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JAMES GORDON GREGORY M.D.
NPI 1295752822
Family Medicine in New Castle, PA

Active since July 17, 2006PECOS EnrolledAccepts Medicare Assignment
3131 WILMINGTON RD, NEW CASTLE, PA 16105(724) 652-3505(866) 588-2705 Get Directions Write a Review

NPPES record last updated: April 5, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About James Gordon Gregory M.d. NPPES

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

JAMES GORDON GREGORY M.D. (NPI 1295752822) is an individual family medicine provider in New Castle, Pennsylvania, licensed in Pennsylvania (MD065489L) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Mh St Joseph Warren Hospital, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1295752822
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJAMES GORDON GREGORYCredential: M.D.
Location Address3131 WILMINGTON RDNew Castle, PA 16105-1175
Mailing Address229 James StNew Wilmington, PA 16142-3307 · (724) 946-8303
Phone(724) 652-3505
Fax(866) 588-2705
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateJuly 17, 2006
Last NPPES UpdateApril 5, 2021
NPPES CertifiedApril 5, 2021
✔ NPI 1295752822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in PA · MD065489L✔ Licensed in OH · 35.093067
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedEmergency MedicineTaxonomy 207P00000X · License MD065489L (PA), 036094854 (IL)
3131 WILMINGTON RD, New Castle, PA 16105
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Other Identifiers 1

Medicaid0017006670002PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

James Gordon Gregory 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 ID4082647151
PECOS Enrollment IDI20090520000360
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 Reassignments

9

Medicare enrollment records show James Gregory reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mahoning Valley Emergency Specialists LLC
16 mi
Emergency Medicine
1044 BELMONT AVE
Youngstown, OH 44504
  • Reassigned Medicare billing, Ohio enrollment
  • 129 clinicians in this Medicare group
NPI 1003869652 (844) 474-4019
Mves Boardman LLC
16 mi
Emergency Medicine
8401 MARKET ST
Youngstown, OH 44512
  • Reassigned Medicare billing, Ohio enrollment
  • 146 clinicians in this Medicare group
NPI 1205888237 (844) 474-4019
Mves Austintown LLC
22 mi
Emergency Medicine
6252 MAHONING AVE
Austintown, OH 44515
  • Reassigned Medicare billing, Ohio enrollment
  • 146 clinicians in this Medicare group
NPI 1972555944 (844) 474-4019
4M Emergency Systems LLC
25 mi
Emergency Medicine
667 EASTLAND AVE SE
Warren, OH 44484
  • Reassigned Medicare billing, Ohio enrollment
  • 65 clinicians in this Medicare group
NPI 1932152584 (844) 474-4019
4M Emergency Systems Tod LLC
28 mi
Emergency Medicine
1296 TOD PL NW
Warren, OH 44485
  • Reassigned Medicare billing, Ohio enrollment
  • 76 clinicians in this Medicare group
NPI 1902859556 (844) 474-4019
Ues Geauga, LLC
54 mi
Emergency Medicine
13207 RAVENNA RD
Chardon, OH 44024
  • Reassigned Medicare billing, Ohio enrollment
  • 138 clinicians in this Medicare group
NPI 1841242997 (844) 474-4019
Inpatient Medical Services, Inc.
58 mi
Internal Medicine
5700 DARROW RD STE 106
Hudson, OH 44236
  • Reassigned Medicare billing, Ohio enrollment
  • 215 clinicians in this Medicare group
NPI 1093756314 (844) 474-4019
4M Hospitalist Services, LLC
60 mi
Internal Medicine
525 E MARKET ST
Akron, OH 44304
  • Reassigned Medicare billing, Ohio enrollment
  • 259 clinicians in this Medicare group
NPI 1508288531 (844) 474-4019
University Hospitals Medical Group Inc
72 mi
Multi-Specialty
11100 EUCLID AVE
Cleveland, OH 44106
  • Reassigned Medicare billing, Ohio enrollment
  • 3,958 clinicians in this Medicare group
NPI 1669499414 (216) 844-1000

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 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.

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 services69 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
32 services30 patients

Hospital Affiliations CMS Care Compare

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

Mh St Joseph Warren Hospital

Acute Care Hospitals · Warren, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360161
Location667 Eastland Ave SEWarren, OH 44484 · Trumbull County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16105 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 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. JOYCE ALDENE HOUCK LMT
Massage Therapist
3131 WILMINGTON RD
NEW CASTLE, PA 16105
Lawrence County (724) 657-3445
GREGORY FAMILY MEDICINE
Clinic/Center (Primary Care)
3131 WILMINGTON RD
NEW CASTLE, PA 16105
Lawrence County (724) 652-3505
DR. RONALD LEW GREGO DMD
Dentist
3131 WILMINGTON RD
NEW CASTLE, PA 16105
Lawrence County (724) 674-7981
RONALD L GREGO, DMD, PC
Dentist
3131 WILMINGTON RD
NEW CASTLE, PA 16105
Lawrence County (724) 674-7981

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 James Gregory's NPI number?

The NPI number for James Gregory is 1295752822. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is James Gregory located?

James Gregory practices at 3131 Wilmington Rd, New Castle, PA 16105. The listed phone number is (724) 652-3505.

What is James Gregory's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is James Gregory enrolled in Medicare?

Yes. James Gregory 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 organizations bill Medicare for James Gregory's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Gregory reassigns Medicare benefits to 9 organizations: Mahoning Valley Emergency Specialists LLC (Youngstown, OH), Mves Boardman LLC (Youngstown, OH), Mves Austintown LLC (Austintown, OH), 4M Emergency Systems LLC (Warren, OH), 4M Emergency Systems Tod LLC (Warren, OH) and 4 more organizations, listed in the Medicare section above. Each 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 James Gregory's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Gregory accept?

Health plans from CareSource list James Gregory 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 James Gregory affiliated with any hospitals?

According to CMS data, James Gregory is affiliated with Mh St Joseph Warren Hospital.

When was this NPI record last updated?

The NPPES record for James Gregory was last updated on April 5, 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.