PAUL A GERLACH MD
NPI 1215025648
Internal Medicine - Cardiovascular Disease in Idaho Falls, ID

Active since October 11, 2006PECOS EnrolledAccepts Medicare Assignment
2985 CORTEZ AVE, IDAHO FALLS, ID 83404(208) 523-3373(208) 523-8746 Get Directions Write a Review

NPPES record last updated: February 14, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Paul A Gerlach Md NPPES

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

PAUL A GERLACH MD (NPI 1215025648) is an individual cardiovascular disease provider in Idaho Falls, Idaho, licensed in Tennessee (MD14220) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Eastern Idaho Regional Medical Center, and is a graduate of University Of Tennessee, Hsc, College Of Medicine (1981).

NPPES Registry Identity

NPI1215025648
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NamePAUL A GERLACHCredential: MD
Location Address2985 CORTEZ AVEIdaho Falls, ID 83404-7554
Mailing Address2985 Cortez AveIdaho Falls, ID 83404-7554 · (208) 523-3373 · Fax (208) 523-8746
Fax(208) 523-8746
Sole ProprietorNo
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 1981
Enumeration DateOctober 11, 2006
Last NPPES UpdateFebruary 14, 2013
NPI 1215025648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in TN · MD14220
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.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License MD14220 (TN)
2985 CORTEZ AVE, Idaho Falls, ID 83404

Other Identifiers 3

Medicare UPINA98962
Medicare ID-Type Unspecified3025587TN
Other1215025648Npi

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

Paul A Gerlach 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 ID2668626284
PECOS Enrollment IDI20130207000380
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 17

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.
602 services279 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.
228 services215 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.
137 services136 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.
106 services105 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.
98 services97 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
76 services76 patients

Hospital Affiliations CMS Care Compare 5

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

Eastern Idaho Regional Medical Center

Acute Care Hospitals · Idaho Falls, ID
3/5 CMS rating
OwnershipProprietary
CMS Certification Number130018
Location3100 Channing WayIdaho Falls, ID 83404 · Bonneville County
Emergency services Birthing friendly

Madison Memorial Hospital

Acute Care Hospitals · Rexburg, ID
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number130025
Location450 East Main StreetRexburg, ID 83440 · Madison County
Emergency services

Mountain View Hospital

Acute Care Hospitals · Idaho Falls, ID
1/5 CMS rating
OwnershipPhysician
CMS Certification Number130065
Location2325 Coronado StreetIdaho Falls, ID 83404 · Bonneville County
Emergency services Birthing friendly

Idaho Falls Community Hospital, LLC

Acute Care Hospitals · Idaho Falls, ID
3/5 CMS rating
OwnershipProprietary
CMS Certification Number130074
Location2327 Coronado StIdaho Falls, ID 83404 · Bonneville County
Emergency services

Bingham Memorial Hospital

Critical Access Hospitals · Blackfoot, ID
OwnershipVoluntary non-profit - Private
CMS Certification Number131325
Location98 Poplar StreetBlackfoot, ID 83221 · Bingham County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83404 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
$121.27 typical visit price
range $52.44 – $160.17
Typical copayment $30.31 (range $13.11 – $40.04)
Most-billed visit code 99204
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
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.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers20 claims20 services$17.29 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
3 suppliers30 claims30 services$5.05 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
7 suppliers100 claims100 services$99.04 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers27 claims27 services$34.02 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.

Physician Assistant (Medical)
2985 CORTEZ AVE
IDAHO FALLS, ID 83404
Internal Medicine (Clinical Cardiac Electrophysiology)
2985 CORTEZ AVE
IDAHO FALLS, ID 83404
Internal Medicine (Cardiovascular Disease)
2985 CORTEZ AVE
IDAHO FALLS, ID 83404
Nurse Practitioner
2985 CORTEZ AVE
IDAHO FALLS, ID 83404
Physician Assistant
2985 CORTEZ AVE
IDAHO FALLS, ID 83404
Urology (Pediatric Urology)
2985 CORTEZ AVE
IDAHO FALLS, ID 83404
Pediatrics (Pediatric Cardiology)
2985 CORTEZ AVE
IDAHO FALLS, ID 83404
Internal Medicine (Cardiovascular Disease)
2985 CORTEZ AVE
IDAHO FALLS, ID 83404

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 Paul Gerlach's NPI number?

The NPI number for Paul Gerlach is 1215025648. It was assigned to this individual provider in the NPPES registry on October 11, 2006.

Where is Paul Gerlach located?

Paul Gerlach practices at 2985 Cortez Ave, Idaho Falls, ID 83404. The listed phone number is (208) 523-3373.

What is Paul Gerlach's specialty?

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

Is Paul Gerlach enrolled in Medicare?

Yes. Paul Gerlach 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 Paul Gerlach accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan, Select Health and University of Utah Health Plans list Paul Gerlach 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 Paul Gerlach affiliated with any hospitals?

According to CMS data, Paul Gerlach is affiliated with Eastern Idaho Regional Medical Center, Madison Memorial Hospital, Mountain View Hospital, Idaho Falls Community Hospital, LLC and Bingham Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Paul Gerlach was last updated on February 14, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.