EDGAR BONCHITA GANTALAO M.D.
NPI 1649200411
Psychiatry & Neurology - Psychiatry in Du Bois, PA

Q: What is Edgar Gantalao's NPI number?

The NPI number for Edgar Gantalao is 1649200411. It was assigned to this individual provider in the NPPES registry on July 4, 2006.

Q: What is Edgar Gantalao's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Edgar Gantalao was last updated on September 6, 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.

Active since July 04, 2006PECOS EnrolledAccepts Medicare Assignment

96.56/100

CMS Quality Rating

635 MAPLE AVE, DU BOIS, PA 15801(814) 375-6379(814) 375-9320 Get Directions Write a Review

NPPES record last updated: September 6, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Edgar Bonchita Gantalao M.d. NPPES

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

EDGAR BONCHITA GANTALAO M.D. (NPI 1649200411) is an individual psychiatry provider in Du Bois, Pennsylvania, licensed in Pennsylvania (MD418498) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Penn Highlands Dubois, and is a graduate of Other (1980).

NPPES Registry Identity

NPI1649200411

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameEDGAR BONCHITA GANTALAOCredential: M.D.

Location Address635 MAPLE AVEDu Bois, PA 15801-2376

Mailing Address100 Hospital AveDu Bois, PA 15801-1440 · (814) 375-6379 · Fax (814) 375-9320

Phone(814) 375-6379

Fax(814) 375-9320

Sole ProprietorNo

Medical School CMSOtherGraduated 1980

Enumeration DateJuly 4, 2006

Last NPPES UpdateSeptember 6, 2012

✔ NPI 1649200411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in PA · MD418498

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

635 MAPLE AVE, Du Bois, PA 15801

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Other Identifiers 4

Medicare ID-Type Unspecified063225HSUPA

Other001424280PA · Highmark Bc/bs

Medicaid0019070610006PA

Medicare UPINH73764PA

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

Edgar Bonchita Gantalao M.d. 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 ID9638361355

PECOS Enrollment IDI20101012001333

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.

337 services46 patients

Psychiatric diagnostic evaluation with medical services 90792

A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.

37 services34 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.

16 services16 patients

Hospital Affiliations CMS Care Compare

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

Penn Highlands Dubois

Acute Care Hospitals · Dubois, PA

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number390086

Location100 Hospital AvenueDubois, PA 15801 · Clearfield County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15801 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

$166.87 typical visit price

range $54.64 – $166.87

Typical copayment $41.71 (range $13.66 – $41.71)

Most-billed visit code 99205

Established Patient

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

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.

96.56/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

95.96

Improvement Activities

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.

LANCE THOMPSON PA

Physician Assistant

635 MAPLE AVE
DU BOIS, PA 15801

Clearfield County (814) 375-6379

SANAA HELMI MD

Psychiatry & Neurology (Child & Adolescent Psychiatry)

635 MAPLE AVE, 3RD FLOOR
DU BOIS, PA 15801

Clearfield County (814) 375-6379

BOHDAN N HRECZNYJ MD

Psychiatry & Neurology (Psychiatry)

635 MAPLE AVE
DU BOIS, PA 15801

Clearfield County (814) 375-6379

KAY S. YEAGER

Social Worker

635 MAPLE AVE
DU BOIS, PA 15801

Clearfield County (814) 375-3528

BETH AIELLO GOLDBACH MS, R.D., L.D.

Dietitian, Registered

635 MAPLE AVE
DU BOIS, PA 15801

Clearfield County (814) 375-6161

MS. KATHLEEN WALSH LPC

Counselor (Professional)

635 MAPLE AVE
DU BOIS, PA 15801

Clearfield County (814) 375-6379

CLEARFIELD-JEFFERSON CMHC

Clinic/Center (Mental Health (Including Community Mental Health Center))

635 MAPLE AVE
DU BOIS, PA 15801

Clearfield County (814) 371-1100

ONCOLOGY HEMATOLOGY ASSOCIATES OF NORTHERN PA, PC

Internal Medicine (Hematology & Oncology)

635 MAPLE AVE
DU BOIS, PA 15801

Clearfield County (814) 375-6379

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 Edgar Gantalao's NPI number?

The NPI number for Edgar Gantalao is 1649200411. It was assigned to this individual provider in the NPPES registry on July 4, 2006.

Where is Edgar Gantalao located?

Edgar Gantalao practices at 635 Maple Ave, Du Bois, PA 15801. The listed phone number is (814) 375-6379.

What is Edgar Gantalao's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Edgar Gantalao enrolled in Medicare?

Yes. Edgar Gantalao 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 Edgar Gantalao affiliated with any hospitals?

According to CMS data, Edgar Gantalao is affiliated with Penn Highlands Dubois.

When was this NPI record last updated?

The NPPES record for Edgar Gantalao was last updated on September 6, 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.