MARGARETTA EMILY GERGEN DO
NPI 1164984423
Family Medicine in San Diego, CA

Active since April 04, 2019PECOS EnrolledAccepts Medicare Assignment
77.43/100
CMS Quality Rating
1250 6TH AVE STE 100, SAN DIEGO, CA 92101(619) 515-2430 Get Directions Write a Review

NPPES record last updated: January 13, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 10, 2023, Apr 4, 2019 (2 updates tracked since 2019).

About Margaretta Emily Gergen Do NPPES

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

MARGARETTA EMILY GERGEN DO (NPI 1164984423) is an individual family medicine provider in San Diego, California, licensed in California (20A23629) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and is a graduate of Philadelphia College Of Osteopathic Medicine (2019).

NPPES Registry Identity

NPI1164984423
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMARGARETTA EMILY GERGENCredential: DO
Location Address1250 6TH AVE STE 100San Diego, CA 92101-4368
Mailing Address823 Gateway Center WaySan Diego, CA 92102-4541 · (619) 515-2300
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2019
Enumeration DateApril 4, 2019
Last NPPES UpdateJanuary 13, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2025
NPI 1164984423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · 20A23629
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.

1250 6TH AVE STE 100, San Diego, CA 92101

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

Margaretta Emily Gergen Do 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 ID6901133347
PECOS Enrollment IDI20241226003192
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92101 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

77.43/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.83
Promoting Interoperability77
Improvement Activities40
Cost62.12

Other Providers at the Same Location NPPES 13

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

Marriage & Family Therapist
1250 6TH AVE STE 100
SAN DIEGO, CA 92101
Nurse Practitioner (Family)
1250 6TH AVE STE 100
SAN DIEGO, CA 92101
Marriage & Family Therapist
1250 6TH AVE STE 100
SAN DIEGO, CA 92101
Social Worker (Clinical)
1250 6TH AVE STE 100
SAN DIEGO, CA 92101
Psychiatry & Neurology (Psychiatry)
1250 6TH AVE STE 100
SAN DIEGO, CA 92101
Internal Medicine
1250 6TH AVE STE 100
SAN DIEGO, CA 92101
Counselor (Addiction (Substance Use Disorder))
1250 6TH AVE STE 100
SAN DIEGO, CA 92101
Counselor (Addiction (Substance Use Disorder))
1250 6TH AVE STE 100
SAN DIEGO, CA 92101

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 Margaretta Gergen's NPI number?

The NPI number for Margaretta Gergen is 1164984423. It was assigned to this individual provider in the NPPES registry on April 4, 2019.

Where is Margaretta Gergen located?

Margaretta Gergen practices at 1250 6th Ave Ste 100, San Diego, CA 92101. The listed phone number is (619) 515-2430.

What is Margaretta Gergen's specialty?

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

Is Margaretta Gergen enrolled in Medicare?

Yes. Margaretta Gergen 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.

When was this NPI record last updated?

The NPPES record for Margaretta Gergen was last updated on January 13, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.