DR. WILLIAM J. GIANFAGNA M.D.
NPI 1275501850
Pediatrics in Pottsville, PA

Q: What is William Gianfagna's NPI number?

The NPI number for William Gianfagna is 1275501850. It was assigned to this individual provider in the NPPES registry on March 9, 2006.

Q: What is William Gianfagna's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for William Gianfagna was last updated on August 5, 2020. 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.

Active since March 09, 2006PECOS EnrolledAccepts Medicare Assignment

529 TERRY REILEY WAY, POTTSVILLE, PA 17901(570) 624-4444(570) 624-4445 Get Directions Write a Review

NPPES record last updated: August 5, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. William J. Gianfagna M.d. NPPES

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

DR. WILLIAM J. GIANFAGNA M.D. (NPI 1275501850) is an individual pediatrics provider in Pottsville, Pennsylvania, licensed in Pennsylvania (MD026364E) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Virginia School Of Medicine (1980).

NPPES Registry Identity

NPI1275501850

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. WILLIAM J. GIANFAGNACredential: M.D.

Location Address529 TERRY REILEY WAYPottsville, PA 17901

Mailing Address100 N Academy AveDanville, PA 17822-9800 · (570) 271-6144 · Fax (570) 271-6578

Phone(570) 624-4444

Fax(570) 624-4445

Sole ProprietorNo

Medical School CMSUniversity Of Virginia School Of MedicineGraduated 1980

Enumeration DateMarch 9, 2006

Last NPPES UpdateAugust 5, 2020

NPPES CertifiedAugust 5, 2020

✔ NPI 1275501850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in PA · MD026364E

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

529 TERRY REILEY WAY, Pottsville, PA 17901

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Other Identifiers 1

Medicaid000897666PA

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. William J. Gianfagna 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 ID2466455712

PECOS Enrollment IDI20060807000324

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.

Blood test, clotting time 85610

A clotting time blood test helps determine how quickly your blood forms clots, a process crucial to stop bleeding. During the test, a small blood sample is taken from your arm. The sample is then analyzed in a lab to see how long it takes for a clot to form.

53 services19 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17901 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.

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.

LISA M ASHMAN R.PH.

Pharmacist