MS. GAIL TERESA GERENA MD
NPI 1942262373
Internal Medicine in Danville, VA

Q: What is Gail Gerena's NPI number?

The NPI number for Gail Gerena is 1942262373. It was assigned to this individual provider in the NPPES registry on April 3, 2006.

Q: What is Gail Gerena's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Gail Gerena was last updated on March 7, 2023. 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.

Active since April 03, 2006PECOS EnrolledAccepts Medicare Assignment

142 S MAIN ST, DANVILLE, VA 24541(434) 773-7961(434) 799-4408 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 7, 2023, Jun 19, 2019 (2 updates tracked since 2019).

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About Ms. Gail Teresa Gerena Md NPPES

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

MS. GAIL TERESA GERENA MD (NPI 1942262373) is an individual internal medicine provider in Danville, Virginia, licensed in North Carolina (2010-01243) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, is affiliated with Mcleod Health Clarendon, and is a graduate of Icahn School Of Medicine At Mount Sinai (1978).

NPPES Registry Identity

NPI1942262373

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameMS. GAIL TERESA GERENACredential: MD

Location Address142 S MAIN STDanville, VA 24541-2922

Mailing Address142 S Main StDanville, VA 24541-2922 · (434) 773-7961

Phone(434) 773-7961

Fax(434) 799-4408

Sole ProprietorNo

Medical School CMSIcahn School Of Medicine At Mount SinaiGraduated 1978

Enumeration DateApril 3, 2006

Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration

✔ NPI 1942262373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in NC · 2010-01243

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedInternal Medicine · Infectious DiseaseTaxonomy 207RI0200X · License 0101234920 (VA)

142 S MAIN ST, Danville, VA 24541

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Other Identifiers 1

Medicaid010238706VA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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

Ms. Gail Teresa Gerena Md 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 ID5597752642

PECOS Enrollment IDI20121008000423

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 2

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

35 services20 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

17 services17 patients

Hospital Affiliations CMS Care Compare

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

Mcleod Health Clarendon

Acute Care Hospitals · Manning, SC

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420109

Location10 East Hospital StreetManning, SC 29102 · Clarendon County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24541 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

$129.04 typical visit price

range $56.19 – $170.30

Typical copayment $32.26 (range $14.04 – $42.57)

Most-billed visit code 99204

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

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.

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

95%192 patients4/55-star benchmark: 100%

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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walker, heavy duty, wheeled, rigid or folding, any type E0149

DME-Other DME · category DE000N

2 suppliers13 claims13 services$12.04 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers24 claims24 services$17.82 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

1 supplier14 claims14 services$921.10 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers24 claims24 services$102.49 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.

DR. KIMAYA RYAN COUNCIL MD

Family Medicine