JOSEPH M GERGYES MD
NPI 1336116060
Internal Medicine in Cotuit, MA

Active since March 01, 2006PECOS EnrolledAccepts Medicare Assignment
97.03/100
CMS Quality Rating
40 OLD KINGS RD, COTUIT, MA 02635(508) 428-2111 Get Directions Write a Review

NPPES record last updated: October 17, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Joseph M Gergyes Md NPPES

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

JOSEPH M GERGYES MD (NPI 1336116060) is an individual internal medicine provider in Cotuit, Massachusetts, licensed in Massachusetts (231079) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Falmouth Hospital, and is a graduate of New York University School Of Medicine (1992).

NPPES Registry Identity

NPI1336116060
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJOSEPH M GERGYESCredential: MD
Location Address40 OLD KINGS RDCotuit, MA 02635-3031
Mailing AddressPo Box 377Cotuit, MA 02635-0377 · (508) 428-2111
Sole ProprietorNo
Medical School CMSNew York University School Of MedicineGraduated 1992
Enumeration DateMarch 1, 2006
Last NPPES UpdateOctober 17, 2008
✔ NPI 1336116060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MA · 231079
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.
40 OLD KINGS RD, Cotuit, MA 02635

Other Identifiers 3

Medicare ID-Type Unspecified093015875WI
Medicaid32603200WI
Medicare UPING71894

Accepted 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

Joseph M Gergyes 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 ID6507967361
PECOS Enrollment IDI20070723000846
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

3

Medicare enrollment records show Joseph Gergyes reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
27 PARK ST, GLEASON HOUSE
Hyannis, MA 02601
  • Reassigned Medicare billing, Massachusetts enrollment
  • 423 clinicians in this Medicare group
Neuroradiology
27 PARK ST
Hyannis, MA 02601
  • Reassigned Medicare billing, Massachusetts enrollment
  • 678 clinicians in this Medicare group
Internal Medicine
100 TER HEUN DR
Falmouth, MA 02540
  • Reassigned Medicare billing, Massachusetts enrollment
  • 238 clinicians in this Medicare group

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 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
143 services104 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
118 services93 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
110 services108 patients

Hospital Affiliations CMS Care Compare

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

Falmouth Hospital

Acute Care Hospitals · Falmouth, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220135
Location67 & 100 Ter Heun DriveFalmouth, MA 02540 · Barnstable County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02635 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

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.

97.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.17
Promoting Interoperability100
Improvement Activities40

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 Joseph Gergyes's NPI number?

The NPI number for Joseph Gergyes is 1336116060. It was assigned to this individual provider in the NPPES registry on March 1, 2006.

Where is Joseph Gergyes located?

Joseph Gergyes practices at 40 Old Kings Rd, Cotuit, MA 02635. The listed phone number is (508) 428-2111.

What is Joseph Gergyes's specialty?

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

Is Joseph Gergyes enrolled in Medicare?

Yes. Joseph Gergyes 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 Joseph Gergyes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joseph Gergyes reassigns Medicare benefits to 3 organizations: Medical Affiliates Of Cape Cod, Inc. (Hyannis, MA), Physicians Of Cape Cod Hospital (Hyannis, MA) and Physicians Of Falmouth Hospital (Falmouth, MA). 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 Joseph Gergyes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Joseph Gergyes accept?

Health plans from Taro Health list Joseph Gergyes 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 Joseph Gergyes affiliated with any hospitals?

According to CMS data, Joseph Gergyes is affiliated with Falmouth Hospital.

When was this NPI record last updated?

The NPPES record for Joseph Gergyes was last updated on October 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.