GARY P GEHRKI M.D. NPI 1295752368
Internal Medicine in Arkadelphia, AR
About GARY P GEHRKI M.D.
Gary Gehrki is an internist established in Arkadelphia, Arkansas and his medical specialization is Internal Medicine with more than 43 years of experience. He graduated from University Of Arkansas College Of Medicine in 1981. The healthcare provider is registered in the NPI registry with number 1295752368 assigned on July 2006. The practitioner's primary taxonomy code is 207R00000X with license number C5914 (AR). The provider is registered as an individual and his NPI record was last updated 12 years ago.
| NPI | 1295752368 |
| Provider Name | GARY P GEHRKI M.D. |
| Location Address | 2850 TWIN RIVERS DR STE 101B ARKADELPHIA, AR 71923 |
| Location Phone | (870) 246-8034 |
| Mailing Address | 2850 TWIN RIVERS DR STE 101B ARKADELPHIA, AR 71923 |
| Gender | Male |
| NPI Entity Type | Individual |
| Medical School Name | UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE |
| Graduation Year | 1981 |
| Is Sole Proprietor? | Yes |
| Enumeration Date | 07-16-2006 |
| Last Update Date | 11-09-2011 |
An internist like Gary Gehrki is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.Gary Gehrki is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Gary Gehrki is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to claims data he has hospital affiliations with .
The typical physician office visit costs for Medicare beneficiaries in this area are: $30.94 for a new patient copayment and $23.9 for an established patient copayment.
The CLIA number of Gary Gehrki is 04D0704070 registered as a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued to Gary Gehrki in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
| Taxonomy Code | 207R00000X |
| Classification | Internal Medicine |
| Type | Allopathic & Osteopathic Physicians |
| License No. | C5914 |
| License State | AR |
| Taxonomy Description | 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. |
Accepted Insurance
The NPI profile data indicates this provider might be enrolled and accepting health plans from the following insurance companies or healthcare programs:
- Medicaid
- Medicare
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Business Address
2850 TWIN RIVERS DR STE 101B
ARKADELPHIA, AR
ZIP 71923
Phone: (870) 246-8034
Fax: (870) 246-3536
Mailing Address
2850 TWIN RIVERS DR STE 101B
ARKADELPHIA, AR
ZIP 71923
Phone: (870) 246-8034
Fax: (870) 246-3536
Location Map
PECOS Enrollment and Medicare Participation Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
| Registered in PECOS? | Yes |
| PECOS PAC ID | 1052465374 |
| PECOS Enrollment ID | I20090820000202 |
| Accepts Medicare Assignment? | Yes "What does it mean "accepts medicare assignment"? When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts. A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer. |
| Eligible order / refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible order or refer Durable Medical Equipment (DMEPOS) | Yes |
| Eligible order r refer Home Health Agency (HHA) | Yes |
| Eligible order r refer Power Mobility Devices | Yes |
Physician Office Visit Costs
The provider accepts as payment the Medicare approved amount, beneficiaries under these health plans should not be billed for more than the approved deductible and coinsurance amounts. The tables below display the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 71923 ZIP code area.
| New Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for new patients office visits: 99204 | ||
| Minimum New Patient Pricing | Maximum New Patient Pricing | Typical New Patient Pricing |
| $53.13 | $163.67 | $123.79 |
| Minimum New Patient Copayment | Maximum New Patient Copayment | Typical New Patient Copayment |
| $13.28 | $40.91 | $30.94 |
| Established Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for established patients office visits: 99214 | ||
| Minimum Established Patient Pricing | Maximum Established Patient Pricing | Typical Established Patient Pricing |
| $16.26 | $133.84 | $95.6 |
| Minimum Established Patient Copayment | Maximum Established Patient Copayment | Typical Established Patient Copayment |
| $4.06 | $33.46 | $23.9 |
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Clinician Utilization
The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available specialty, excluding evaluation and management codes.
- 72Administration of influenza virus vaccine (HCPCS:G0008)
- 16Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
| CLIA Number | 04D0704070 |
| Facility Type | PHYSICIAN OFFICE |
| Certificate Type | Certificate for Provider-Performed Microscopy Procedures (PPMP) |
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State |
|---|---|---|
| B90217 | MEDICARE UPIN (02) | AR |
| 51867 | MEDICARE ID-TYPE UNSPECIFIED (04) | AR |
| 101441001 | MEDICAID (05) | AR |
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 9 | 5 | 7 | 5 | 2 | 3 | 6 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 18 | 5 | 14 | 5 | 4 | 3 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 8 + 5 + 1 + 4 + 5 + 4 + 3 + 1 + 2 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1295752368 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
What is Gary Gehrki M.D. NPI number?
The NPI number assigned to this healthcare provider is 1295752368, enumerated in the NPI registry as an "individual" on July 16, 2006
Where is the provider located?
The provider is located at 2850 Twin Rivers Dr Ste 101b Arkadelphia, Ar 71923 and the phone number is (870) 246-8034
What is the provider specialty code?
The provider's speciality is Internal Medicine with taxonomy code 207R00000X
How many years of experience does Gary Gehrki M.D. have?
The provider has more than 43 years of experience. He graduated from University Of Arkansas College Of Medicine in 1981.
What insurance does Gary Gehrki M.D. accept?
The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Is Gary Gehrki M.D. registered in PECOS?
Yes, as of September 14, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
How much is a visit to Gary Gehrki M.D.?
Medicare beneficiaries should expect a typical cost of $123.79 with an average copayment of $30.94 for new patient appointments. Established patients should expect a typical charge of $95.6 and an average copayment of 23.9. Please review your insurance plan or contact the provider directly to determine your specific costs.
What are some of the services provided by Gary Gehrki M.D.?
The most common procedures or services performed by this practitioner are: Administration of influenza virus vaccine and Injection, triamcinolone acetonide, not otherwise specified, 10 mg.
What is Gary Gehrki M.D. CLIA number?
The provider's CLIA number is 04D0704070 for a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..
How do I update my NPI information?
This NPI record was last updated on July 16, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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