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DR. LAWRENCE W GERNON MD
NPI 1225227069
Internal Medicine in Washington, DC

Active since October 17, 2007PECOS EnrolledAccepts Medicare Assignment
83.84/100
CMS Quality Rating
US DEPT OF STATE, M/MED/QI, SA-1, WASHINGTON, DC 20522(202) 663-2453(202) 663-3247 Get Directions Write a Review

NPPES record last updated: October 17, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Lawrence W Gernon Md NPPES

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

DR. LAWRENCE W GERNON MD (NPI 1225227069) is an individual internal medicine provider in Washington, District Of Columbia and active in the NPI registry since October 2007. He is enrolled in Medicare PECOS, is affiliated with Presbyterian Hospital, and is a graduate of Un Of British Columbia, Faculty Of Medicine (1982).

NPPES Registry Identity

NPI1225227069
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. LAWRENCE W GERNONCredential: MD
Location AddressUS DEPT OF STATE, M/MED/QI, SA-1Washington, DC 20522-0001
Mailing AddressUs Dept Of State, M/med/qi, Sa-1Washington, DC 20522-0001 · (202) 663-2453 · Fax (202) 663-3247
Phone(202) 663-2453
Fax(202) 663-3247
Sole ProprietorYes
Medical School CMSUn Of British Columbia, Faculty Of MedicineGraduated 1982
Enumeration DateOctober 17, 2007
✔ NPI 1225227069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
US DEPT OF STATE, Washington, DC 20522
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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

Dr. Lawrence W Gernon 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 ID6709785967
PECOS Enrollment IDI20200409001356
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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
75 services71 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
58 services55 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.
21 services21 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.
17 services17 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.
16 services16 patients
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.
16 services16 patients

Hospital Affiliations CMS Care Compare 4

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

Presbyterian Hospital

Acute Care Hospitals · Albuquerque, NM
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320021
Location1100 Central Avenue SEAlbuquerque, NM 87106 · Bernalillo County
Emergency services Birthing friendly

Lincoln County Medical Center

Critical Access Hospitals · Ruidoso, NM
OwnershipVoluntary non-profit - Private
CMS Certification Number321306
Location211 Sudderth DriveRuidoso, NM 88345 · Lincoln County
Emergency services Birthing friendly

Cibola General Hospital

Critical Access Hospitals · Grants, NM
OwnershipVoluntary non-profit - Private
CMS Certification Number321308
Location1016 E Roosevelt AvenueGrants, NM 87020 · Cibola County
Emergency services Birthing friendly

Rehoboth Mckinley Christian Health Care Services

Critical Access Hospitals · Gallup, NM
OwnershipVoluntary non-profit - Private
CMS Certification Number321313
Location1901 Red Rock DriveGallup, NM 87301 · Mckinley County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20522 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

83.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.59
Promoting Interoperability100
Improvement Activities40
Cost58.63

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. CHERYL L ALSTON MD
Internal Medicine
US DEPT OF STATE, M/MED/QI, SA-1
WASHINGTON, DC 20522
District of Columbia (202) 663-2453
RENA K BRESCIA NP
Nurse Practitioner (Family)
US DEPT OF STATE, M/MED/QI, SA-1
WASHINGTON, DC 20522
District of Columbia (202) 663-2453
JEREME EDWIN MELLENTHIN PA
Physician Assistant
US DEPT OF STATE, M/MED/QI, SA-1
WASHINGTON, DC 20522
District of Columbia (202) 663-2453
GLENDA L SIEGRIST NP
Nurse Practitioner (Family)
US DEPT OF STATE, M/MED/QI, SA-1
WASHINGTON, DC 20522
District of Columbia (202) 663-2453
DR. KEVIN J KILPATRICK MD
Internal Medicine
US DEPT OF STATE, M/MED/QI, SA-1
WASHINGTON, DC 20522
District of Columbia (202) 663-2453
DR. ATHENA M MOUNDALEXIS MD
Family Medicine
US DEPT OF STATE, M/MED/QI, SA-1
WASHINGTON, DC 20522
District of Columbia (202) 663-2453
BARBARA ANN BOWDEN N.P.
Nurse Practitioner (Family)
US DEPT OF STATE, M/MED/QI, SA-1
WASHINGTON, DC 20522
District of Columbia (202) 663-2453
MR. GRANT H LUDWIG FNP, APRN
Family Medicine
US DEPT OF STATE, M/MED/QI, SA-1
WASHINGTON, DC 20522
District of Columbia (202) 663-2453

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 Lawrence Gernon's NPI number?

The NPI number for Lawrence Gernon is 1225227069. It was assigned to this individual provider in the NPPES registry on October 17, 2007.

Where is Lawrence Gernon located?

Lawrence Gernon practices at Us Dept Of State M/Med/Qi, Sa-1, Washington, DC 20522. The listed phone number is (202) 663-2453.

What is Lawrence Gernon's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Lawrence Gernon enrolled in Medicare?

Yes. Lawrence Gernon 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.

Is Lawrence Gernon affiliated with any hospitals?

According to CMS data, Lawrence Gernon is affiliated with Presbyterian Hospital, Lincoln County Medical Center, Cibola General Hospital and Rehoboth Mckinley Christian Health Care Services.

When was this NPI record last updated?

The NPPES record for Lawrence Gernon was last updated on October 17, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.