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STEPHANIE GINGRICH D.O.
NPI 1184074585
Family Medicine in Wyomissing, PA

Active since June 16, 2016PECOS EnrolledAccepts Medicare Assignment
81.19/100
CMS Quality Rating
950B N WYOMISSING BLVD, WYOMISSING, PA 19610(610) 898-5280(610) 375-1883 Get Directions Write a Review

NPPES record last updated: February 9, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stephanie Gingrich D.o. NPPES

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

STEPHANIE GINGRICH D.O. (NPI 1184074585) is an individual family medicine provider in Wyomissing, Pennsylvania, licensed in Pennsylvania (OT017031) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, is affiliated with Reading Hospital, and maintains a secondary practice location in West Reading.

NPPES Registry Identity

NPI1184074585
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSTEPHANIE GINGRICHCredential: D.O.
Location Address950B N WYOMISSING BLVDWyomissing, PA 19610-1783
Mailing AddressPo Box 13579Reading, PA 19612-3579
Phone(610) 898-5280
Fax(610) 375-1883
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2016
Enumeration DateJune 16, 2016
Last NPPES UpdateFebruary 9, 2026
NPPES CertifiedFebruary 9, 2026
✔ NPI 1184074585 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 · OT017031
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.
950B N WYOMISSING BLVD, Wyomissing, PA 19610
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Secondary Practice Location 1

Location 1420 S 5th AveWest Reading, PA 19611-2143 · Phone (484) 628-8855 · Fax (484) 628-5064

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

Stephanie Gingrich 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 ID1557655909
PECOS Enrollment IDI20190731001062
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 6

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.
316 services188 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
104 services104 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.
52 services48 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
28 services26 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
11 services11 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Reading Hospital

Acute Care Hospitals · West Reading, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390044
Location420 S 5th AvenueWest Reading, PA 19611 · Berks County
Emergency services Birthing friendly

Penn State Health St. Joseph

Acute Care Hospitals · Reading, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390096
Location2500 Bernville RoadReading, PA 19605 · Berks County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19610 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.

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.

81.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.56
Promoting Interoperability97
Improvement Activities40
Cost65.23

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers16 claims72 services$6.42 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 10

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

DR. DAVID F STEFFY M.D.
Internal Medicine
950B N WYOMISSING BLVD, 3RD FLOOR
WYOMISSING, PA 19610
Berks County (610) 898-1820
DR. PAUL JEROME CHWIECKO M.D.
Family Medicine
950B N WYOMISSING BLVD
WYOMISSING, PA 19610
Berks County (484) 628-2490
DR. JOHN T VAN DEN BOSCH M.D.
Internal Medicine
950B N WYOMISSING BLVD, 3RD FLOOR
WYOMISSING, PA 19610
Berks County (610) 898-1820
J MARC AYNARDI M.D.
Internal Medicine
950B N WYOMISSING BLVD, 3RD FLOOR
WYOMISSING, PA 19610
Berks County (610) 898-1820
TIMOTHY J KUTZ MD
Family Medicine
950B N WYOMISSING BLVD
WYOMISSING, PA 19610
Berks County (610) 898-2490
ZIAD OSMAN
Family Medicine
950B N WYOMISSING BLVD
WYOMISSING, PA 19610
Berks County (610) 898-0248
DR. JOHN ANDREW BRANAS D.O.
Family Medicine (Adult Medicine)
950B N WYOMISSING BLVD
WYOMISSING, PA 19610
Berks County (610) 898-2490
JOSHUA JACK KOEHLER PA-C
Physician Assistant
950B N WYOMISSING BLVD
WYOMISSING, PA 19610
Berks County (610) 898-2491

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 Gingrich's NPI number?

The NPI number for Stephanie Gingrich is 1184074585. It was assigned to this individual provider in the NPPES registry on June 16, 2016.

Where is Stephanie Gingrich located?

Stephanie Gingrich practices at 950B N Wyomissing Blvd, Wyomissing, PA 19610. The listed phone number is (610) 898-5280.

What is Stephanie Gingrich's specialty?

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

Is Stephanie Gingrich enrolled in Medicare?

Yes. Stephanie Gingrich 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 Gingrich accept?

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

According to CMS data, Stephanie Gingrich is affiliated with Reading Hospital and Penn State Health St. Joseph.

When was this NPI record last updated?

The NPPES record for Stephanie Gingrich was last updated on February 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.