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MS. KATIE GAD PA-C
NPI 1538404058
Physician Assistant - Medical in Wilkes Barre, PA

Active since December 10, 2012PECOS EnrolledAccepts Medicare Assignment
90.34/100
CMS Quality Rating
150 MUNDY ST, MAC IV BUILDING, WILKES BARRE, PA 18702(570) 824-0930(570) 824-7755 Get Directions Write a Review

NPPES record last updated: February 20, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 20, 2019, Nov 8, 2016 (2 updates tracked since 2016).

About Ms. Katie Gad Pa-c NPPES

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

MS. KATIE GAD PA-C (NPI 1538404058) is an individual medical provider in Wilkes Barre, Pennsylvania, licensed in Pennsylvania (MA055830) and active in the NPI registry since December 2012. She is enrolled in Medicare PECOS, is affiliated with Wilkes-barre General Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1538404058
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMS. KATIE GADCredential: PA-C
Location Address150 MUNDY ST, MAC IV BUILDINGWilkes Barre, PA 18702-6830
Mailing Address150 Mundy St, Mac Iv BuildingWilkes Barre, PA 18702-6830 · (570) 824-0930 · Fax (570) 824-7755
Phone(570) 824-0930
Fax(570) 824-7755
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateDecember 10, 2012
Last NPPES UpdateFebruary 20, 20192 updates tracked since enumeration
✔ NPI 1538404058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in PA · MA055830
150 MUNDY ST, Wilkes Barre, PA 18702
Open in Google Maps ↗

Other Identifiers 2

Medicaid103201524-0001PA
Other50127965PA · Capital Blue Cross

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of 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

Ms. Katie Gad Pa-c 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 ID6103070057
PECOS Enrollment IDI20130131000389
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 5

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.

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.
263 services247 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
206 services163 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.
126 services108 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
116 services111 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
27 services27 patients

Hospital Affiliations CMS Care Compare

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

Wilkes-Barre General Hospital

Acute Care Hospitals · Wilkes-Barre, PA
1/5 CMS rating
OwnershipProprietary
CMS Certification Number390137
Location575 North River StreetWilkes-Barre, PA 18764 · Luzerne County
Emergency services

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.

90.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.69
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 9

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

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
2 suppliers40 claims40 services$43.48 avg. paid by Medicare
Commode chair, mobile or stationary, with fixed arms E0163
DME-Other DME · category DE000N
1 supplier12 claims12 services$44.97 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier79 claims79 services$35.22 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier31 claims31 services$13.09 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier11 claims11 services$916.41 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers24 claims24 services$2.78 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.

MS. MARY ELLEN MCCORMICK CRNP
Nurse Practitioner
150 MUNDY ST, MAC IV BUILDING
WILKES BARRE, PA 18702
Luzerne County (570) 824-0930
JOHN A. KLINE M.D.
Physical Medicine & Rehabilitation
150 MUNDY ST
WILKES BARRE, PA 18702
Luzerne County (570) 824-0930
MID-STATE OCCUPATIONAL HEALTH SERVICES, INC.
Clinic/Center (Occupational Medicine)
150 MUNDY ST, MAC 1
WILKES BARRE, PA 18702
Luzerne County (570) 970-2300
AMERICAN HOMECARE SUPPLY CO
Durable Medical Equipment & Medical Supplies
150 MUNDY ST, MAC IV BUILDING
WILKES BARRE, PA 18702
Luzerne County (570) 825-7600
JOHN HEINZ INSTITUTE OF REHABILITATION MEDICINE
Rehabilitation Hospital
150 MUNDY ST
WILKES BARRE, PA 18702
Luzerne County (570) 826-3800
DENISE ANN ZAVADA L.C.S.W.
Social Worker (Clinical)
150 MUNDY ST
WILKES BARRE, PA 18702
Luzerne County (570) 830-4207
KELLY MONICA GAZEY PT
Physical Therapist
150 MUNDY ST
WILKES BARRE, PA 18702
Luzerne County (570) 826-3800
GREGORY G. BASTING M.D.
Physical Medicine & Rehabilitation
150 MUNDY ST
WILKES BARRE, PA 18702
Luzerne County (570) 824-0930

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 Katie Gad's NPI number?

The NPI number for Katie Gad is 1538404058. It was assigned to this individual provider in the NPPES registry on December 10, 2012.

Where is Katie Gad located?

Katie Gad practices at 150 Mundy St Mac IV Building, Wilkes Barre, PA 18702. The listed phone number is (570) 824-0930.

What is Katie Gad's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Katie Gad enrolled in Medicare?

Yes. Katie Gad 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 Katie Gad accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Katie Gad 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 Katie Gad affiliated with any hospitals?

According to CMS data, Katie Gad is affiliated with Wilkes-Barre General Hospital.

When was this NPI record last updated?

The NPPES record for Katie Gad was last updated on February 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.