DR. SETH A GERARD MD
NPI 1336679158
Emergency Medicine in Lynchburg, VA
About Dr. Seth A Gerard Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SETH A GERARD MD (NPI 1336679158) is an individual emergency medicine provider in Lynchburg, Virginia, licensed in Virginia (0101268669) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS, is affiliated with University Of Virginia Medical Center, and maintains a secondary practice location in Charlottesville.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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
Dr. Seth A 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.
Medicare Billing Reassignments
2Medicare enrollment records show Seth Gerard reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Charlottesville, VA 22911
- Reassigned Medicare billing, Virginia enrollment
- 2,820 clinicians in this Medicare group
Fairfax, VA 22033
- Reassigned Medicare billing, District of Columbia enrollment
- 71 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
University Of Virginia Medical Center
Acute Care Hospitals · Charlottesville, VAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 24501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
LYNCHBURG, VA 24501
LYNCHBURG, VA 24501
LYNCHBURG, VA 24501
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 Seth Gerard's NPI number?
The NPI number for Seth Gerard is 1336679158. It was assigned to this individual provider in the NPPES registry on June 14, 2017.
Where is Seth Gerard located?
Seth Gerard practices at 1901 Tate Springs Rd, Lynchburg, VA 24501. The listed phone number is (434) 200-3000.
What is Seth Gerard's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Seth Gerard enrolled in Medicare?
Yes. Seth 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.
Which organizations bill Medicare for Seth Gerard's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Seth Gerard reassigns Medicare benefits to 2 organizations: University Of Virginia Physicians Group (Charlottesville, VA) and Fair Oaks Emergency Physicians, PLLC (Fairfax, VA). 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 Seth Gerard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Seth Gerard accept?
Health plans from Oscar Health list Seth Gerard 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 Seth Gerard affiliated with any hospitals?
According to CMS data, Seth Gerard is affiliated with University Of Virginia Medical Center.
When was this NPI record last updated?
The NPPES record for Seth Gerard was last updated on September 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 43 days 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.