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DR. GERALD M O'NEILL MD
NPI 1730334277
Emergency Medicine in Philadelphia, PA

Active since November 25, 2008PECOS EnrolledAccepts Medicare Assignment
85.48/100
CMS Quality Rating
51 N 39TH STREET, PRESBYTERIAN MEDICAL CENTER, PHILADELPHIA, PA 19104(215) 662-6963 Get Directions Write a Review

NPPES record last updated: November 28, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Gerald M O'neill Md NPPES

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

DR. GERALD M O'NEILL MD (NPI 1730334277) is an individual emergency medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD435512) and active in the NPI registry since November 2008. He is enrolled in Medicare PECOS, is affiliated with Penn Presbyterian Medical Center, and is a graduate of Tufts University School Of Medicine (2006).

NPPES Registry Identity

NPI1730334277
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. GERALD M O'NEILLCredential: MD
Location Address51 N 39TH STREET, PRESBYTERIAN MEDICAL CENTERPhiladelphia, PA 19104-2640
Mailing Address51 N. 39th StreetPhiladelphia, PA 19104-2640 · (215) 662-8214
Phone(215) 662-6963
Sole ProprietorYes
Medical School CMSTufts University School Of MedicineGraduated 2006
Enumeration DateNovember 25, 2008
Last NPPES UpdateNovember 28, 2011
✔ NPI 1730334277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in PA · MD435512
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
51 N 39TH STREET, Philadelphia, PA 19104
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Dr. Gerald M O'neill Md 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 ID5597816421
PECOS Enrollment IDI20090706000319
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.

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.
73 services72 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.
71 services71 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
25 services25 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Penn Presbyterian Medical Center

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390223
Location51 North 39th StreetPhiladelphia, PA 19104 · Philadelphia County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

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.

85.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.6
Promoting Interoperability100
Improvement Activities40

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.

JOSE MARIO QUINONEZ MD
Internal Medicine
51 N 39TH STREET, PPMC, DEPARTMENT OF MEDICINE
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-8989
KEIRY GRESELDA RODRIGUEZ MD
Emergency Medicine
51 N 39TH STREET
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-8214
DR. SUZANA LUIZA TSAO DO
Emergency Medicine
51 N 39TH STREET
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-8214
JOAN M O'BRIEN MD
Ophthalmology
51 N 39TH STREET, SCHEIE EYE INSTITUTE
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-8100
JOSHUA L DUNAIEF MD
Ophthalmology
51 N 39TH STREET, SCHEIE EYE INSTITUTE
PHILADELPHIA, PA 19104
Philadelphia County (215) 614-4100
MONIQUE CAROLE ARNOLD MD
Emergency Medicine
51 N 39TH STREET, DIVISION OF CLINICAL INFORMATICS (PEDIATRICS)
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-8214
PENN PRESBYTERIAN MEDICAL CENTER OF THE UNIVERSITY OF PENNSYLVANIA HEA
Pharmacy (Specialty Pharmacy)
51 N 39TH STREET, MUTCH BUILDING-OUTPATIENT PHARMACY
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-9496
COLIN FISHER DO
Emergency Medicine
51 N 39TH STREET
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-8214

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 Gerald O'neill's NPI number?

The NPI number for Gerald O'neill is 1730334277. It was assigned to this individual provider in the NPPES registry on November 25, 2008.

Where is Gerald O'neill located?

Gerald O'neill practices at 51 N 39th Street Presbyterian Medical Center, Philadelphia, PA 19104. The listed phone number is (215) 662-6963.

What is Gerald O'neill's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Gerald O'neill enrolled in Medicare?

Yes. Gerald O'neill 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.

What insurance does Gerald O'neill accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Gerald O'neill as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Gerald O'neill affiliated with any hospitals?

According to CMS data, Gerald O'neill is affiliated with Penn Presbyterian Medical Center.

When was this NPI record last updated?

The NPPES record for Gerald O'neill was last updated on November 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.