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DOUGLAS GERARD MD
NPI 1295759363
Internal Medicine in New Hartford, CT

Active since July 26, 2006PECOS EnrolledAccepts Medicare Assignment
536 MAIN STREET, NEW HARTFORD, CT 06057(860) 379-7544(860) 379-2067 Get Directions Write a Review

NPPES record last updated: June 21, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Douglas Gerard Md NPPES

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

DOUGLAS GERARD MD (NPI 1295759363) is an individual internal medicine provider in New Hartford, Connecticut, licensed in Connecticut (025763) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of State University Of New York At Stony Brook, School Of Medicine (1982).

NPPES Registry Identity

NPI1295759363
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDOUGLAS GERARDCredential: MD
Location Address536 MAIN STREETNew Hartford, CT 06057
Mailing Address536 Main StreetNew Hartford, CT 06057 · (860) 379-7544 · Fax (860) 379-2067
Phone(860) 379-7544
Fax(860) 379-2067
Sole ProprietorNo
Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 1982
Enumeration DateJuly 26, 2006
Last NPPES UpdateJune 21, 2021
NPPES CertifiedJune 21, 2021
✔ NPI 1295759363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CT · 025763
Definition
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.
536 MAIN STREET, New Hartford, CT 06057
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Other Identifiers 2

Other010025763CT01TN · Anthem Blue Shield
Other0V3637Healthnet

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

Douglas Gerard Md 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 ID749318939
PECOS Enrollment IDI20100508000103
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

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.

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.
45 services39 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06057 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

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 Douglas Gerard's NPI number?

The NPI number for Douglas Gerard is 1295759363. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Where is Douglas Gerard located?

Douglas Gerard practices at 536 Main Street, New Hartford, CT 06057. The listed phone number is (860) 379-7544.

What is Douglas Gerard's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Douglas Gerard enrolled in Medicare?

Yes. Douglas Gerard 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.

When was this NPI record last updated?

The NPPES record for Douglas Gerard was last updated on June 21, 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.