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GARY F UPDEGROVE MD
NPI 1518287010
Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery in Hershey, PA

Active since June 07, 2010PECOS EnrolledAccepts Medicare Assignment
71.78/100
CMS Quality Rating
30 HOPE DR STE 2400, HERSHEY, PA 17033(717) 531-5638(717) 531-0983 Get Directions Write a Review

NPPES record last updated: October 16, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Gary F Updegrove Md NPPES

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

GARY F UPDEGROVE MD (NPI 1518287010) is an individual adult reconstructive orthopaedic surgery provider in Hershey, Pennsylvania, licensed in Pennsylvania (MD447323) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with Penn State Health Holy Spirit Medical Center, and is a graduate of Pennsylvania State University College Of Medicine (2010).

NPPES Registry Identity

NPI1518287010
Entity TypeIndividualMale
Primary Taxonomy207XS0114X
Provider Legal NameGARY F UPDEGROVECredential: MD
Location Address30 HOPE DR STE 2400Hershey, PA 17033-2036
Mailing AddressPo Box 858, Mc A410Hershey, PA 17033-0858 · (800) 243-1455
Phone(717) 531-5638
Fax(717) 531-0983
Sole ProprietorNo
Medical School CMSPennsylvania State University College Of MedicineGraduated 2010
Enumeration DateJune 7, 2010
Last NPPES UpdateOctober 16, 2017
✔ NPI 1518287010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0114X
License✔ Licensed in PA · MD447323
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 2015-00478 (NC), MT196612 (PA)
30 HOPE DR STE 2400, Hershey, PA 17033
Open in Google Maps ↗

Other Identifiers 4

Medicaid1032342850002PA
MedicaidNC2429SC
Medicaid1518287010NC
Medicare PINNCO521ANC

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

Gary F Updegrove 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 ID9133138696
PECOS Enrollment IDI20160916001512
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 Gary Updegrove reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Milton S Hershey Medical Center Physicians Group
0.5 mi
Family Medicine
845 FISHBURN RD
Hershey, PA 17033
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 2,216 clinicians in this Medicare group
NPI 1538134234 (800) 243-1455

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 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.
84 services76 patients
Prosthetic repair of shoulder joint, total shoulder 23472
Total shoulder prosthetic repair is a surgical procedure to replace a damaged shoulder joint with artificial components. It aims to relieve pain and restore mobility. The procedure involves replacing the ball (humeral head) and socket (glenoid) of the shoulder joint.
26 services26 patients
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.
26 services24 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
25 services21 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.
14 services14 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.
11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Penn State Health Holy Spirit Medical Center

Acute Care Hospitals · Camp Hill, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390004
Location503 North 21st StreetCamp Hill, PA 17011 · Cumberland County
Emergency services

Penn State Health St. Joseph

Acute Care Hospitals · Reading, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390096
Location2500 Bernville RoadReading, PA 19605 · Berks County
Emergency services Birthing friendly

Milton S Hershey Medical Center

Acute Care Hospitals · Hershey, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390256
Location500 University DriveHershey, PA 17033 · Dauphin County
Emergency services Birthing friendly

Penn State Health Lancaster Medical Center

Acute Care Hospitals · Lancaster, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number390339
Location2160 State RoadLancaster, PA 17601 · Lancaster County
Emergency services Birthing friendly

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.

71.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality48.32
Promoting Interoperability100
Improvement Activities40
Cost57.63

Referred Medical Equipment & Supplies CMS DME claims

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

Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf L3670
DME-Orthotic Devices · category DF000N
1 supplier17 claims17 services$98.08 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 20

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

JOHN SPENCE REID MD
Surgery (Trauma Surgery)
30 HOPE DR STE 2400
HERSHEY, PA 17033
Dauphin County (717) 531-5638
MRS. REGAN KESSLER PA-C
Physician Assistant
30 HOPE DR STE 2400
HERSHEY, PA 17033
Dauphin County (800) 243-1455
LAUREN M MILLER PA-C
Physician Assistant
30 HOPE DR STE 2400
HERSHEY, PA 17033
Dauphin County (717) 531-5638
MATTHEW GERARD LEEN PA-C
Physician Assistant
30 HOPE DR STE 2400
HERSHEY, PA 17033
Dauphin County (717) 531-7123
NATHAN SCOTT LANHAM MD
Orthopaedic Surgery
30 HOPE DR STE 2400
HERSHEY, PA 17033
Dauphin County (717) 531-5638
PAUL J JULIANO MD
Orthopaedic Surgery
30 HOPE DR STE 2400
HERSHEY, PA 17033
Dauphin County (717) 531-5638
JANEL LYNN MAGUIRE PA-C
Physician Assistant
30 HOPE DR STE 2400
HERSHEY, PA 17033
Dauphin County (800) 243-1455
KARYN DIANE MILLER PA-C
Physician Assistant
30 HOPE DR STE 2400
HERSHEY, PA 17033
Dauphin County (717) 531-5638

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 Gary Updegrove's NPI number?

The NPI number for Gary Updegrove is 1518287010. It was assigned to this individual provider in the NPPES registry on June 7, 2010.

Where is Gary Updegrove located?

Gary Updegrove practices at 30 Hope Dr Ste 2400, Hershey, PA 17033. The listed phone number is (717) 531-5638.

What is Gary Updegrove's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Adult Reconstructive Orthopaedic Surgery, with taxonomy code 207XS0114X.

Is Gary Updegrove enrolled in Medicare?

Yes. Gary Updegrove 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 Gary Updegrove's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gary Updegrove reassigns Medicare benefits to The Milton S Hershey Medical Center Physicians Group (Hershey, 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 Gary Updegrove's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Gary Updegrove affiliated with any hospitals?

According to CMS data, Gary Updegrove is affiliated with Penn State Health Holy Spirit Medical Center, Penn State Health St. Joseph, Milton S Hershey Medical Center and Penn State Health Lancaster Medical Center.

When was this NPI record last updated?

The NPPES record for Gary Updegrove was last updated on October 16, 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.