DR. GREGORY JOHN FULCHIERO JR. M.D., M.S.
NPI 1942414115
Dermatology - MOHS-Micrographic Surgery in Altoona, PA

Active since May 09, 2007PECOS EnrolledAccepts Medicare Assignment
77.46/100
CMS Quality Rating
2525 9TH AVE STE 2A, ALTOONA, PA 16602(814) 943-7546(814) 943-7543 Get Directions Write a Review

NPPES record last updated: January 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Gregory John Fulchiero Jr. M.d., M.s. NPPES

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

DR. GREGORY JOHN FULCHIERO JR. M.D., M.S. (NPI 1942414115) is an individual mohs-micrographic surgery provider in Altoona, Pennsylvania, licensed in Pennsylvania (MD432947) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Upmc Altoona, and is a graduate of Temple University School Of Medicine (2003).

NPPES Registry Identity

NPI1942414115
Entity TypeIndividualMale
Primary Taxonomy207ND0101X
Provider Legal NameDR. GREGORY JOHN FULCHIERO JR.Credential: M.D., M.S.
Location Address2525 9TH AVE STE 2AAltoona, PA 16602-2014
Mailing Address2525 9th Ave, Suite 2aAltoona, PA 16602-2014 · (814) 943-7546 · Fax (814) 943-7543
Fax(814) 943-7543
Sole ProprietorYes
Medical School CMSTemple University School Of MedicineGraduated 2003
Enumeration DateMay 9, 2007
Last NPPES UpdateJanuary 22, 2025
NPPES CertifiedJanuary 22, 2025
NPI 1942414115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
License Licensed in PA · MD432947
Definition
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
Also ListedDermatologyTaxonomy 207N00000X · License MD432947 (PA)
Also ListedDermatology · DermatopathologyTaxonomy 207ND0900X · License MD432947 (PA)
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X · License MD432947 (PA)
2525 9TH AVE STE 2A, Altoona, PA 16602

Accepted 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

Dr. Gregory John Fulchiero Jr. M.d., M.s. 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 ID9335218890
PECOS Enrollment IDI20080523000245
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 52

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.

Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg J7345
Aminolevulinic acid hcl is a topical gel used to treat certain skin conditions. It works by making affected skin cells more sensitive to light, which is then used to destroy these cells. The gel is applied by a healthcare professional.
22,200 services62 patients
Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
4,551 services742 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.
2,235 services1,727 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
1,248 services976 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
967 services805 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
545 services463 patients

Hospital Affiliations CMS Care Compare

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

Upmc Altoona

Acute Care Hospitals · Altoona, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390073
Location620 Howard AvenueAltoona, PA 16601 · Blair County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16602 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
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
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.

77.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality95.17
Improvement Activities40
Cost31.32

Reported Quality Measures

Advance Care Plan
98%5,667 patients4/55-star benchmark: 100%
Controlling High Blood Pressure
84%2,201 patients4/55-star benchmark: 98%
Melanoma: Continuity of Care - Recall System
100%639 patients
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.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant (Medical)
2525 9TH AVE STE 2A
ALTOONA, PA 16602

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 Gregory Fulchiero's NPI number?

The NPI number for Gregory Fulchiero is 1942414115. It was assigned to this individual provider in the NPPES registry on May 9, 2007.

Where is Gregory Fulchiero located?

Gregory Fulchiero practices at 2525 9th Ave Ste 2A, Altoona, PA 16602. The listed phone number is (814) 943-7546.

What is Gregory Fulchiero's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Is Gregory Fulchiero enrolled in Medicare?

Yes. Gregory Fulchiero is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Gregory Fulchiero accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Gregory Fulchiero 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.

Is Gregory Fulchiero affiliated with any hospitals?

According to CMS data, Gregory Fulchiero is affiliated with Upmc Altoona.

When was this NPI record last updated?

The NPPES record for Gregory Fulchiero was last updated on January 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.