GARY ANTHONY SERRAVO PA-C
NPI 1679922777
Physician Assistant - Medical in Pueblo, CO

Q: What is Gary Serravo's NPI number?

The NPI number for Gary Serravo is 1679922777. It was assigned to this individual provider in the NPPES registry on June 9, 2016.

Q: What is Gary Serravo's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Gary Serravo was last updated on May 18, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 09, 2016PECOS EnrolledAccepts Medicare Assignment

400 W 16TH ST, PUEBLO, CO 81003(719) 584-4306(719) 584-4861 Get Directions Write a Review

NPPES record last updated: May 18, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 18, 2026, May 5, 2026 (2 updates tracked since 2026).

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About Gary Anthony Serravo Pa-c NPPES

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

GARY ANTHONY SERRAVO PA-C (NPI 1679922777) is an individual medical provider in Pueblo, Colorado, licensed in Colorado (PA.0004647) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with Box Butte General Hospital, and maintains a secondary practice location in Sacramento.

NPPES Registry Identity

NPI1679922777

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameGARY ANTHONY SERRAVOCredential: PA-C

Location Address400 W 16TH STPueblo, CO 81003-2745

Mailing Address400 W 16th StPueblo, CO 81003-2745 · (719) 584-4306 · Fax (719) 584-4861

Phone(719) 584-4306

Fax(719) 584-4861

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateJune 9, 2016

Last NPPES UpdateMay 18, 20262 updates tracked since enumeration

NPPES CertifiedMay 18, 2026

✔ NPI 1679922777 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

Licenses✔ Licensed in CO · PA.0004647✔ Licensed in NJ · 25MP00842600✔ Licensed in CA · 65676

400 W 16TH ST, Pueblo, CO 81003

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Secondary Practice Location 1

Location 12740 Fulton Ave Ste 220Sacramento, CA 95821-5186 · Phone (877) 782-8637 · Fax (908) 934-9564

Other Identifiers 1

Other0004647CO · Physician Assistant State Certification

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.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

Gary Anthony Serravo 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 ID3870889199

PECOS Enrollment IDI20240827004673, I20241004002527

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 6

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

64 services58 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.

49 services49 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

36 services31 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.

34 services34 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

17 services15 patients

Telephone medical discussion with physician, 5-10 minutes 99441

A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.

15 services15 patients

Hospital Affiliations CMS Care Compare

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

Box Butte General Hospital

Critical Access Hospitals · Alliance, NE

OwnershipGovernment - Local

CMS Certification Number281360

LocationP O Box 810, 2101 Box Butte AveAlliance, NE 69301 · Box Butte County

Emergency services

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.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers15 claims15 services$108.72 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

1 supplier11 claims11 services$38.18 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

MISS EMILY ANNE KEARNEY RDN

Dietitian, Registered