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GERALD BENJAMIN WERTHEIM MD
NPI 1235296187
Pathology - Clinical Pathology/Laboratory Medicine in Philadelphia, PA

Active since January 02, 2007PECOS Enrolled
85.48/100
CMS Quality Rating
3400 SPRUCE STREET, 6 FOUNDERS, PHILADELPHIA, PA 19104(215) 662-6503 Get Directions Write a Review

NPPES record last updated: October 24, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gerald Benjamin Wertheim Md NPPES

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

GERALD BENJAMIN WERTHEIM MD (NPI 1235296187) is an individual clinical pathology/laboratory medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD436931) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235296187
Entity TypeIndividualMale
Primary Taxonomy207ZP0105X
Provider Legal NameGERALD BENJAMIN WERTHEIMCredential: MD
Location Address3400 SPRUCE STREET, 6 FOUNDERSPhiladelphia, PA 19104
Mailing Address3400 Spruce Street, 6 FoundersPhiladelphia, PA 19104 · (215) 662-6503
Phone(215) 662-6503
Sole ProprietorNo
Enumeration DateJanuary 2, 2007
Last NPPES UpdateOctober 24, 2019
✔ NPI 1235296187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPathology · Clinical Pathology/Laboratory MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0105X
License✔ Licensed in PA · MD436931
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Also ListedPathology · HematologyTaxonomy 207ZH0000X · License MD436931 (PA)
Also ListedPathology · Anatomic Pathology & Clinical PathologyTaxonomy 207ZP0102X · License MD436931 (PA)
3400 SPRUCE STREET, Philadelphia, PA 19104
Open in Google Maps ↗

Other Names 1

Other Name (5)Gerald Waith Werthiem Md

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gerald Benjamin Wertheim Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Surgical pathology consultation and report on referred slides prepared elsewhere 88321
A surgical pathology consultation involves reviewing slides prepared at a different lab to confirm or clarify a diagnosis. It's a second opinion to ensure accuracy. A report with findings and interpretations is then provided for your doctor's reference.
40 services39 patients
Flow cytometry technique for dna or cell analysis, 2 to 8 markers 88187
Flow cytometry is a technique that helps analyze your cells and DNA. It uses lasers to identify and sort cells based on their properties, marked by up to 8 different markers. This helps in diagnosing and monitoring various health conditions.
23 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

85.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.6
Promoting Interoperability100
Improvement Activities40

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.

SARAH KUMAR M.D.
Anesthesiology (Critical Care Medicine)
3400 SPRUCE STREET
PHILADELPHIA, PA 19104
Philadelphia County (215) 349-8310
RYAN MCCLINTOCK MD
Radiology (Diagnostic Radiology)
3400 SPRUCE STREET
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-3000
ADRIAN W ONG MD
Surgery (Surgical Critical Care)
3400 SPRUCE STREET, 2 DULLES
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-7320
MATHEW N BESHARA MD
Obstetrics & Gynecology
3400 SPRUCE STREET, 5 PENN TOWER
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-6035
JILL E LANGER MD
Radiology (Diagnostic Radiology)
3400 SPRUCE STREET, GROUND FLOOR DULLES
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-7012
BERNADETTE C WHEELER MD
Obstetrics & Gynecology
3400 SPRUCE STREET, 1 WEST GATES
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-2730
EDWARD T DICKINSON MD
Emergency Medicine
3400 SPRUCE STREET, GROUND SILVERSTEIN BLDG
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-6698
WENDY RACHEL GALPERN MD, PHD
Psychiatry & Neurology (Neurology)
3400 SPRUCE STREET
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-2219

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 Gerald Wertheim's NPI number?

The NPI number for Gerald Wertheim is 1235296187. It was assigned to this individual provider in the NPPES registry on January 2, 2007. The provider is also known as Gerald Waith Werthiem MD.

Where is Gerald Wertheim located?

Gerald Wertheim practices at 3400 Spruce Street 6 Founders, Philadelphia, PA 19104. The listed phone number is (215) 662-6503.

What is Gerald Wertheim's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Clinical Pathology/Laboratory Medicine, with taxonomy code 207ZP0105X.

Is Gerald Wertheim enrolled in Medicare?

Yes. Gerald Wertheim is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gerald Wertheim was last updated on October 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.