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GAVIN W DUFFY P.A.
NPI 1316017189
Physician Assistant in West Reading, PA

Active since November 09, 2006PECOS EnrolledAccepts Medicare Assignment
81.19/100
CMS Quality Rating
601 SPRUCE ST, WEST READING, PA 19611(610) 375-4567(610) 685-8801 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gavin W Duffy P.a. NPPES

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

GAVIN W DUFFY P.A. (NPI 1316017189) is an individual physician assistant in West Reading, Pennsylvania, licensed in Pennsylvania (MA052836) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Penn State Health St. Joseph, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1316017189
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameGAVIN W DUFFYCredential: P.A.
Location Address601 SPRUCE STWest Reading, PA 19611-1443
Mailing Address601 Spruce StWest Reading, PA 19611-1443 · (610) 375-4567 · Fax (610) 685-8801
Phone(610) 375-4567
Fax(610) 685-8801
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateNovember 9, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1316017189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in PA · MA052836
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
601 SPRUCE ST, West Reading, PA 19611
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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

Gavin W Duffy P.a. 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 ID1658379086
PECOS Enrollment IDI20061120000353
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 4

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.
34 services28 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
26 services26 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
16 services16 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
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.
15 services15 patients

Hospital Affiliations CMS Care Compare 3

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

Penn State Health St. Joseph

Acute Care Hospitals · Reading, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390096
Location2500 Bernville RoadReading, PA 19605 · Berks County
Emergency services Birthing friendly

Milton S Hershey Medical Center

Acute Care Hospitals · Hershey, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390256
Location500 University DriveHershey, PA 17033 · Dauphin County
Emergency services Birthing friendly

Penn State Health Lancaster Medical Center

Acute Care Hospitals · Lancaster, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number390339
Location2160 State RoadLancaster, PA 17601 · Lancaster County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19611 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
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.56
Promoting Interoperability97
Improvement Activities40
Cost65.23

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
26%133 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

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

LISA M LEWANDOWSKI CRNP
Nurse Practitioner (Acute Care)
601 SPRUCE ST
WEST READING, PA 19611
Berks County (610) 375-4567
MICHAEL KAKAREKA DO
Neurological Surgery
601 SPRUCE ST
WEST READING, PA 19611
Berks County (484) 628-8900
KELLY NICOLE MOSS PA-C
Physician Assistant (Surgical)
601 SPRUCE ST
WEST READING, PA 19611
Berks County (484) 628-8900
RICHARD A CLOSE M.D.
Neurological Surgery
601 SPRUCE ST
WEST READING, PA 19611
Berks County (610) 375-4567
DR. WILLIAM MAURICE DOYON JR. PH.D.
Specialist/Technologist, Other (Electroneurodiagnostic)
601 SPRUCE ST
WEST READING, PA 19611
Berks County (610) 373-8900
HERMAN CHRISTOPHER LAWSON MD
Neurological Surgery
601 SPRUCE ST, SUITE 101
WEST READING, PA 19611
Berks County (610) 375-4567
SARA ELIZABETH BEAN PA-C
Physician Assistant (Surgical)
601 SPRUCE ST
WEST READING, PA 19611
Berks County (484) 628-8900
ERIN LARSEN PA-C
Physician Assistant
601 SPRUCE ST
WEST READING, PA 19611
Berks County (484) 628-8900

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 Gavin Duffy's NPI number?

The NPI number for Gavin Duffy is 1316017189. It was assigned to this individual provider in the NPPES registry on November 9, 2006.

Where is Gavin Duffy located?

Gavin Duffy practices at 601 Spruce St, West Reading, PA 19611. The listed phone number is (610) 375-4567.

What is Gavin Duffy's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Gavin Duffy enrolled in Medicare?

Yes. Gavin Duffy 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.

Is Gavin Duffy affiliated with any hospitals?

According to CMS data, Gavin Duffy is affiliated with Penn State Health St. Joseph, Milton S Hershey Medical Center and Penn State Health Lancaster Medical Center.

When was this NPI record last updated?

The NPPES record for Gavin Duffy was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.