KERRY GOMULKA PA
NPI 1639126162
Physician Assistant in Goshen, NY

Active since May 30, 2006PECOS EnrolledAccepts Medicare Assignment
81.03/100
CMS Quality Rating
30 HATFIELD LN, SUITE 101, GOSHEN, NY 10924(845) 294-2733(845) 294-6486 Get Directions Write a Review

NPPES record last updated: September 26, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kerry Gomulka Pa NPPES

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

KERRY GOMULKA PA (NPI 1639126162) is an individual physician assistant in Goshen, New York, licensed in New York (010206-1) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Garnet Health Medical Center, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1639126162
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKERRY GOMULKACredential: PA
Location Address30 HATFIELD LN, SUITE 101Goshen, NY 10924-6766
Mailing Address2 Coates DrGoshen, NY 10924-6758 · (845) 651-1400 · Fax (845) 651-1512
Fax(845) 294-6486
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateMay 30, 2006
Last NPPES UpdateSeptember 26, 2012
NPI 1639126162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NY · 010206-1
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
30 HATFIELD LN, Goshen, NY 10924

Other Names 1

Former Name (1)Kerry Noetzel Pa

Other Identifiers 2

Medicare UPINQ78333NY
Medicare PIN8352L1L663

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

Kerry Gomulka Pa 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 ID8224134085
PECOS Enrollment IDI20070511000012
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 4

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.
137 services116 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.
35 services33 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
28 services28 patients
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635
This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.
17 services16 patients

Hospital Affiliations CMS Care Compare 3

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

Garnet Health Medical Center

Acute Care Hospitals · Middletown, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330126
Location707 East Main StreetMiddletown, NY 10940 · Orange County
Emergency services Birthing friendly

Bon Secours Community Hospital

Acute Care Hospitals · Port Jervis, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330135
Location160 East Main StreetPort Jervis, NY 12771 · Orange County
Emergency services

St Anthony Community Hospital

Acute Care Hospitals · Warwick, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330205
Location15 Maple Avenue -19Warwick, NY 10990 · Orange County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10924 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
$95.99 typical visit price
range $61.88 – $187.05
Typical copayment $23.99 (range $15.47 – $46.76)
Most-billed visit code 99203
Established Patient
$76.88 typical visit price
range $19.92 – $151.94
Typical copayment $19.22 (range $4.98 – $37.98)
Most-billed visit code 99213
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.

81.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.76
Promoting Interoperability82
Improvement Activities40
Cost69.03

Referred Medical Equipment & Supplies CMS DME claims 2

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers16 claims32 services$5.34 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$206.79 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.

Physical Therapist
30 HATFIELD LN, SUITE 201
GOSHEN, NY 10924
Physical Therapist
30 HATFIELD LN, SUITE 201
GOSHEN, NY 10924
Chiropractor
30 HATFIELD LN, SUITE 101
GOSHEN, NY 10924
Physical Therapist
30 HATFIELD LN, SUITE 203
GOSHEN, NY 10924
Nurse Practitioner (Family)
30 HATFIELD LN, SUITE 105
GOSHEN, NY 10924
Internal Medicine (Nephrology)
30 HATFIELD LN, SUITE 208
GOSHEN, NY 10924
Internal Medicine (Nephrology)
30 HATFIELD LN, SUITE 208
GOSHEN, NY 10924
Nurse Practitioner (Adult Health)
30 HATFIELD LN, SUITE 101
GOSHEN, NY 10924

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 Kerry Gomulka's NPI number?

The NPI number for Kerry Gomulka is 1639126162. It was assigned to this individual provider in the NPPES registry on May 30, 2006. The provider is also known as Kerry Noetzel PA.

Where is Kerry Gomulka located?

Kerry Gomulka practices at 30 Hatfield Ln Suite 101, Goshen, NY 10924. The listed phone number is (845) 294-2733.

What is Kerry Gomulka's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kerry Gomulka enrolled in Medicare?

Yes. Kerry Gomulka 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.

Is Kerry Gomulka affiliated with any hospitals?

According to CMS data, Kerry Gomulka is affiliated with Garnet Health Medical Center, Bon Secours Community Hospital and St Anthony Community Hospital.

When was this NPI record last updated?

The NPPES record for Kerry Gomulka was last updated on September 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.