KERRY GREGORY PA
NPI 1306904966
Physician Assistant - Surgical in Annapolis, MD

NPI Status: Active since December 05, 2006

Contact Information

600 RIDGELY AVE
SUTIE 130
ANNAPOLIS, MD
ZIP 21401
Phone: (410) 266-8049
Fax: (410) 266-0895

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  • Individual
  • Female
  • Years of Experience 20
  • Physician Assistant
  • Surgical
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About KERRY GREGORY

This page provides the complete NPI Profile along with additional information for Kerry Gregory, a provider established in Annapolis, Maryland with a medical specialization in Physician Assistant, focusing in surgical and more than 20 years of experience. The healthcare provider is registered in the NPI registry with number 1306904966 assigned on December 2006. The practitioner's primary taxonomy code is 363AS0400X with license number C03923 (MD). The provider is registered as an individual and her NPI record was last updated 16 years ago.

NPI
1306904966
Provider Name
KERRY GREGORY PA
Gender
Female
Entity Type
Individual
Location Address
600 RIDGELY AVE SUTIE 130 ANNAPOLIS, MD 21401
Location Phone
(410) 266-8049
Location Fax
(410) 266-0895
Mailing Address
600 RIDGELY AVE SUITE 130 ANNAPOLIS, MD 21401
Mailing Phone
(410) 266-8049
Mailing Fax
(410) 266-0895
Medical School Name
OTHER
Graduation Year
2006
Is Sole Proprietor?
No
Enumeration Date
12-05-2006
Last Update Date
03-08-2010
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Specialty - 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.

Classification

Physician Assistant Surgical

Taxonomy Code
363AS0400X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
C03923
License State
MD

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

1070062 (NY)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • AmeriHealth Caritas Next Bronze Essential + No Referrals - HMO
  • AmeriHealth Caritas Next Bronze Premier + No Referrals - HMO
  • AmeriHealth Caritas Next Bronze Signature + No Referrals - HMO
  • AmeriHealth Caritas Next Gold Premier + No Referrals - HMO
  • AmeriHealth Caritas Next Gold Signature + No Referrals - HMO
  • AmeriHealth Caritas Next Silver Essential + No Referrals - HMO
  • AmeriHealth Caritas Next Silver Premier + No Referrals - HMO
  • AmeriHealth Caritas Next Silver Signature + No Referrals - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Kerry Gregory 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.

Kerry Gregory 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.

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.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 6406985563

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20160720001961

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • 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 to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Established patient office or other outpatient visit, 30-39 minutes

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

This service was performed 26 times for 21 patients

Established patient office or other outpatient visit, 40-54 minutes

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

This service was performed 16 times for 16 patients

Mastectomy

A mastectomy is a surgical procedure that involves the removal of all or part of the breast tissue. This is often done to treat or prevent conditions related to abnormal cell growth. There are different types, ranging from removing only the breast tissue to also removing nearby structures. The approach depends on individual health circumstances.

This service was performed for 1-10 patients

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1306904966, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
0
Doubled → 0
Pos 4
6
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
0
Unchanged
Pos 7
4
Doubled → 8
Pos 8
9
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 9 → 18 → 9 4 → 8 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 0 + 6 + 1 + 8 + 0 + 8 + 9 + 1 + 2 + 24 = 64

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1306904966.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Specialist
600 RIDGELY AVE, STE 130
ANNAPOLIS, MD 21401
Internal Medicine
600 RIDGELY AVE, SUITE 231
ANNAPOLIS, MD 21401
Dentist (General Practice)
600 RIDGELY AVE, SUITE 217
ANNAPOLIS, MD 21401
Specialist
600 RIDGELY AVE, SUITE 123
ANNAPOLIS, MD 21401
Specialist
600 RIDGELY AVE, SUITE 123
ANNAPOLIS, MD 21401
Specialist
600 RIDGELY AVE, SUITE 123
ANNAPOLIS, MD 21401
Surgery
600 RIDGELY AVE, SUITE222
ANNAPOLIS, MD 21401
Otolaryngology
600 RIDGELY AVE, SUITE 230
ANNAPOLIS, MD 21401
Psychologist (Clinical)
600 RIDGELY AVE, SUITE 210
ANNAPOLIS, MD 21401
Social Worker (Clinical)
600 RIDGELY AVE, SUITE 210
ANNAPOLIS, MD 21401
Social Worker (Clinical)
600 RIDGELY AVE, SUITE 210
ANNAPOLIS, MD 21401
Nurse Practitioner (Family)
600 RIDGELY AVE, STE 231
ANNAPOLIS, MD 21401
Internal Medicine (Pulmonary Disease)
600 RIDGELY AVE, SUITE 121
ANNAPOLIS, MD 21401
Psychologist (Clinical)
600 RIDGELY AVE, SUITE 210
ANNAPOLIS, MD 21401
Speech-Language Pathologist
600 RIDGELY AVE, SUITE 230
ANNAPOLIS, MD 21401
Clinic/Center (Hearing and Speech)
600 RIDGELY AVE, STE 110
ANNAPOLIS, MD 21401
Urology
600 RIDGELY AVE, SUITE 130
ANNAPOLIS, MD 21401
Urology
600 RIDGELY AVE, SUITE 130
ANNAPOLIS, MD 21401
Specialist
600 RIDGELY AVE, STE 130
ANNAPOLIS, MD 21401
Urology
600 RIDGELY AVE, STE 130
ANNAPOLIS, MD 21401

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306904966, enumerated as an "individual" on December 05, 2006.

The provider is located at 600 RIDGELY AVE SUTIE 130 ANNAPOLIS, MD 21401 and the phone number is (410) 266-8049.

Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.

The provider might be accepting Accepts: AmeriHealth Caritas Next. Please consult your insurance carrier or call the provider to verify.