JOHN P GERHOLD M.D.
NPI 1740291632
Radiology - Diagnostic Radiology in Denver, CO

Active since August 10, 2006PECOS EnrolledAccepts Medicare Assignment
83.81/100
CMS Quality Rating
938 BANNOCK ST, STE 300, DENVER, CO 80204(303) 914-8800(303) 716-3777 Get Directions Write a Review

NPPES record last updated: September 20, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1740291632
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameJOHN P GERHOLDCredential: M.D.
Location Address938 BANNOCK ST, STE 300Denver, CO 80204-4028
Mailing Address938 Bannock St, Ste 300Denver, CO 80204-4028 · (303) 914-8800 · Fax (303) 716-3777
Fax(303) 716-3777
Sole ProprietorYes
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 1977
Enumeration DateAugust 10, 2006
Last NPPES UpdateSeptember 20, 2022
NPPES CertifiedSeptember 20, 2022
NPI 1740291632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in CO · DR.0021976
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedRadiology · Nuclear RadiologyTaxonomy 2085N0904X · License 21976 (CO)
938 BANNOCK ST, Denver, CO 80204

Secondary Practice Location 1

Location 11746 Cole Blvd Ste 150Lakewood, CO 80401-3267 · Phone (303) 914-8800

Other Identifiers 1

Medicaid01219765CO

Accepted 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

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.

PECOS PAC ID4082519483
PECOS Enrollment IDI20031126000542
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 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.

Nuclear medicine study from skull base to mid-thigh with ct scan 78815
A nuclear medicine study from skull base to mid-thigh with a CT scan involves using a small amount of radioactive material and CT imaging to examine body tissues and organs. This helps detect any abnormalities by providing detailed images of the body's internal structure.
116 services108 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
62 services57 patients
Nuclear medicine studies of heart muscle at rest and with stress and spect 78452
Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.
51 services51 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.
49 services49 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.
47 services46 patients
X-ray of knee, 1-2 views 73560
An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.
45 services43 patients

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, MT
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number270017
Location400 S Clark StButte, MT 59701 · Silver Bow County
Emergency services Birthing friendly

Physician 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.

New Patient
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
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.

83.81/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.28
Improvement Activities40
Cost67.44

Reported Quality Measures

Nuclear Medicine: Correlation with Existing Imaging Studies for All Patients Undergoing Bone Scintigraphy
Percentage of final reports for all patients, regardless of age, undergoing bone scintigraphy that include physician documentation of correlation with existing relevant imaging studies (e.g., x-ray, MRI, CT, etc.) that were performed
100%37 patients
Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques
Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size -…
100%129 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Radiology (Vascular & Interventional Radiology)
938 BANNOCK ST, STE 300
DENVER, CO 80204
Radiology (Diagnostic Radiology)
938 BANNOCK ST, STE. 300
DENVER, CO 80204
Radiology (Body Imaging)
938 BANNOCK ST, STE 300
DENVER, CO 80204
Radiology (Nuclear Radiology)
938 BANNOCK ST, STE 300
DENVER, CO 80204
Radiology (Diagnostic Radiology)
938 BANNOCK ST, STE 300
DENVER, CO 80204
Radiology (Diagnostic Radiology)
938 BANNOCK ST, STE 300
DENVER, CO 80204
Radiologic Technologist
938 BANNOCK ST, STE 300
DENVER, CO 80204
Radiologic Technologist
938 BANNOCK ST, STE 300
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.

What insurance does John Gerhold accept?

Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP 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 3 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.