DR. MICHAEL J GEMMA MD
NPI 1104288745
Anesthesiology in Youngstown, OH
About Dr. Michael J Gemma Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MICHAEL J GEMMA MD (NPI 1104288745) is an individual anesthesiology provider in Youngstown, Ohio, licensed in Ohio (35.150346) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, is affiliated with St Elizabeth Youngstown Hospital, and maintains a secondary practice location in Youngstown.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
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
Dr. Michael J Gemma 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.
Medicare Billing Reassignments
2Medicare enrollment records show Michael Gemma reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Youngstown, OH 44512
- Reassigned Medicare billing, Ohio enrollment
- 317 clinicians in this Medicare group
East Liverpool, OH 43920
- Reassigned Medicare billing, Pennsylvania enrollment
- 7,114 clinicians in this Medicare group
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 10
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Elizabeth Youngstown Hospital
Acute Care Hospitals · Youngstown, OHSurgical Hospital At Southwoods
Acute Care Hospitals · Youngstown, OHUpmc Presbyterian Shadyside
Acute Care Hospitals · Pittsburgh, PAMedicare 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.
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.
YOUNGSTOWN, OH 44512
YOUNGSTOWN, OH 44512
YOUNGSTOWN, OH 44512
YOUNGSTOWN, OH 44512
BOARDMAN, OH 44512
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 Michael Gemma's NPI number?
The NPI number for Michael Gemma is 1104288745. It was assigned to this individual provider in the NPPES registry on March 23, 2016.
Where is Michael Gemma located?
Michael Gemma practices at 7630 Southern Blvd, Youngstown, OH 44512. The listed phone number is (330) 729-8000.
What is Michael Gemma's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is Michael Gemma enrolled in Medicare?
Yes. Michael Gemma 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 Michael Gemma's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michael Gemma reassigns Medicare benefits to 2 organizations: Triad Health Services, LLC (Youngstown, OH) and University Of Pittsburgh Physicians (East Liverpool, OH). 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 Michael Gemma's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Michael Gemma accept?
Health plans from CareSource list Michael Gemma 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 Michael Gemma affiliated with any hospitals?
According to CMS data, Michael Gemma is affiliated with St Elizabeth Youngstown Hospital, Surgical Hospital At Southwoods and Upmc Presbyterian Shadyside.
When was this NPI record last updated?
The NPPES record for Michael Gemma was last updated on December 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.
# Dr. Michael J Gemma, MD · NPI 1104288745
Anesthesiology physician in Youngstown, Ohio. Individual provider, active in the CMS NPPES registry since March 23, 2016.
## Identity
- **NPI:** 1104288745 (Entity type: Individual)
- **Enumerated:** March 23, 2016
- **Primary specialty:** Anesthesiology · taxonomy 207L00000X
- **State license:** 35.150346 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 7630 SOUTHERN BLVD, Youngstown, OH 44512-5633
- **Phone:** (330) 729-8000 · **Fax:** (330) 729-8084
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Triad Health Services, LLC (NPI 1588925457, Youngstown, OH); University Of Pittsburgh Physicians (NPI 1811945793, East Liverpool, OH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Wright State University Boonshoft School Of Medicine, class of 2016
## Record status
- **NPPES last updated:** December 18, 2025
- **Other identifiers:** Medicaid 0442599 (OH)
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Source: [NPI Profile](https://npiprofile.com/npi/1104288745) · Data from the CMS NPPES public registry.