DR. RAYMOND GATZKE M.D.
NPI 1831630128
Family Medicine in Ligonier, PA

Q: What is Raymond Gatzke's NPI number?

The NPI number for Raymond Gatzke is 1831630128. It was assigned to this individual provider in the NPPES registry on March 20, 2017.

Q: What is Raymond Gatzke's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Raymond Gatzke was last updated on April 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since March 20, 2017PECOS EnrolledAccepts Medicare Assignment

117 W WELLINGTON ALY, LIGONIER, PA 15658(724) 238-6668(724) 238-6080 Get Directions Write a Review

NPPES record last updated: April 16, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 16, 2021, Mar 20, 2017 (2 updates tracked since 2017).

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About Dr. Raymond Gatzke M.d. NPPES

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

DR. RAYMOND GATZKE M.D. (NPI 1831630128) is an individual family medicine provider in Ligonier, Pennsylvania, licensed in Pennsylvania (MD473370) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Excela Health Westmoreland Regional Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1831630128

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. RAYMOND GATZKECredential: M.D.

Location Address117 W WELLINGTON ALYLigonier, PA 15658-6201

Mailing Address117 W Wellington Aly Fl 2Ligonier, PA 15658-6201 · (724) 238-6668 · Fax (724) 238-6080

Phone(724) 238-6668

Fax(724) 238-6080

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateMarch 20, 2017

Last NPPES UpdateApril 16, 20212 updates tracked since enumeration

NPPES CertifiedApril 16, 2021

✔ NPI 1831630128 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 PA · MD473370

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

117 W WELLINGTON ALY, Ligonier, PA 15658

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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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Raymond Gatzke 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 ID8123396645

PECOS Enrollment IDI20210420001694

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 Reassignment

Medicare enrollment records show Raymond Gatzke reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Excela Health Physician Practices, Inc.

Same address

Rehabilitation Practitioner

117 W WELLINGTON ALY
Ligonier, PA 15658

Reassigned Medicare billing, Pennsylvania enrollment
669 clinicians in this Medicare group

NPI 1497200828 (724) 995-8815

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 8

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

208 services124 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

91 services91 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

73 services58 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

19 services16 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

15 services15 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Excela Health Westmoreland Regional Hospital

Acute Care Hospitals · Greensburg, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number390145

Location532 West Pittsburgh StreetGreensburg, PA 15601 · Westmoreland County

Emergency services Birthing friendly

Excela Health Latrobe Hospital

Acute Care Hospitals · Latrobe, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390219

LocationOne Mellon WayLatrobe, PA 15650 · Westmoreland County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15658 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

1 supplier11 claims11 services$185.12 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

ORLANDO DANIEL HARVARD

Physical Therapist