FADY J GERGES MD
NPI 1437211315
Pathology - Anatomic Pathology in Dover, DE

Active since December 15, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
1633 SORGHUM MILL RD, DOVER, DE 19901(302) 734-5050(302) 734-8080 Get Directions Write a Review

NPPES record last updated: April 25, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Fady J Gerges Md NPPES

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

FADY J GERGES MD (NPI 1437211315) is an individual anatomic pathology provider in Dover, Delaware, licensed in Delaware (C1-0008033) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1437211315
Entity TypeIndividualMale
Primary Taxonomy207ZP0101X
Provider Legal NameFADY J GERGESCredential: MD
Location Address1633 SORGHUM MILL RDDover, DE 19901-6810
Mailing Address1633 Sorghum Mill RdDover, DE 19901-6810 · (302) 734-5050 · Fax (302) 734-8080
Fax(302) 734-8080
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateDecember 15, 2006
Last NPPES UpdateApril 25, 2023
NPPES CertifiedApril 25, 2023
✔ NPI 1437211315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPathology · Anatomic PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0101X
License✔ Licensed in DE · C1-0008033
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Also ListedSpecialistTaxonomy 174400000X · License C1-0008033 (DE)
1633 SORGHUM MILL RD, Dover, DE 19901

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

Fady J Gerges 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 ID6305941295
PECOS Enrollment IDI20070423000066
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 Fady Gerges reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinical Medical Laboratory
1633 SORGHUM MILL RD
Dover, DE 19901
  • Reassigned Medicare billing, Delaware enrollment
Dermatology
310 MULLET RUN
Milford, DE 19963
  • Reassigned Medicare billing, Delaware enrollment
  • 3 clinicians in this Medicare group
Health Service
28467 DUPONT BLVD UNIT 6
Millsboro, DE 19966
  • Reassigned Medicare billing, Delaware enrollment
  • Medicare enrollment name: Urology Associates Of Delaware PA
  • 7 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 32

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
3,755 services1,926 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
3,526 services761 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
3,217 services1,813 patients
Special stained specimen slides to examine tissue including interpretation and report 88313
Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.
2,003 services1,142 patients
Cell examination of specimen, selective cellular enhancement technique 88112
Cell examination of a specimen using selective cellular enhancement technique is a lab process that improves the visibility of certain cells in a sample. It helps in identifying abnormalities or diseases. The process is non-invasive, safe, and aids in accurate diagnosis.
1,844 services1,012 patients
Detection test by nucleic acid for organism, amplified probe technique 87798
A nucleic acid detection test is a procedure to identify specific organisms in your body. This test uses an amplified probe technique, which magnifies the genetic material of the organism, making it easier to detect. It's a precise way to diagnose infections.
1,699 services139 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19901 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
$131.15 typical visit price
range $57.12 – $173.08
Typical copayment $32.78 (range $14.28 – $43.27)
Most-billed visit code 99204
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES

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

Clinical Medical Laboratory
1633 SORGHUM MILL RD
DOVER, DE 19901

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 Fady Gerges's NPI number?

The NPI number for Fady Gerges is 1437211315. It was assigned to this individual provider in the NPPES registry on December 15, 2006.

Where is Fady Gerges located?

Fady Gerges practices at 1633 Sorghum Mill Rd, Dover, DE 19901. The listed phone number is (302) 734-5050.

What is Fady Gerges's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology, with taxonomy code 207ZP0101X.

Is Fady Gerges enrolled in Medicare?

Yes. Fady Gerges 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 Fady Gerges's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Fady Gerges reassigns Medicare benefits to 3 organizations: Green Clinics Laboratory, LLC (Dover, DE), Green Dermatology LLC (Milford, DE) and Saltwater Integrative Wellness, LLC (Millsboro, DE). 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 Fady Gerges's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Fady Gerges accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and AmeriHealth Caritas Next list Fady Gerges 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.

When was this NPI record last updated?

The NPPES record for Fady Gerges was last updated on April 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.