DR. MARK GEROLD M.D.
NPI 1386745768
Family Medicine in Jeannette, PA

Active since September 26, 2006Opted out of Medicare · through Jul 3, 2027
6402 ROUTE 30, JEANNETTE, PA 15644(724) 523-5505(724) 527-6416 Get Directions Write a Review

NPPES record last updated: October 2, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Mark Gerold M.d. NPPES

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

DR. MARK GEROLD M.D. (NPI 1386745768) is an individual family medicine provider in Jeannette, Pennsylvania, licensed in Michigan (4301073796) and active in the NPI registry since September 2006. He has opted out of Medicare through July 3, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1386745768
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MARK GEROLDCredential: M.D.
Location Address6402 ROUTE 30Jeannette, PA 15644-3168
Mailing Address6402 Route 30Jeannette, PA 15644-3168 · (724) 523-5505
Fax(724) 527-6416
Sole ProprietorNo
Enumeration DateSeptember 26, 2006
Last NPPES UpdateOctober 2, 2019
NPI 1386745768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MI · 4301073796
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
6402 ROUTE 30, Jeannette, PA 15644

Other Identifiers 2

Medicaid4625154MI
Other080021729MI · Blue Shield

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Mark Gerold M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 3, 2019 through July 3, 2027.

Opt-Out Effective DateJuly 3, 2019
Opt-Out In Effect ThroughJuly 3, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15644 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
$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.

Other Providers at the Same Location NPPES 2

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

Physical Medicine & Rehabilitation
6402 ROUTE 30
JEANNETTE, PA 15644
Physical Medicine & Rehabilitation
6402 ROUTE 30
JEANNETTE, PA 15644

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 Mark Gerold's NPI number?

The NPI number for Mark Gerold is 1386745768. It was assigned to this individual provider in the NPPES registry on September 26, 2006.

Where is Mark Gerold located?

Mark Gerold practices at 6402 Route 30, Jeannette, PA 15644. The listed phone number is (724) 523-5505.

What is Mark Gerold's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mark Gerold enrolled in Medicare?

No. Mark Gerold has opted out of Medicare through July 3, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Mark Gerold was last updated on October 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.