JOHN P GERHOLD M.D.
NPI 1740291632
Radiology - Diagnostic Radiology in Denver, CO
About John P Gerhold M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN P GERHOLD M.D. (NPI 1740291632) is an individual diagnostic radiology provider in Denver, Colorado, licensed in Colorado (DR.0021976) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with St James Healthcare, and maintains a secondary practice location in Lakewood.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
John P Gerhold 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.
Medicare Billing Reassignments
4Medicare enrollment records show John Gerhold reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Denver, CO 80247
- Reassigned Medicare billing, Colorado enrollment
- Medicare enrollment name: Colorado Permanente Medical Group PC
- 1,715 clinicians in this Medicare group
Lakewood, CO 80401
- Reassigned Medicare billing, Colorado enrollment
- 70 clinicians in this Medicare group
Brighton, CO 80601
- Reassigned Medicare billing, Colorado enrollment
- 82 clinicians in this Medicare group
Dillon, CO 80435
- Reassigned Medicare billing, Colorado enrollment
- 194 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 20
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St James Healthcare
Acute Care Hospitals · Butte, MTPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 80204 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
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.
DENVER, CO 80204
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 John Gerhold's NPI number?
The NPI number for John Gerhold is 1740291632. It was assigned to this individual provider in the NPPES registry on August 10, 2006.
Where is John Gerhold located?
John Gerhold practices at 938 Bannock St Ste 300, Denver, CO 80204. The listed phone number is (303) 914-8800.
What is John Gerhold's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is John Gerhold enrolled in Medicare?
Yes. John Gerhold 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.
Which organizations bill Medicare for John Gerhold's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Gerhold reassigns Medicare benefits to 4 organizations: Colorado Permanente Medical Group, P.C. (Denver, CO), Diversified Radiology Of Colorado, Inc (Lakewood, CO), Spectrum Medical Imaging, LLC (Brighton, CO) and Vail Clinic Inc (Dillon, CO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Gerhold's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Gerhold accept?
Health plans from Blue Cross and Blue Shield of Montana, Oscar Health and Oscar Insurance Company list John Gerhold 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 John Gerhold affiliated with any hospitals?
According to CMS data, John Gerhold is affiliated with St James Healthcare.
When was this NPI record last updated?
The NPPES record for John Gerhold was last updated on September 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# John P Gerhold, M.D. · NPI 1740291632
Diagnostic Radiology physician in Denver, Colorado. Individual provider, active in the CMS NPPES registry since August 10, 2006.
## Identity
- **NPI:** 1740291632 (Entity type: Individual)
- **Enumerated:** August 10, 2006
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **State license:** DR.0021976 (Colorado)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 938 BANNOCK ST, STE 300, Denver, CO 80204-4028
- **Phone:** (303) 914-8800 · **Fax:** (303) 716-3777
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Colorado Permanente Medical Group, P.C. (NPI 1760599724, Denver, CO); Diversified Radiology Of Colorado, Inc (NPI 1205923596, Lakewood, CO); Spectrum Medical Imaging, LLC (NPI 1164881652, Brighton, CO); Vail Clinic Inc (NPI 1043884208, Dillon, CO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Northwestern University Feinberg Medical School, class of 1977
## Record status
- **NPPES last updated:** September 20, 2022
- **Other identifiers:** Medicaid 01219765 (CO)
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Source: [NPI Profile](https://npiprofile.com/npi/1740291632) · Data from the CMS NPPES public registry.