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JAMES DRISCOLL GENDERNALIK D.O.
NPI 1720283633
Family Medicine in Saint Joseph, MI

Active since June 19, 2007Opted out of Medicare · through Oct 1, 2026
2500 NILES RD STE 1, 2ND FLOOR, SAINT JOSEPH, MI 49085(269) 429-5000 Get Directions Write a Review

NPPES record last updated: February 3, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About James Driscoll Gendernalik D.o. NPPES

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

JAMES DRISCOLL GENDERNALIK D.O. (NPI 1720283633) is an individual family medicine provider in Saint Joseph, Michigan, licensed in Michigan (5101017990) and active in the NPI registry since June 2007. He has opted out of Medicare through October 1, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1720283633
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJAMES DRISCOLL GENDERNALIKCredential: D.O.
Location Address2500 NILES RD STE 1, 2ND FLOORSaint Joseph, MI 49085-3225
Mailing Address2500 Niles Rd Ste 1Saint Joseph, MI 49085-3225 · (269) 429-5000
Phone(269) 429-5000
Sole ProprietorNo
Enumeration DateJune 19, 2007
Last NPPES UpdateFebruary 3, 2016
✔ NPI 1720283633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 5101017990
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2500 NILES RD STE 1, Saint Joseph, MI 49085
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

James Driscoll Gendernalik D.o. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2018 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2018
Opt-Out In Effect ThroughOctober 1, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49085 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

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
3 suppliers11 claims32 services$6.53 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 James Gendernalik's NPI number?

The NPI number for James Gendernalik is 1720283633. It was assigned to this individual provider in the NPPES registry on June 19, 2007.

Where is James Gendernalik located?

James Gendernalik practices at 2500 Niles Rd Ste 1 2nd Floor, Saint Joseph, MI 49085. The listed phone number is (269) 429-5000.

What is James Gendernalik's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is James Gendernalik enrolled in Medicare?

No. James Gendernalik has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for James Gendernalik was last updated on February 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.