ANDREW S GERKEN MD
NPI 1134185051
Family Medicine in Bucyrus, OH

Q: What is Andrew Gerken's NPI number?

The NPI number for Andrew Gerken is 1134185051. It was assigned to this individual provider in the NPPES registry on April 21, 2006.

Q: What is Andrew Gerken's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Andrew Gerken was last updated on June 10, 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.

Active since April 21, 2006PECOS EnrolledAccepts Medicare Assignment

95.79/100

CMS Quality Rating

629 N SANDUSKY AVE, BUCYRUS, OH 44820(419) 562-4677(419) 562-0987 Get Directions Write a Review

NPPES record last updated: June 10, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Andrew S Gerken Md NPPES

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

ANDREW S GERKEN MD (NPI 1134185051) is an individual family medicine provider in Bucyrus, Ohio, licensed in Michigan (4301502408) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Hillsdale Hospital, and is a graduate of Ohio State University College Of Medicine (2000).

NPPES Registry Identity

NPI1134185051

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameANDREW S GERKENCredential: MD

Location Address629 N SANDUSKY AVEBucyrus, OH 44820-1821

Mailing Address4750 Hempstead Station DrKettering, OH 45429-5164 · (800) 875-0136 · Fax (937) 619-4231

Phone(419) 562-4677

Fax(419) 562-0987

Sole ProprietorNo

Medical School CMSOhio State University College Of MedicineGraduated 2000

Enumeration DateApril 21, 2006

Last NPPES UpdateJune 10, 2020

NPPES CertifiedJune 10, 2020

✔ NPI 1134185051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in MI · 4301502408✔ Licensed in OH · 35082874

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.

Also ListedEmergency MedicineTaxonomy 207P00000X · License 4301502408 (MI)

629 N SANDUSKY AVE, Bucyrus, OH 44820

Open in Google Maps ↗

Other Identifiers 10

Other000000384551OH · Bcbs For Galion

Other000000339750OH · Bcbs For Madison

Other000000384661Bcbs Galion

OtherP00306579Rr

OtherP00205797OH · Rr Medicare - Greenfield

Other000000362624OH · Bcbs For Bucyrus

Medicaid2466700OH

Other000000346397OH · Bcbs For Greenfield

OtherP00143218OH · Rr Medicare For Madison

OtherP00263123OH · Rr Medicare For Bucyrus

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company.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

Andrew S Gerken 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 ID6204817265

PECOS Enrollment IDI20040526000307, I20200611002201

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.

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

206 services186 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

193 services175 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

115 services104 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

58 services57 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Hillsdale Hospital

Acute Care Hospitals · Hillsdale, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230037

Location168 S Howell StreetHillsdale, MI 49242 · Hillsdale County

Emergency services Birthing friendly

Blanchard Valley Hospital

Acute Care Hospitals · Findlay, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number360095

Location1900 South Main StreetFindlay, OH 45840 · Hancock County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44820 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

95.79/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

94.94

Improvement Activities

Cost

79.7

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.

MICHAEL W WOROBIEC MD

Internal Medicine