DR. THOMAS J GERGEL M.D.
NPI 1255309944
Radiology - Radiation Oncology in Sayre, PA

Q: What is Thomas Gergel's NPI number?

The NPI number for Thomas Gergel is 1255309944. It was assigned to this individual provider in the NPPES registry on March 9, 2006.

Q: What is Thomas Gergel's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Gergel was last updated on March 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since March 09, 2006PECOS EnrolledAccepts Medicare Assignment

82.9/100

CMS Quality Rating

1 GUTHRIE SQ, SAYRE, PA 18840(570) 887-4048(570) 887-5166 Get Directions Write a Review

NPPES record last updated: March 12, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 12, 2021, Dec 13, 2018, Mar 24, 2017 (3 updates tracked since 2017).

On this page

About Dr. Thomas J Gergel M.d. NPPES

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

DR. THOMAS J GERGEL M.D. (NPI 1255309944) is an individual radiation oncology provider in Sayre, Pennsylvania, licensed in Pennsylvania (MD421616) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Our Lady Of Lourdes Memorial Hospital, Inc, and is a graduate of State University Of New York At Buffalo School Of Medicine (1998).

NPPES Registry Identity

NPI1255309944

Entity TypeIndividualMale

Primary Taxonomy2085R0001X

Provider Legal NameDR. THOMAS J GERGELCredential: M.D.

Location Address1 GUTHRIE SQSayre, PA 18840-1625

Mailing Address1 Guthrie SqSayre, PA 18840-1625 · (570) 888-5858

Phone(570) 887-4048

Fax(570) 887-5166

Sole ProprietorNo

Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 1998

Enumeration DateMarch 9, 2006

Last NPPES UpdateMarch 12, 20213 updates tracked since enumeration

NPPES CertifiedMarch 12, 2021

✔ NPI 1255309944 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0001X

License✔ Licensed in PA · MD421616

Definition

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

1 GUTHRIE SQ, Sayre, PA 18840

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Other Identifiers 1

Medicaid001960110PA

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Thomas J Gergel M.d. 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 ID9335115393

PECOS Enrollment IDI20040909001336, I20051213000398

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.

Medicare Billing Reassignment

Medicare enrollment records show Thomas Gergel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Guthrie Medical Group, P.C.

4.1 mi

Family Medicine

412 S MAIN ST
Athens, PA 18810

Reassigned Medicare billing, Pennsylvania and New York enrollments
Medicare enrollment name: Guthrie Medical Group PC
Also billed through NPI 1245246644 (New York)
830 clinicians in this Medicare group

NPI 1962451153 (570) 888-9655

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 20

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.

Ct guidance for insertion of radiation therapy fields 77014

CT guidance for insertion of radiation therapy fields involves using a CT scan to accurately map the area of your body where radiation will be applied. This ensures the radiation targets only the necessary area, minimizing impact to healthy tissues.

527 services71 patients

Calculation of radiation therapy dose 77300

Radiation therapy dose calculation is a process to determine the exact amount of radiation needed to treat a specific area in the body. This calculation helps ensure the treatment is effective while minimizing harm to healthy tissues. It's a key part of planning your radiation therapy.

150 services68 patients

Radiation treatment management, 5 treatment sessions 77427

Radiation treatment management involves a series of 5 sessions where targeted radiation is used to destroy or shrink cancer cells in your body. Each session is carefully planned to maximize effectiveness while minimizing harm to healthy tissues. You may experience side effects which will be closely monitored and managed for your comfort.

127 services58 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.

124 services87 patients

Design and construction of complex radiation treatment device 77334

The design and construction of a complex radiation treatment device is a process where a specialized instrument is created. This device targets harmful cells with high-energy rays to destroy or damage them, while minimizing impact on healthy cells. This aids in treating conditions like cancer.

80 services38 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.

73 services60 patients

Design and construction of radiation treatment device for high precision radiation therapy 77338

A radiation treatment device is custom-made for each patient to target cancer cells with high precision. It's designed to focus radiation on the tumor, sparing healthy tissue. This process ensures effective therapy while minimizing side effects.

59 services59 patients

High precision radiation therapy planning 77301

High precision radiation therapy planning involves detailed mapping of your body to target cancer cells accurately. Advanced imaging techniques help identify the exact location of the tumor, minimizing harm to healthy tissues. This personalized approach enhances effectiveness and reduces side effects.

56 services56 patients

Complex radiation therapy planning 77263

Complex radiation therapy planning is a process to determine the most effective way to deliver radiation to a specific area in your body. It involves detailed imaging to map your body's structure, allowing for precise targeting of cancer cells while sparing healthy tissue.

43 services42 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

33 services33 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

30 services23 patients

Obtaining data needed to develop the optimal radiation treatment, 1 treatment area 77280

This procedure involves gathering essential information to create the best radiation treatment plan for a specific area. It includes scanning the treatment area and using this data to calculate the precise dose of radiation needed to target the disease effectively, while sparing healthy tissue.

26 services18 patients

Diagnostic exam of voice box using a flexible endoscope 31575

This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.

22 services11 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.

16 services16 patients

Injection of biodegradable material next to prostate 55874

This procedure involves the introduction of a biodegradable substance near a gland located in the lower abdomen. This substance helps to create a barrier between the gland and nearby tissues, aiding in the precise delivery of treatment to the intended area.

14 services14 patients

Placement of device in prostate for radiation therapy 55876

This procedure involves placing a small device in the gland below the bladder to deliver radiation therapy. This helps target therapy directly to the concerned area, potentially reducing side effects and improving treatment effectiveness.

14 services14 patients

Obtaining respiratory data needed to develop the optimal radiation treatment 77293

Obtaining respiratory data is vital for optimal radiation treatment. This involves tracking your breathing patterns to ensure the precise delivery of radiation to the target area, minimizing damage to healthy tissue. It's a non-invasive process and contributes to effective treatment.

13 services13 patients

3d radiation therapy planning 77295

3D radiation therapy planning is a procedure that uses computer imaging to map out the area needing treatment. This ensures the radiation targets the disease precisely, while minimizing exposure to surrounding healthy tissues. It's a key step in preparing for effective radiation therapy.

13 services13 patients

Management of cranial lesion surgery using radiation over multiple sessions 77435

This procedure involves using targeted radiation to treat a lesion in the brain over several sessions. The radiation destroys the abnormal cells, helping to control or eliminate the lesion. It's a non-invasive treatment, meaning no surgical cuts are made.

13 services13 patients

Design and construction of simple radiation treatment device 77332

A simple radiation treatment device is designed and built to target specific areas in your body with high energy rays. This process is carefully planned to ensure that the radiation accurately reaches the area needing treatment, while minimizing exposure to healthy tissues.

12 services12 patients

Hospital Affiliations CMS Care Compare 4

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

Our Lady Of Lourdes Memorial Hospital, Inc

Acute Care Hospitals · Binghamton, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330011

Location169 Riverside DriveBinghamton, NY 13905 · Broome County

Emergency services Birthing friendly

Corning Hospital

Acute Care Hospitals · Corning, NY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330277

Location1 Guthrie DriveCorning, NY 14830 · Steuben County

Emergency services Birthing friendly

Robert Packer Hospital

Acute Care Hospitals · Sayre, PA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390079

LocationOne Guthrie SquareSayre, PA 18840 · Bradford County

Emergency services Birthing friendly

Troy Community Hospital

Critical Access Hospitals · Troy, PA

OwnershipVoluntary non-profit - Private

CMS Certification Number391305

Location275 Guthrie DriveTroy, PA 16947 · Bradford County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18840 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

$166.87 typical visit price

range $54.64 – $166.87

Typical copayment $41.71 (range $13.66 – $41.71)

Most-billed visit code 99205

Established Patient

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

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.

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.

82.9/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

74.09

Promoting Interoperability

100

Improvement Activities

Cost

65.94

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. PHILLIP LUNSFORD MD

Emergency Medicine

1 GUTHRIE SQ
SAYRE, PA 18840

Bradford County (570) 888-5858

MRS. MELISSA FOX OTR/L

Occupational Therapist

1 GUTHRIE SQ
SAYRE, PA 18840

Bradford County (570) 887-4801

DR. PREMJEET SINGH DHILLON MD

Internal Medicine

1 GUTHRIE SQ
SAYRE, PA 18840

Bradford County (570) 888-6666

WILLIAM HUNTER EDWARDS

Student in an Organized Health Care Education/Training Program

1 GUTHRIE SQ
SAYRE, PA 18840

Bradford County (570) 888-6666

DONNA L TAMKIN MD

Radiology (Diagnostic Radiology)

1 GUTHRIE SQ
SAYRE, PA 18840

Bradford County (570) 888-5858

DR. BRUCE C SLAGLE M.D.

Hospitalist

1 GUTHRIE SQ
SAYRE, PA 18840

Bradford County (570) 888-5858

MS. EMILY S. OBERST PA-C

Physician Assistant

1 GUTHRIE SQ
SAYRE, PA 18840

Bradford County (570) 888-5858

GUTHRIE MEDICAL GROUP PC

Physical Medicine & Rehabilitation (Pain Medicine)

1 GUTHRIE SQ
SAYRE, PA 18840

Bradford County (570) 887-2201

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 Thomas Gergel's NPI number?

The NPI number for Thomas Gergel is 1255309944. It was assigned to this individual provider in the NPPES registry on March 9, 2006.

Where is Thomas Gergel located?

Thomas Gergel practices at 1 Guthrie Sq, Sayre, PA 18840. The listed phone number is (570) 887-4048.

What is Thomas Gergel's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Is Thomas Gergel enrolled in Medicare?

Yes. Thomas Gergel 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.

Which organization bills Medicare for Thomas Gergel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Gergel reassigns Medicare benefits to Guthrie Medical Group, P.C. (Athens, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Thomas Gergel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Gergel accept?

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

According to CMS data, Thomas Gergel is affiliated with Our Lady Of Lourdes Memorial Hospital, Inc, Corning Hospital, Robert Packer Hospital and Troy Community Hospital.

When was this NPI record last updated?

The NPPES record for Thomas Gergel was last updated on March 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.