STEPHANIE A GILL MD
NPI 1174794564
Family Medicine in Wilkes Barre, PA

Active since March 13, 2008PECOS EnrolledAccepts Medicare Assignment
169 N PENNSYLVANIA AVE, WILKES BARRE, PA 18701(570) 491-0126(570) 230-0013 Get Directions Write a Review

NPPES record last updated: October 31, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stephanie A Gill Md NPPES

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

STEPHANIE A GILL MD (NPI 1174794564) is an individual family medicine provider in Wilkes Barre, Pennsylvania, licensed in Pennsylvania (MD438858) and active in the NPI registry since March 2008. She is enrolled in Medicare PECOS, is affiliated with Wilkes-barre General Hospital, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (2007).

NPPES Registry Identity

NPI1174794564
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSTEPHANIE A GILLCredential: MD
Location Address169 N PENNSYLVANIA AVEWilkes Barre, PA 18701-3603
Mailing AddressPo Box 858Hershey, PA 17033-0858 · (800) 243-1455
Fax(570) 230-0013
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 2007
Enumeration DateMarch 13, 2008
Last NPPES UpdateOctober 31, 2023
NPPES CertifiedOctober 31, 2023
NPI 1174794564 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 · MD438858
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.
169 N PENNSYLVANIA AVE, Wilkes Barre, PA 18701

Accepted 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

Stephanie A Gill 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 ID4981891363
PECOS Enrollment IDI20101210000644
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 2

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.

Blood glucose (sugar) level 82947
A blood glucose level test measures the amount of sugar in your blood. It's often used to monitor and manage conditions like diabetes. High or low levels can indicate a health issue. The test is usually done by pricking your finger for a small blood sample.
26 services19 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
18 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Wilkes-Barre General Hospital

Acute Care Hospitals · Wilkes-Barre, PA
1/5 CMS rating
OwnershipProprietary
CMS Certification Number390137
Location575 North River StreetWilkes-Barre, PA 18764 · Luzerne County
Emergency services

Geisinger Wyoming Valley Medical Center

Acute Care Hospitals · Wilkes Barre, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390270
Location1000 East Mountain BoulevardWilkes Barre, PA 18711 · Luzerne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18701 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.

Referred Medical Equipment & Supplies CMS DME claims

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

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626
DME-Drugs Administered Through DME · category DG000N
1 supplier12 claims720 services$0.74 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 18

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

Pediatrics
169 N PENNSYLVANIA AVE
WILKES BARRE, PA 18701
Nurse Practitioner (Psychiatric/Mental Health)
169 N PENNSYLVANIA AVE
WILKES BARRE, PA 18701
Nurse Practitioner (Family)
169 N PENNSYLVANIA AVE
WILKES BARRE, PA 18701
Community Health Worker
169 N PENNSYLVANIA AVE
WILKES BARRE, PA 18701
Pediatrics
169 N PENNSYLVANIA AVE
WILKES BARRE, PA 18701
Internal Medicine
169 N PENNSYLVANIA AVE
WILKES BARRE, PA 18701
Pharmacist
169 N PENNSYLVANIA AVE
WILKES BARRE, PA 18701
Dentist
169 N PENNSYLVANIA AVE
WILKES BARRE, PA 18701

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 Stephanie Gill's NPI number?

The NPI number for Stephanie Gill is 1174794564. It was assigned to this individual provider in the NPPES registry on March 13, 2008.

Where is Stephanie Gill located?

Stephanie Gill practices at 169 N Pennsylvania Ave, Wilkes Barre, PA 18701. The listed phone number is (570) 491-0126.

What is Stephanie Gill's specialty?

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

Is Stephanie Gill enrolled in Medicare?

Yes. Stephanie Gill 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 Stephanie Gill accept?

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

According to CMS data, Stephanie Gill is affiliated with Wilkes-Barre General Hospital and Geisinger Wyoming Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Stephanie Gill was last updated on October 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.