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JAMES R GENGARO DO
NPI 1467688671
Hospitalist in Media, PA

Active since June 02, 2009PECOS EnrolledAccepts Medicare Assignment
1068 W BALTIMORE PIKE, MEDIA, PA 19063(610) 566-9400(610) 627-4230 Get Directions Write a Review

NPPES record last updated: May 1, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About James R Gengaro Do NPPES

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

JAMES R GENGARO DO (NPI 1467688671) is an individual hospitalist provider in Media, Pennsylvania, licensed in Pennsylvania (OS0014656) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, is affiliated with Paoli Hospital, and is a graduate of Philadelphia College Of Osteopathic Medicine (2006).

NPPES Registry Identity

NPI1467688671
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameJAMES R GENGAROCredential: DO
Location Address1068 W BALTIMORE PIKEMedia, PA 19063-5104
Mailing Address1068 W Baltimore PikeMedia, PA 19063-5104 · (610) 566-9400 · Fax (610) 627-4230
Phone(610) 566-9400
Fax(610) 627-4230
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2006
Enumeration DateJune 2, 2009
Last NPPES UpdateMay 1, 2017
✔ NPI 1467688671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in PA · OS0014656
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License OS0014656 (PA)
1068 W BALTIMORE PIKE, Media, PA 19063
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Highmark Blue Cross Blue Shield Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

James R Gengaro Do 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 ID3072667062
PECOS Enrollment IDI20090810000368
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.

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.
96 services53 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.
42 services41 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.
36 services25 patients

Hospital Affiliations CMS Care Compare

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

Paoli Hospital

Acute Care Hospitals · Paoli, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390153
Location255 West Lancaster AvenuePaoli, PA 19301 · Chester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19063 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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 20

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

DR. MARK THOMAS REUTTER D.O.
Emergency Medicine
1068 W BALTIMORE PIKE
MEDIA, PA 19063
Delaware County (610) 891-3214
RIDDLE IMAGING ASSOC
Radiology (Diagnostic Radiology)
1068 W BALTIMORE PIKE
MEDIA, PA 19063
Delaware County (610) 891-3318
DR. JOHN SENDERAK MD
Internal Medicine
1068 W BALTIMORE PIKE
MEDIA, PA 19063
Delaware County (484) 227-4280
MR. CHRISTOPHER L WILDS P.T.
Physical Therapist
1068 W BALTIMORE PIKE, LOBBY LEVEL
MEDIA, PA 19063
Delaware County (610) 891-3030
VIJAY SRIDHAR KARAJALA-SUBRAMANYAM
Internal Medicine
1068 W BALTIMORE PIKE
MEDIA, PA 19063
Delaware County (484) 227-4216
MS. PHUONG NGO CRNP
Nurse Practitioner (Adult Health)
1068 W BALTIMORE PIKE
MEDIA, PA 19063
Delaware County (484) 227-3218
MARIA KATHERINE ARGENTINE MD
Family Medicine
1068 W BALTIMORE PIKE
MEDIA, PA 19063
Delaware County (610) 227-4280
RMH PHYSICIAN SERVICES
Pathology (Anatomic Pathology & Clinical Pathology)
1068 W BALTIMORE PIKE
MEDIA, PA 19063
Delaware County (610) 891-3388

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 James Gengaro's NPI number?

The NPI number for James Gengaro is 1467688671. It was assigned to this individual provider in the NPPES registry on June 2, 2009.

Where is James Gengaro located?

James Gengaro practices at 1068 W Baltimore Pike, Media, PA 19063. The listed phone number is (610) 566-9400.

What is James Gengaro's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is James Gengaro enrolled in Medicare?

Yes. James Gengaro 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.

What insurance does James Gengaro accept?

Health plans from Highmark Blue Cross Blue Shield Delaware list James Gengaro 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 James Gengaro affiliated with any hospitals?

According to CMS data, James Gengaro is affiliated with Paoli Hospital.

When was this NPI record last updated?

The NPPES record for James Gengaro was last updated on May 1, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.