L
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

805 SIR THOMAS CT, Harrisburg, PA 17109

Other Identifiers 1

Medicaid001157489PA

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. Charles D Gerlach 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 ID7214017763
PECOS Enrollment IDI20080109000646
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 13

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
623 services315 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
564 services286 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
163 services163 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.
134 services99 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
73 services20 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
62 services52 patients

Hospital Affiliations CMS Care Compare 3

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

Upmc Carlisle

Acute Care Hospitals · Carlisle, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390058
Location361 Alexander Spring RoadCarlisle, PA 17015 · Cumberland County
Emergency services Birthing friendly

Upmc Pinnacle Hospitals

Acute Care Hospitals · Harrisburg, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390067
Location409 South Second StreetHarrisburg, PA 17104 · Dauphin County
Emergency services Birthing friendly

Milton S Hershey Medical Center

Acute Care Hospitals · Hershey, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390256
Location500 University DriveHershey, PA 17033 · Dauphin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17109 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
Most-billed visit code 99214
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.

82.54/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.62
Promoting Interoperability100
Improvement Activities40
Cost65.18

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
17 suppliers47 claims165 services$6.51 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers14 claims84 services$2.11 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers20 claims20 services$42.28 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier15 claims15 services$4.05 avg. paid by Medicare
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
1 supplier12 claims12 services$41.50 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers12 claims12 services$84.28 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 15

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

Family Medicine
805 SIR THOMAS CT, 2ND FLOOR
HARRISBURG, PA 17109
Nurse Practitioner (Family)
805 SIR THOMAS CT, FIRST FLOOR
HARRISBURG, PA 17109
Physician Assistant
805 SIR THOMAS CT, 2ND FLOOR
HARRISBURG, PA 17109
Orthopaedic Surgery
805 SIR THOMAS CT
HARRISBURG, PA 17109
Pharmacist
805 SIR THOMAS CT
HARRISBURG, PA 17109
Internal Medicine
805 SIR THOMAS CT, FIRST FLOOR
HARRISBURG, PA 17109
Family Medicine
805 SIR THOMAS CT, 2ND FLOOR
HARRISBURG, PA 17109
Family Medicine
805 SIR THOMAS CT, SECOND FLOOR
HARRISBURG, PA 17109

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 Charles Gerlach's NPI number?

The NPI number for Charles Gerlach is 1053369447. It was assigned to this individual provider in the NPPES registry on May 5, 2006.

Where is Charles Gerlach located?

Charles Gerlach practices at 805 Sir Thomas Ct 1st Floor, Harrisburg, PA 17109. The listed phone number is (717) 988-0020.

What is Charles Gerlach's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Charles Gerlach enrolled in Medicare?

Yes. Charles Gerlach 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.

Is Charles Gerlach affiliated with any hospitals?

According to CMS data, Charles Gerlach is affiliated with Upmc Carlisle, Upmc Pinnacle Hospitals and Milton S Hershey Medical Center.

When was this NPI record last updated?

The NPPES record for Charles Gerlach was last updated on January 2, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.