GERARD TIBALLI DO
NPI 1912953761
Emergency Medicine in Amherst, NY

Q: What is Gerard Tiballi's NPI number?

The NPI number for Gerard Tiballi is 1912953761. It was assigned to this individual provider in the NPPES registry on May 25, 2006.

Q: What is Gerard Tiballi's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Gerard Tiballi was last updated on October 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 May 25, 2006PECOS EnrolledAccepts Medicare Assignment

3980 SHERIDAN DR, AMHERST, NY 14226(716) 729-2800(716) 929-2819 Get Directions Write a Review

NPPES record last updated: October 16, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Gerard Tiballi Do NPPES

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

GERARD TIBALLI DO (NPI 1912953761) is an individual emergency medicine provider in Amherst, New York, licensed in New York (176342) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of R Franklin University Of Med & Sci/chicago Medical School (1987).

NPPES Registry Identity

NPI1912953761

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameGERARD TIBALLICredential: DO

Location Address3980 SHERIDAN DRAmherst, NY 14226-1727

Mailing Address6 Fountain PlazaBuffalo, NY 14202-2211 · (716) 691-8838 · Fax (716) 204-4501

Phone(716) 729-2800

Fax(716) 929-2819

Sole ProprietorNo

Medical School CMSR Franklin University Of Med & Sci/chicago Medical SchoolGraduated 1987

Enumeration DateMay 25, 2006

Last NPPES UpdateOctober 16, 2014

✔ NPI 1912953761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in NY · 176342

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.

3980 SHERIDAN DR, Amherst, NY 14226

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Other Identifiers 2

Medicare PINCC4966NY

Medicaid01354049NY

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

Gerard Tiballi Do 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 ID7113067125

PECOS Enrollment IDI20091223000488

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 3

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.

23 services23 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

17 services17 patients

Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811

This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14226 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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.

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.

MS. CARRIE ANN KUGLER RPA-C

Physician Assistant

3980 SHERIDAN DR, SUITE 200
AMHERST, NY 14226

Erie County (716) 250-2000

SYDNEY GRABAU

Physician Assistant

3980 SHERIDAN DR, 6TH FLOOR
AMHERST, NY 14226

Erie County (716) 250-2000

KATHLEEN SHANNON

Social Worker (Clinical)