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GARY M PRYBLICK DO
NPI 1124083555
Family Medicine in Allentown, PA

Active since April 19, 2006PECOS Enrolled
95.64/100
CMS Quality Rating
3050 HAMILTON BLVD, SUITE 100, ALLENTOWN, PA 18103(610) 437-7181(610) 435-0597 Get Directions Write a Review

NPPES record last updated: December 22, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gary M Pryblick Do NPPES

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

GARY M PRYBLICK DO (NPI 1124083555) is an individual family medicine provider in Allentown, Pennsylvania, licensed in Pennsylvania (OS007965L) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124083555
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameGARY M PRYBLICKCredential: DO
Location Address3050 HAMILTON BLVD, SUITE 100Allentown, PA 18103-3691
Mailing Address3050 Hamilton Blvd, Suite 100Allentown, PA 18103-3691 · (484) 526-6048 · Fax (484) 526-6500
Phone(610) 437-7181
Fax(610) 435-0597
Sole ProprietorNo
Enumeration DateApril 19, 2006
Last NPPES UpdateDecember 22, 2011
✔ NPI 1124083555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · OS007965L
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3050 HAMILTON BLVD, Allentown, PA 18103
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Other Identifiers 2

Medicare ID-Type Unspecified102003PA · Medicare
Medicare UPINF37685PA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gary M Pryblick Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 3

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.
45 services45 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.
19 services19 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.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18103 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
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.

95.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.57
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 6

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
8 suppliers17 claims35 services$5.99 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers11 claims11 services$0.84 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
1 supplier13 claims78 services$1.62 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier20 claims20 services$13.27 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
1 supplier20 claims20 services$62.15 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers24 claims24 services$194.29 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 9

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

CROMWELL C ESTRADA DO
Family Medicine
3050 HAMILTON BLVD, SUITE 100
ALLENTOWN, PA 18103
Lehigh County (610) 437-7181
PAIGE YI CADIEUX-PETRIE PAC
Physician Assistant
3050 HAMILTON BLVD
ALLENTOWN, PA 18103
Lehigh County (610) 433-7481
DENNIS M MCGORRY DO
Family Medicine
3050 HAMILTON BLVD, SUITE 105
ALLENTOWN, PA 18103
Lehigh County (610) 437-0660
MARK H MISHKIN MD
Internal Medicine
3050 HAMILTON BLVD, SUITE 110
ALLENTOWN, PA 18103
Lehigh County (484) 223-3300
ROSALIE SNYDER MD
Family Medicine
3050 HAMILTON BLVD, SUITE 105
ALLENTOWN, PA 18103
Lehigh County (610) 432-2013
JUDITH R PRYBLICK DO
Family Medicine
3050 HAMILTON BLVD, SUITE 100
ALLENTOWN, PA 18103
Lehigh County (610) 437-7181
ST. LUKE'S PHYSICIAN GROUP, INC.
Internal Medicine
3050 HAMILTON BLVD, SUITE 110
ALLENTOWN, PA 18103
Lehigh County (484) 223-3300
DR. ROBERT A MATTA DO
Family Medicine
3050 HAMILTON BLVD, SUITE 105
ALLENTOWN, PA 18103
Lehigh County (610) 432-2013

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 Pryblick's NPI number?

The NPI number for Gary Pryblick is 1124083555. It was assigned to this individual provider in the NPPES registry on April 19, 2006.

Where is Gary Pryblick located?

Gary Pryblick practices at 3050 Hamilton Blvd Suite 100, Allentown, PA 18103. The listed phone number is (610) 437-7181.

What is Gary Pryblick's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Gary Pryblick enrolled in Medicare?

Yes. Gary Pryblick is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gary Pryblick was last updated on December 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.