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DR. GAYATRI JAISWAL M.D
NPI 1376773275
Internal Medicine - Endocrinology, Diabetes & Metabolism in Canonsburg, PA

Active since July 27, 2009PECOS EnrolledAccepts Medicare Assignment
93.78/100
CMS Quality Rating
1900 WATERDAM PLAZA DR STE 2, CANONSBURG, PA 15317(724) 941-7490(724) 941-5231 Get Directions Write a Review

NPPES record last updated: October 20, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 20, 2021, Jan 9, 2020, Jun 15, 2016 (3 updates tracked since 2016).

About Dr. Gayatri Jaiswal M.d NPPES

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

DR. GAYATRI JAISWAL M.D (NPI 1376773275) is an individual endocrinology, diabetes & metabolism provider in Canonsburg, Pennsylvania, licensed in Pennsylvania (MD472235) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS, is affiliated with Washington Hospital, The, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1376773275
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameDR. GAYATRI JAISWALCredential: M.D
Location Address1900 WATERDAM PLAZA DR STE 2Canonsburg, PA 15317-5442
Mailing Address1900 Waterdam Plaza Dr Ste 2Canonsburg, PA 15317-5442 · (724) 941-7490
Phone(724) 941-7490
Fax(724) 941-5231
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJuly 27, 2009
Last NPPES UpdateOctober 20, 20213 updates tracked since enumeration
NPPES CertifiedOctober 20, 2021
✔ NPI 1376773275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in PA · MD472235
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
1900 WATERDAM PLAZA DR STE 2, Canonsburg, PA 15317
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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. Gayatri Jaiswal M.d 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 ID3870749195
PECOS Enrollment IDI20210302000098
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 Gayatri Jaiswal reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Allegheny Clinic
Same address
Internal Medicine
1000 WATERDAM PLAZA DR STE 240
Mc Murray, PA 15317
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 2,881 clinicians in this Medicare group
NPI 1578999561 (724) 941-2018

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 7

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 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.
202 services153 patients
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.
38 services22 patients
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.
35 services34 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
23 services17 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.
20 services20 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

Hospital Affiliations CMS Care Compare 5

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

Washington Hospital, The

Acute Care Hospitals · Washington, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390042
Location155 Wilson AvenueWashington, PA 15301 · Washington County
Emergency services Birthing friendly

Allegheny General Hospital

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390050
Location320 East North AvenuePittsburgh, PA 15212 · Allegheny County
Emergency services

West Penn Hospital

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390090
Location4800 Friendship AvenuePittsburgh, PA 15224 · Allegheny County
Emergency services Birthing friendly

Canonsburg General Hospital

Acute Care Hospitals · Canonsburg, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390160
Location100 Medical BoulevardCanonsburg, PA 15317 · Washington County
Emergency services

Jefferson Hospital

Acute Care Hospitals · Jefferson Hills, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390265
Location565 Coal Valley RoadJefferson Hills, PA 15025 · Allegheny County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15317 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

93.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.07
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
5 suppliers11 claims142 services$18.37 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
5 suppliers11 claims390 services$2.37 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
13 suppliers38 claims120 services$6.09 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers16 claims34 services$1.03 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
1 supplier11 claims11 services$310.81 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
15 suppliers165 claims166 services$185.14 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

DR. MICHAEL GRIMES MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1900 WATERDAM PLAZA DR STE 2
CANONSBURG, PA 15317
Washington County (724) 941-7490
ADRIANA DUNAY PA
Physician Assistant
1900 WATERDAM PLAZA DR STE 2
CANONSBURG, PA 15317
Washington County (724) 941-7490
SHANNON L ODDI PA-C
Physician Assistant
1900 WATERDAM PLAZA DR STE 2
MC MURRAY, PA 15317
Washington County (724) 260-7531

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 Gayatri Jaiswal's NPI number?

The NPI number for Gayatri Jaiswal is 1376773275. It was assigned to this individual provider in the NPPES registry on July 27, 2009.

Where is Gayatri Jaiswal located?

Gayatri Jaiswal practices at 1900 Waterdam Plaza Dr Ste 2, Canonsburg, PA 15317. The listed phone number is (724) 941-7490.

What is Gayatri Jaiswal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Gayatri Jaiswal enrolled in Medicare?

Yes. Gayatri Jaiswal 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 organization bills Medicare for Gayatri Jaiswal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gayatri Jaiswal reassigns Medicare benefits to Allegheny Clinic (Mc Murray, 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 Gayatri Jaiswal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Gayatri Jaiswal affiliated with any hospitals?

According to CMS data, Gayatri Jaiswal is affiliated with Washington Hospital, The, Allegheny General Hospital, West Penn Hospital, Canonsburg General Hospital and Jefferson Hospital.

When was this NPI record last updated?

The NPPES record for Gayatri Jaiswal was last updated on October 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.