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

Active since April 03, 2006PECOS Enrolled
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: November 01, 2026.

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

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.

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
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 Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Gail Teresa Gerena Md 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

6

Medicare enrollment records show Gail Gerena reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mcleod Health Cheraw
133 mi
Nurse Anesthetist, Certified Registered
711 CHESTERFIELD HWY
Cheraw, SC 29520
  • Reassigned Medicare billing, South Carolina enrollment
  • 275 clinicians in this Medicare group
NPI 1275912974 (843) 537-7881
Robeson Hospitalist Group PLLC
136 mi
Hospitalist
300 W 27TH ST
Lumberton, NC 28358
  • Reassigned Medicare billing, North Carolina enrollment
  • 86 clinicians in this Medicare group
NPI 1336782507 (910) 671-5000
Mcleod Health Clarendon
171 mi
Rural Health
755 E SMITH ST
Timmonsville, SC 29161
  • Reassigned Medicare billing, South Carolina enrollment
  • 215 clinicians in this Medicare group
NPI 1003461773 (843) 346-3900
Usacs Integrated Acute Care Services Of North Carolina, PLLC
176 mi
Internal Medicine
1144 N ROAD ST
Elizabeth City, NC 27909
  • Reassigned Medicare billing, North Carolina enrollment
  • 176 clinicians in this Medicare group
NPI 1437869302 (252) 335-0531
Murphy Hospitalist Group, PLLC
285 mi
Hospitalist
3990 E US 64 ALT
Murphy, NC 28906
  • Reassigned Medicare billing, North Carolina enrollment
  • 28 clinicians in this Medicare group
NPI 1124768544 (828) 837-8161
Cogent Healthcare Of Georgia PC
353 mi
Internal Medicine
400 CHARTER BLVD
Macon, GA 31210
  • Reassigned Medicare billing, South Carolina enrollment
  • 268 clinicians in this Medicare group
NPI 1609827823 (478) 757-8200

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 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

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
142 S MAIN ST
DANVILLE, VA 24541
Danville City (434) 799-2225
CATHERINE MARIE FORTE OTR/L
Occupational Therapist
142 S MAIN ST
DANVILLE, VA 24541
Danville City (434) 799-2199
CASEY ALEXANDER MARSH PA-C
Physician Assistant
142 S MAIN ST
DANVILLE, VA 24541
Danville City (434) 799-2100
DR. DIANA DUONG DO
Internal Medicine
142 S MAIN ST
DANVILLE, VA 24541
Danville City (434) 799-2225
ALEX JOHN RAUSENBERGER
Student in an Organized Health Care Education/Training Program
142 S MAIN ST
DANVILLE, VA 24541
Danville City (434) 799-2100
MRS. AMANDA ESKEW RD
Dietitian, Registered
142 S MAIN ST
DANVILLE, VA 24541
Danville City (434) 799-2295
DR. STECKER TAM PIERSON MD
Internal Medicine
142 S MAIN ST
DANVILLE, VA 24541
Danville City (434) 799-2225
NURSE ANESTHESIA OF VIRGINIA PLLC
Nurse Anesthetist, Certified Registered
142 S MAIN ST, ANESTHESIA DEPT
DANVILLE, VA 24541
Danville City (434) 799-2375

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 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.

Where is Gail Gerena located?

Gail Gerena practices at 142 S Main St, Danville, VA 24541. The listed phone number is (434) 773-7961.

What is Gail Gerena's specialty?

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

Is Gail Gerena enrolled in Medicare?

Yes. Gail Gerena is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Gail Gerena's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gail Gerena reassigns Medicare benefits to 6 organizations: Mcleod Health Cheraw (Cheraw, SC), Robeson Hospitalist Group PLLC (Lumberton, NC), Mcleod Health Clarendon (Timmonsville, SC), Usacs Integrated Acute Care Services Of North Carolina, PLLC (Elizabeth City, NC), Murphy Hospitalist Group, PLLC (Murphy, NC) and 1 more organization, listed in the Medicare section above. 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 Gail Gerena's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gail Gerena accept?

Health plans from Cigna Healthcare list Gail Gerena 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 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.