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RICHARD THOMAS GARGIULO D.O.
NPI 1154697027
Internal Medicine - Nephrology in Philadelphia, PA

Active since March 26, 2012PECOS EnrolledAccepts Medicare Assignment
5401 OLD YORK RD STE 505, PHILADELPHIA, PA 19141(215) 456-6970(215) 456-7154 Get Directions Write a Review

NPPES record last updated: August 25, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 25, 2021, Sep 30, 2019, May 11, 2016 (3 updates tracked since 2016).

About Richard Thomas Gargiulo D.o. NPPES

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

RICHARD THOMAS GARGIULO D.O. (NPI 1154697027) is an individual nephrology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (OS021403) and active in the NPI registry since March 2012. He is enrolled in Medicare PECOS, is affiliated with Albert Einstein Medical Center, and is a graduate of Philadelphia College Of Osteopathic Medicine (2012).

NPPES Registry Identity

NPI1154697027
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameRICHARD THOMAS GARGIULOCredential: D.O.
Location Address5401 OLD YORK RD STE 505Philadelphia, PA 19141-3047
Mailing Address101 E Olney Ave Ste 400Philadelphia, PA 19120-2470 · (215) 456-7000 · Fax (215) 456-5926
Phone(215) 456-6970
Fax(215) 456-7154
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2012
Enumeration DateMarch 26, 2012
Last NPPES UpdateAugust 25, 20213 updates tracked since enumeration
NPPES CertifiedAugust 25, 2021
✔ NPI 1154697027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Licenses✔ Licensed in PA · OS021403✔ Licensed in IL · 036138386
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
5401 OLD YORK RD STE 505, Philadelphia, PA 19141
Open in Google Maps ↗

Other Names 1

Other Name (5)Richard Gargiulo

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Richard Thomas Gargiulo D.o. 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 ID3577876937
PECOS Enrollment IDI20210823002776
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.
231 services105 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
61 services32 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.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Albert Einstein Medical Center

Acute Care Hospitals · Philadelphia, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390142
Location5501 Old York RoadPhiladelphia, PA 19141 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19141 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg J7503
Treatment-Chemotherapy · category RH002N
11 suppliers108 claims67,136 services$1.20 avg. paid by Medicare
Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
14 suppliers176 claims35,714 services$0.29 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
6 suppliers62 claims12,450 services$0.01 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
18 suppliers155 claims24,180 services$0.18 avg. paid by Medicare
Mycophenolic acid, oral, 180 mg J7518
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers24 claims3,840 services$0.89 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
24 suppliers200 claims200 services$18.45 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 2

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

EINSTEIN PRACTICE PLAN, INC.
Internal Medicine (Transplant Hepatology)
5401 OLD YORK RD STE 505
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-8242
CHAWIN LOPIMPISUTH M.D.
Student in an Organized Health Care Education/Training Program
5401 OLD YORK RD STE 505
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-8242

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 Richard Gargiulo's NPI number?

The NPI number for Richard Gargiulo is 1154697027. It was assigned to this individual provider in the NPPES registry on March 26, 2012.

Where is Richard Gargiulo located?

Richard Gargiulo practices at 5401 Old York Rd Ste 505, Philadelphia, PA 19141. The listed phone number is (215) 456-6970.

What is Richard Gargiulo's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Richard Gargiulo enrolled in Medicare?

Yes. Richard Gargiulo 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 Richard Gargiulo accept?

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

According to CMS data, Richard Gargiulo is affiliated with Albert Einstein Medical Center.

When was this NPI record last updated?

The NPPES record for Richard Gargiulo was last updated on August 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.