HELEN GWENDOLYN GERHARD N.P.
NPI 1750547345
Nurse Practitioner - Adult Health in Troy, OH

Active since August 02, 2008PECOS Enrolled
90.54/100
CMS Quality Rating
3130 N COUNTY ROAD 25A, TROY, OH 45373(937) 440-4466(937) 440-4470 Get Directions Write a Review

NPPES record last updated: December 12, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Helen Gwendolyn Gerhard N.p. NPPES

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

HELEN GWENDOLYN GERHARD N.P. (NPI 1750547345) is an individual adult health provider in Troy, Ohio, licensed in Ohio (321336) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750547345
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameHELEN GWENDOLYN GERHARDCredential: N.P.
Location Address3130 N COUNTY ROAD 25ATroy, OH 45373-1337
Mailing Address3130 N County Road 25aTroy, OH 45373-1337 · (937) 440-4466 · Fax (937) 440-4470
Fax(937) 440-4470
Sole ProprietorNo
Enumeration DateAugust 2, 2008
Last NPPES UpdateDecember 12, 2013
✔ NPI 1750547345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in OH · 321336
3130 N COUNTY ROAD 25A, Troy, OH 45373

Other Identifiers 2

Medicaid3014008OH
Medicare PINNP28551OH

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Helen Gwendolyn Gerhard N.p. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

5

Medicare enrollment records show Helen Gerhard reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
3130 N COUNTY ROAD 25A
Troy, OH 45373
  • Reassigned Medicare billing, Ohio enrollment
  • 405 clinicians in this Medicare group
7.4 mi
Family Medicine
55 ELVA CT
Vandalia, OH 45377
  • Reassigned Medicare billing, Ohio enrollment
  • 744 clinicians in this Medicare group
Family Medicine
1530 NEEDMORE RD, SUITE 200
Dayton, OH 45414
  • Reassigned Medicare billing, Ohio enrollment
  • 151 clinicians in this Medicare group
Hospitalist
1 WYOMING ST
Dayton, OH 45409
  • Reassigned Medicare billing, Ohio enrollment
  • 270 clinicians in this Medicare group
Hospitalist
1 MEDICAL CENTER DR
Middletown, OH 45005
  • Reassigned Medicare billing, Ohio enrollment
  • 263 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45373 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $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.

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.

90.54/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.73
Promoting Interoperability100
Improvement Activities40
Cost87.75

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.

Nurse Practitioner (Psychiatric/Mental Health)
3130 N COUNTY ROAD 25A
TROY, OH 45373
Clinical Nurse Specialist (Adult Health)
3130 N COUNTY ROAD 25A, CANCER CARE CENTER
TROY, OH 45373
Family Medicine
3130 N COUNTY ROAD 25A
TROY, OH 45373
Nurse Practitioner (Family)
3130 N COUNTY ROAD 25A
TROY, OH 45373
Nurse Anesthetist, Certified Registered
3130 N COUNTY ROAD 25A
TROY, OH 45373
Social Worker
3130 N COUNTY ROAD 25A
TROY, OH 45373
Home Health
3130 N COUNTY ROAD 25A
TROY, OH 45373
Pharmacist
3130 N COUNTY ROAD 25A
TROY, OH 45373

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 Helen Gerhard's NPI number?

The NPI number for Helen Gerhard is 1750547345. It was assigned to this individual provider in the NPPES registry on August 2, 2008.

Where is Helen Gerhard located?

Helen Gerhard practices at 3130 N County Road 25A, Troy, OH 45373. The listed phone number is (937) 440-4466.

What is Helen Gerhard's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Helen Gerhard enrolled in Medicare?

Yes. Helen Gerhard is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Helen Gerhard's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Helen Gerhard reassigns Medicare benefits to 5 organizations: Upper Valley Professional Corporation (Troy, OH), Mvhe Inc (Vandalia, OH), Samaritan Family Care Inc (Dayton, OH), Sinclair Physician Services, LLC (Dayton, OH) and Hisey Physician Services, LLC (Middletown, OH). 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 Helen Gerhard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Helen Gerhard accept?

Health plans from CareSource list Helen Gerhard 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.

When was this NPI record last updated?

The NPPES record for Helen Gerhard was last updated on December 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.