GREGG L NEITHARDT M.D.
NPI 1164582052
Internal Medicine - Cardiovascular Disease in West Chester, PA

Q: What is Gregg Neithardt's NPI number?

The NPI number for Gregg Neithardt is 1164582052. It was assigned to this individual provider in the NPPES registry on December 11, 2006.

Q: What is Gregg Neithardt's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Gregg Neithardt was last updated on July 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 December 11, 2006PECOS EnrolledAccepts Medicare Assignment

98.3/100

CMS Quality Rating

915 OLD FERN HILL RD, BLDG A, STE 5, WEST CHESTER, PA 19380(610) 696-2850(610) 696-7159 Get Directions Write a Review

NPPES record last updated: July 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 6, 2023, May 1, 2019, May 24, 2018 (3 updates tracked since 2018).

On this page

About Gregg L Neithardt M.d. NPPES

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

GREGG L NEITHARDT M.D. (NPI 1164582052) is an individual cardiovascular disease provider in West Chester, Pennsylvania, licensed in Pennsylvania (MD425919) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Lancaster General Hospital, and maintains a secondary practice location in Downingtown.

NPPES Registry Identity

NPI1164582052

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameGREGG L NEITHARDTCredential: M.D.

Location Address915 OLD FERN HILL RD, BLDG A, STE 5West Chester, PA 19380-4269

Mailing Address207 N Broad St, Fl 3Philadelphia, PA 19107-1500 · (610) 696-2850 · Fax (610) 696-7159

Phone(610) 696-2850

Fax(610) 696-7159

Sole ProprietorNo

Medical School CMSGeorgetown University School Of MedicineGraduated 1996

Enumeration DateDecember 11, 2006

Last NPPES UpdateJuly 6, 20233 updates tracked since enumeration

NPPES CertifiedJuly 6, 2023

✔ NPI 1164582052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in PA · MD425919

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

915 OLD FERN HILL RD, West Chester, PA 19380

Open in Google Maps ↗

Secondary Practice Location 1

Location 1142 Wallace Ave Ste 201Downingtown, PA 19335-2643 · Phone (610) 696-2850 · Fax (610) 696-7159

Other Identifiers 1

Medicaid101348607PA

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 and more.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

Gregg L Neithardt M.d. 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 ID9537195904

PECOS Enrollment IDI20050718000215

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 24

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.

1,205 services1,005 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

918 services773 patients

Injection, regadenoson, 0.1 mg J2785

Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.

553 services139 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.

429 services369 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

416 services385 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

249 services248 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician 93015

An exercise or drug-induced heart stress test with ECG is a procedure performed by a doctor to assess how your heart responds to exertion. It involves monitoring your heart's electrical activity while you exercise or after medication is given to mimic exercise effects.

155 services155 patients

Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries A9555

Rubidium Rb-82 is a radioactive drug used in a PET scan to help visualize the heart. It helps detect areas with poor blood flow, aiding in diagnosing heart conditions. The dose is up to 60 millicuries per study.

131 services128 patients

Nuclear medicine studies of blood flow in heart muscle at rest and with stress with concurrent ct scan 78431

This is a diagnostic test where a tiny amount of radioactive material is used to examine your heart's blood flow at rest & during stress, alongside a CT scan for detailed images. It helps identify any heart-related issues like blockages or damage.

128 services128 patients

Nuclear medicine study of heart muscle blood flow by pet 78434

A nuclear medicine study of heart muscle blood flow by PET is a non-invasive test that uses a small amount of radioactive substance to create detailed images of your heart's blood flow and function. It helps assess heart health and diagnose heart conditions.

128 services128 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

92 services92 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.

78 services78 patients

Heart muscle strain imaging 93356

Heart muscle strain imaging is a non-invasive test that uses sound waves to create pictures of your heart. It helps doctors evaluate how well your heart muscle is working and detect any damage or disease. This can aid in diagnosing heart conditions and guiding treatment plans.

55 services55 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.

46 services46 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.

36 services30 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.

28 services28 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452

Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.

25 services25 patients

Technetium tc-99m tetrofosmin, diagnostic, per study dose A9502

Technetium Tc-99m Tetrofosmin is a radiopharmaceutical used in diagnostic imaging. It helps highlight areas of concern in the heart by emitting signals captured by a special camera. This assists doctors in detecting heart conditions.

22 services22 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

19 services18 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

19 services19 patients

Ultrasound of heart with probe in esophagus, with report 93312

This procedure, called a transesophageal echocardiogram, uses a small probe passed into your esophagus to capture detailed images of your heart. The report provides information about your heart's structure and function.

14 services14 patients

Ultrasound of heart blood flow, valves and chambers 93320

An ultrasound of your heart, also known as an echocardiogram, is a test that uses sound waves to create detailed images of your heart. It helps doctors check the health of your heart's chambers, valves, and blood flow.

14 services14 patients

Ultrasound of heart with color-depicted blood flow, rate and valve function 93325

An ultrasound of the heart, also known as an echocardiogram, uses sound waves to create pictures of your heart. It shows the structure, movement, and blood flow within your heart. This helps assess the heart's health and function, including the valves and rate.

14 services14 patients

Transitional care management services for problem of high complexity 99496

Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Lancaster General Hospital

Acute Care Hospitals · Lancaster, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390100

Location555 North Duke StreetLancaster, PA 17602 · Lancaster County

Emergency services Birthing friendly

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390111

Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County

Emergency services Birthing friendly

Paoli Hospital

Acute Care Hospitals · Paoli, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390153

Location255 West Lancaster AvenuePaoli, PA 19301 · Chester County

Emergency services Birthing friendly

Chester County Hospital

Acute Care Hospitals · West Chester, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390179

Location701 East Marshall StreetWest Chester, PA 19380 · Chester County

Emergency services Birthing friendly

Wellspan Ephrata Community Hospital

Acute Care Hospitals · Ephrata, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number390225

Location169 Martin AvenueEphrata, PA 17522 · Lancaster County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19380 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

$74.47 typical visit price

range $19.30 – $147.29

Typical copayment $18.61 (range $4.82 – $36.82)

Most-billed visit code 99213

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.

98.3/100

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

Scored as part of a group practice

Promoting Interoperability

Improvement Activities

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.

DR. DONALD H ANDERSEN M.D.

Urology

915 OLD FERN HILL RD, BLDG., B SUITE 202
WEST CHESTER, PA 19380

Chester County (610) 692-4270

KAREN WOOD CRNP

Nurse Practitioner

915 OLD FERN HILL RD, BLDG D, SUITE 600
WEST CHESTER, PA 19380

Chester County (610) 692-3434

DR. THERESA MUSHENO FEENEY DPT

Physical Therapist

915 OLD FERN HILL RD, BUILDING A, SUITE 4
WEST CHESTER, PA 19380

Chester County (610) 738-2480

MRS. COLLEEN M DIBERNARDO M.S.P.T.

Physical Therapist

915 OLD FERN HILL RD, SUITE 4
WEST CHESTER, PA 19380

Chester County (610) 738-2480

CHRISTOPHER L BALDI DO

Internal Medicine (Cardiovascular Disease)

915 OLD FERN HILL RD, BLDG. A SUITE 5
WEST CHESTER, PA 19380

Chester County (610) 696-2850

ROBERT P LISS MD

Ophthalmology

915 OLD FERN HILL RD, BUILDING B STE 200
WEST CHESTER, PA 19380

Chester County (610) 696-1230

MATTHEW J SCHAEDLER O.D.

Optometrist

915 OLD FERN HILL RD, BUILDING B, SUITE 200
WEST CHESTER, PA 19380

Chester County (610) 696-1230

DR. RICHARD F. CHALFIN M.D.

Internal Medicine

915 OLD FERN HILL RD, FERN HILL CAMPUS-BUILDING A-SUITE 3
WEST CHESTER, PA 19380

Chester County (610) 738-2450

ERIC TURNER PA

Physician Assistant (Medical)

915 OLD FERN HILL RD, BLDG. A STE. 1
WEST CHESTER, PA 19380

Chester County (610) 692-6280

MRS. CHRISTINE MARIE SCHWEIDLER P.T.

Physical Therapist

915 OLD FERN HILL RD, SUITE 4
WEST CHESTER, PA 19380

Chester County (610) 738-2480

BARBARA J GUENST CRNP

Nurse Practitioner (Family)

915 OLD FERN HILL RD, BUILDING A, SUITE 3
WEST CHESTER, PA 19380

Chester County (610) 738-2450

RICHARD J MANSFIELD MD

Obstetrics & Gynecology

915 OLD FERN HILL RD, BLDG. D, SUITE 600
WEST CHESTER, PA 19380

Chester County (610) 692-3434

DR. JOHN H BENNER MD

Orthopaedic Surgery

915 OLD FERN HILL RD, SUITE 1 B-A
WEST CHESTER, PA 19380

Chester County (610) 692-6280

JENNIFER TEAL DEL ROSSI

Physical Medicine & Rehabilitation (Sports Medicine)

915 OLD FERN HILL RD
WEST CHESTER, PA 19380

Chester County (610) 738-2480

LAUREN MAZZOLA CRNP

Nurse Practitioner

915 OLD FERN HILL RD
WEST CHESTER, PA 19380

Chester County (610) 696-2850

DONNA M REED D.O.

Internal Medicine (Cardiovascular Disease)

915 OLD FERN HILL RD, BLDG A, STE 5
WEST CHESTER, PA 19380

Chester County (610) 696-2850

GREGORY ROBERT SPECA DPT

Physical Therapist

915 OLD FERN HILL RD, BUILDING A, SUITE 4
WEST CHESTER, PA 19380

Chester County (610) 518-5845

HAYLEY P DAVIS CRNP

Nurse Practitioner (Women's Health)

915 OLD FERN HILL RD, BLDG. D, SUITE 600
WEST CHESTER, PA 19380

Chester County (610) 692-3434

LINDA CAMLIN CRNP

Nurse Practitioner (Acute Care)

915 OLD FERN HILL RD, BUILDING B, SUITE 300
WEST CHESTER, PA 19380

Chester County (610) 431-3122

SHARAYNE MARK COFFIN M.D.

Internal Medicine (Cardiovascular Disease)

915 OLD FERN HILL RD, BLDG A SUITE 5
WEST CHESTER, PA 19380

Chester County (610) 696-2850

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 Gregg Neithardt's NPI number?

The NPI number for Gregg Neithardt is 1164582052. It was assigned to this individual provider in the NPPES registry on December 11, 2006.

Where is Gregg Neithardt located?

Gregg Neithardt practices at 915 Old Fern Hill Rd Bldg A, Ste 5, West Chester, PA 19380. The listed phone number is (610) 696-2850.

What is Gregg Neithardt's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Gregg Neithardt enrolled in Medicare?

Yes. Gregg Neithardt 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 Gregg Neithardt accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan and Highmark Blue Cross Blue Shield Delaware list Gregg Neithardt 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 Gregg Neithardt affiliated with any hospitals?

According to CMS data, Gregg Neithardt is affiliated with Lancaster General Hospital, Hospital Of Univ Of Pennsylvania, Paoli Hospital, Chester County Hospital and Wellspan Ephrata Community Hospital.

When was this NPI record last updated?

The NPPES record for Gregg Neithardt was last updated on July 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.