DR. GARY PAUL NEALE MB CHB
NPI 1104974328
Specialist in Plains, PA

Active since January 05, 2007PECOS EnrolledAccepts Medicare Assignment
90.34/100
CMS Quality Rating
200 S RIVER ST, PLAINS, PA 18705(570) 821-1100(570) 821-1108 Get Directions Write a Review

NPPES record last updated: March 14, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Gary Paul Neale Mb Chb NPPES

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

DR. GARY PAUL NEALE MB CHB (NPI 1104974328) is an individual specialist in Plains, Pennsylvania, licensed in Pennsylvania (MD427857) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Geisinger-community Medical Center, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1104974328
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. GARY PAUL NEALECredential: MB CHB
Location Address200 S RIVER STPlains, PA 18705-1143
Mailing Address200 S River StPlains, PA 18705-1143 · (570) 821-1100 · Fax (570) 821-1108
Fax(570) 821-1108
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateJanuary 5, 2007
Last NPPES UpdateMarch 14, 2022
NPPES CertifiedMarch 14, 2022
NPI 1104974328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Licenses Licensed in PA · MD427857 Licensed in CA · A95263
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedSurgeryTaxonomy 208600000X · License MD427857 (PA)
200 S RIVER ST, Plains, PA 18705

Other Identifiers 2

Other196200HUYMedicare
Medicaid1025213870001PA

Accepted 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

Dr. Gary Paul Neale Mb Chb 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 ID3375630106
PECOS Enrollment IDI20110119000121
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 5

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 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.
52 services39 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
22 services22 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
20 services19 patients
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.
17 services13 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Geisinger-Community Medical Center

Acute Care Hospitals · Scranton, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390001
Location1822 Mulberry StreetScranton, PA 18510 · Lackawanna County
Emergency services Birthing friendly

Wilkes-Barre General Hospital

Acute Care Hospitals · Wilkes-Barre, PA
1/5 CMS rating
OwnershipProprietary
CMS Certification Number390137
Location575 North River StreetWilkes-Barre, PA 18764 · Luzerne County
Emergency services

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.

90.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.69
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 10

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

Surgery (Vascular Surgery)
200 S RIVER ST
PLAINS, PA 18705
Physician Assistant (Surgical)
200 S RIVER ST
PLAINS, PA 18705
Surgery (Vascular Surgery)
200 S RIVER ST
PLAINS, PA 18705
Surgery
200 S RIVER ST
PLAINS, PA 18705
Surgery
200 S RIVER ST
PLAINS, PA 18705
Physician Assistant (Surgical)
200 S RIVER ST
PLAINS, PA 18705
Surgery
200 S RIVER ST
PLAINS, PA 18705
Colon & Rectal Surgery
200 S RIVER ST
PLAINS, PA 18705

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 Neale's NPI number?

The NPI number for Gary Neale is 1104974328. It was assigned to this individual provider in the NPPES registry on January 5, 2007.

Where is Gary Neale located?

Gary Neale practices at 200 S River St, Plains, PA 18705. The listed phone number is (570) 821-1100.

What is Gary Neale's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Gary Neale enrolled in Medicare?

Yes. Gary Neale 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 Neale accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Gary Neale 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 Neale affiliated with any hospitals?

According to CMS data, Gary Neale is affiliated with Geisinger-Community Medical Center and Wilkes-Barre General Hospital.

When was this NPI record last updated?

The NPPES record for Gary Neale was last updated on March 14, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.