MRS. HEATHER MICHELLE GERKEN PA C
NPI 1679856744
Physician Assistant in Baltimore, MD

Active since September 24, 2011PECOS EnrolledAccepts Medicare Assignment
95.99/100
CMS Quality Rating
5601 LOCH RAVEN BLVD, BALTIMORE, MD 21239(443) 444-8000 Get Directions Write a Review

NPPES record last updated: November 4, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 4, 2016, Oct 27, 2016 (2 updates tracked since 2016).

About Mrs. Heather Michelle Gerken Pa C NPPES

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

MRS. HEATHER MICHELLE GERKEN PA C (NPI 1679856744) is an individual physician assistant in Baltimore, Maryland, licensed in Maryland (C04580) and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1679856744
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. HEATHER MICHELLE GERKENCredential: PA C
Location Address5601 LOCH RAVEN BLVDBaltimore, MD 21239-2905
Mailing AddressPo Box 418283Boston, MA 02241-8283 · (703) 558-1544
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateSeptember 24, 2011
Last NPPES UpdateNovember 4, 20162 updates tracked since enumeration
NPI 1679856744 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 MD · C04580
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.
5601 LOCH RAVEN BLVD, Baltimore, MD 21239

Other Names 1

Former Name (1)Heather Michelle Roberts Pa C

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

Mrs. Heather Michelle Gerken 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 ID547433831
PECOS Enrollment IDI20111102000160, I20210920003465
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 17

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 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.
179 services174 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
74 services73 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.
55 services53 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
54 services54 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
53 services52 patients
Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19), influenza virus types a and b, and respiratory syncytial virus 87637
This test identifies if you have COVID-19, influenza A or B, or respiratory syncytial virus. It uses a multiplex amplified probe technique, which amplifies and detects specific genetic material of the viruses, helping in accurate diagnosis.
53 services52 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21239 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
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.

95.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.48
Promoting Interoperability100
Improvement Activities40
Cost74.87

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.

Physician Assistant
5601 LOCH RAVEN BLVD, BALTIMORE
BALTIMORE, MD 21239
Anesthesiology
5601 LOCH RAVEN BLVD
BALTIMORE, MD 21239
Internal Medicine
5601 LOCH RAVEN BLVD
BALTIMORE, MD 21239
Internal Medicine (Geriatric Medicine)
5601 LOCH RAVEN BLVD
BALTIMORE, MD 21239
Nurse Practitioner
5601 LOCH RAVEN BLVD
BALTIMORE, MD 21239
Psychiatry & Neurology (Psychiatry)
5601 LOCH RAVEN BLVD, RMB 406
BALTIMORE, MD 21239
Emergency Medicine
5601 LOCH RAVEN BLVD
BALTIMORE, MD 21239
Registered Nurse (Gerontology)
5601 LOCH RAVEN BLVD
BALTIMORE, MD 21239

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 Heather Gerken's NPI number?

The NPI number for Heather Gerken is 1679856744. It was assigned to this individual provider in the NPPES registry on September 24, 2011. The provider is also known as Heather Michelle Roberts PA C.

Where is Heather Gerken located?

Heather Gerken practices at 5601 Loch Raven Blvd, Baltimore, MD 21239. The listed phone number is (443) 444-8000.

What is Heather Gerken's specialty?

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

Is Heather Gerken enrolled in Medicare?

Yes. Heather Gerken 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.

When was this NPI record last updated?

The NPPES record for Heather Gerken was last updated on November 4, 2016. 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.