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DR. GERARD THOMAS HART M.D.
NPI 1295843357
Family Medicine in Philadelphia, PA

Active since August 28, 2006PECOS Enrolled
4623 SPRUCE STREET, PHILADELPHIA, PA 19139(215) 474-6100(610) 384-8385 Get Directions Write a Review

NPPES record last updated: December 20, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Gerard Thomas Hart M.d. NPPES

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

DR. GERARD THOMAS HART M.D. (NPI 1295843357) is an individual family medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD032065E) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295843357
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. GERARD THOMAS HARTCredential: M.D.
Location Address4623 SPRUCE STREETPhiladelphia, PA 19139-4542
Mailing Address4623 Spruce StreetPhiladelphia, PA 19139-4542 · (215) 474-6100 · Fax (610) 485-4221
Phone(215) 474-6100
Fax(610) 384-8385
Sole ProprietorNo
Enumeration DateAugust 28, 2006
Last NPPES UpdateDecember 20, 2011
✔ NPI 1295843357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · MD032065E
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.
4623 SPRUCE STREET, Philadelphia, PA 19139
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Other Identifiers 3

Medicare ID-Type Unspecified0000011232
Medicare UPIND40081
Medicaid001224993PA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Gerard Thomas Hart M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Gerard Hart reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

City Of Philadelphia
0.5 mi
Federally Qualified Health Center (FQHC)
555 S 43RD ST, HEALTH CARE CENTER 3
Philadelphia, PA 19104
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 157 clinicians in this Medicare group
NPI 1740397769 (215) 685-7522

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19139 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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

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

DR. RICCA AIMEE ANDO DO
Family Medicine
4623 SPRUCE STREET
PHILADELPHIA, PA 19139
Philadelphia County (215) 474-6100

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 Gerard Hart's NPI number?

The NPI number for Gerard Hart is 1295843357. It was assigned to this individual provider in the NPPES registry on August 28, 2006.

Where is Gerard Hart located?

Gerard Hart practices at 4623 Spruce Street, Philadelphia, PA 19139. The listed phone number is (215) 474-6100.

What is Gerard Hart's specialty?

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

Is Gerard Hart enrolled in Medicare?

Yes. Gerard Hart is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Gerard Hart's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gerard Hart reassigns Medicare benefits to City Of Philadelphia (Philadelphia, 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 Gerard Hart's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Gerard Hart was last updated on December 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.