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MARIBELLE GAUNA-ESTRADA MD
NPI 1093887200
Internal Medicine - Geriatric Medicine in Erie, PA

Active since November 14, 2006PECOS EnrolledAccepts Medicare Assignment
93.78/100
CMS Quality Rating
213 E 41ST ST, ERIE, PA 16504(814) 864-4987(814) 866-1130 Get Directions Write a Review

NPPES record last updated: October 5, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 5, 2020, Jun 25, 2020 (2 updates tracked since 2020).

About Maribelle Gauna-estrada Md NPPES

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

MARIBELLE GAUNA-ESTRADA MD (NPI 1093887200) is an individual geriatric medicine provider in Erie, Pennsylvania, licensed in Pennsylvania (MD418267) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, is affiliated with Saint Vincent Hospital, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1093887200
Entity TypeIndividualFemale
Primary Taxonomy207RG0300X
Provider Legal NameMARIBELLE GAUNA-ESTRADACredential: MD
Location Address213 E 41ST STErie, PA 16504-2009
Mailing Address213 E 41st StErie, PA 16504-2009 · (814) 864-4987 · Fax (814) 866-1130
Phone(814) 864-4987
Fax(814) 866-1130
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateNovember 14, 2006
Last NPPES UpdateOctober 5, 20202 updates tracked since enumeration
NPPES CertifiedOctober 5, 2020
✔ NPI 1093887200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
License✔ Licensed in PA · MD418267
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
213 E 41ST ST, Erie, PA 16504
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Maribelle Gauna-estrada 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 ID9335137785
PECOS Enrollment IDI20040504000861
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Maribelle Gauna-estrada reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St Vincent Medical Education And Research Institute Inc
1.3 mi
Internal Medicine
2314 SASSAFRAS ST, 2ND FLOOR - ADMIN OFFICE
Erie, PA 16502
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 483 clinicians in this Medicare group
NPI 1902881477 (814) 452-5043
Lake Erie Medical Group PC
3.9 mi
Internal Medicine
2501 W 12TH ST STE C10
Erie, PA 16505
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 22 clinicians in this Medicare group
NPI 1053696997 (814) 580-5600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.
167 services144 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.
155 services155 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
20 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.
18 services16 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
17 services17 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Saint Vincent Hospital

Acute Care Hospitals · Erie, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390009
Location232 West 25th StreetErie, PA 16544 · Erie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16504 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
$166.87 typical visit price
range $54.64 – $166.87
Typical copayment $41.71 (range $13.66 – $41.71)
Most-billed visit code 99205
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.

93.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.07
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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
9 suppliers35 claims63 services$5.02 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 3

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

ERIN LOIS HAYTON CRNP
Nurse Practitioner (Family)
213 E 41ST ST
ERIE, PA 16504
Erie County (814) 452-5081
SAINT VINCENT MEDICAL EDUCATION AND RESEARCH INST. INC.
Family Medicine
213 E 41ST ST
ERIE, PA 16504
Erie County (814) 864-4987
ANN R SCHLIMM CRNP
Nurse Practitioner
213 E 41ST ST
ERIE, PA 16504
Erie County (814) 864-4987

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 Maribelle Gauna-estrada's NPI number?

The NPI number for Maribelle Gauna-estrada is 1093887200. It was assigned to this individual provider in the NPPES registry on November 14, 2006.

Where is Maribelle Gauna-estrada located?

Maribelle Gauna-estrada practices at 213 E 41st St, Erie, PA 16504. The listed phone number is (814) 864-4987.

What is Maribelle Gauna-estrada's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Maribelle Gauna-estrada enrolled in Medicare?

Yes. Maribelle Gauna-estrada 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.

Which organizations bill Medicare for Maribelle Gauna-estrada's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maribelle Gauna-estrada reassigns Medicare benefits to 2 organizations: St Vincent Medical Education And Research Institute Inc (Erie, PA) and Lake Erie Medical Group PC (Erie, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Maribelle Gauna-estrada's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Maribelle Gauna-estrada affiliated with any hospitals?

According to CMS data, Maribelle Gauna-estrada is affiliated with Saint Vincent Hospital.

When was this NPI record last updated?

The NPPES record for Maribelle Gauna-estrada was last updated on October 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.