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GERALD PAUL THORNBERRY JR. PA-C
NPI 1942949136
Physician Assistant in Kettering, OH

Active since June 03, 2022PECOS EnrolledAccepts Medicare Assignment
94.63/100
CMS Quality Rating
3535 SOUTHERN BLVD, KETTERING, OH 45429(937) 395-8166 Get Directions Write a Review

NPPES record last updated: April 14, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 14, 2026, Jul 29, 2022 (2 updates tracked since 2022).

About Gerald Paul Thornberry Jr. Pa-c NPPES

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

GERALD PAUL THORNBERRY JR. PA-C (NPI 1942949136) is an individual physician assistant in Kettering, Ohio, licensed in Ohio (50.007594RX) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS, is affiliated with Caromont Regional Medical Center, and maintains 13 additional practice locations.

NPPES Registry Identity

NPI1942949136
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameGERALD PAUL THORNBERRY JR.Credential: PA-C
Location Address3535 SOUTHERN BLVDKettering, OH 45429-1221
Mailing Address3131 Newmark Dr Ste 220Miamisburg, OH 45342-5400 · (937) 438-8910
Phone(937) 395-8166
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateJune 3, 2022
Last NPPES UpdateApril 14, 20262 updates tracked since enumeration
NPPES CertifiedApril 14, 2026
✔ NPI 1942949136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in OH · 50.007594RX✔ Licensed in OH · APP-000599950
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3535 SOUTHERN BLVD, Kettering, OH 45429
Open in Google Maps ↗

Secondary Practice Locations 13

Location 12300 N Limestone StSpringfield, OH 45503-1102 · Phone (937) 504-8305
Location 21275 N High StHillsboro, OH 45133-8273 · Phone (937) 393-6100 · Fax (614) 293-2809
Location 3600 W Main StTroy, OH 45373-3384 · Phone (937) 980-7010
Location 41 Kettering WayPiqua, OH 45356-4146 · Phone (937) 916-2625
Location 51997 Miamisburg Centerville RdCenterville, OH 45459-3811 · Phone (937) 401-6228
Location 6405 W Grand AveDayton, OH 45405-7538 · Phone (937) 723-3211
Location 7450F Washington Jackson RdEaton, OH 45320-8699 · Phone (937) 456-8376
Location 81141 N Monroe DrXenia, OH 45385-1619 · Phone (937) 352-2500
Location 98701 Old Troy PikeHuber Heights, OH 45424-1066 · Phone (937) 558-3338
Location 104000 Miamisburg Centerville RdMiamisburg, OH 45342-7615 · Phone (937) 384-8791
Location 113535 Pentagon BlvdBeavercreek, OH 45431-1705 · Phone (937) 702-4500
Location 12100 Kettering WayFranklin, OH 45005-1155 · Phone (937) 458-4700
Location 136147 State Route 122Middletown, OH 45005-5201 · Phone (513) 261-3410

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual, Oscar Health Insurance.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

Gerald Paul Thornberry Jr. Pa-c 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 ID1557745445
PECOS Enrollment IDI20251031002927
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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
44 services43 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
37 services37 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
22 services22 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Caromont Regional Medical Center

Acute Care Hospitals · Gastonia, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340032
Location2525 Court DrGastonia, NC 28052 · Gaston County
Emergency services Birthing friendly

Mercy Health-Anderson Hospital

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360001
Location7500 State RoadCincinnati, OH 45255 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45429 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

94.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.64
Improvement Activities40

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.

RAGHEED KATKHUDA MD
Pediatrics (Neonatal-Perinatal Medicine)
3535 SOUTHERN BLVD
KETTERING, OH 45429
Montgomery County (937) 752-2304
ANNEMARIE ROSE UNDERWOOD PA-C
Physician Assistant
3535 SOUTHERN BLVD
DAYTON, OH 45429
Montgomery County (937) 395-8166
SYLVIA POLENAKOVIK M.D.
Internal Medicine
3535 SOUTHERN BLVD
DAYTON, OH 45429
Montgomery County (937) 395-6665
SUSAN KAY ZANN RNFS
Registered Nurse (Registered Nurse First Assistant)
3535 SOUTHERN BLVD
KETTERING, OH 45429
Montgomery County (937) 395-8608
SWATHI DATLA M.B.B.S.
Hospitalist
3535 SOUTHERN BLVD
KETTERING, OH 45429
Montgomery County (937) 395-6665
DR. LOREN ANN NALLU MD
Pediatrics (Neonatal-Perinatal Medicine)
3535 SOUTHERN BLVD
KETTERING, OH 45429
Montgomery County (937) 752-2304
DR. JEREMY LAWTON CHAPMAN D.O.
Hospitalist
3535 SOUTHERN BLVD
KETTERING, OH 45429
Montgomery County (937) 395-6665
DR. RAHUL RAO DO
Radiology (Diagnostic Radiology)
3535 SOUTHERN BLVD
DAYTON, OH 45429
Montgomery County (937) 395-8627

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 Gerald Thornberry's NPI number?

The NPI number for Gerald Thornberry is 1942949136. It was assigned to this individual provider in the NPPES registry on June 3, 2022.

Where is Gerald Thornberry located?

Gerald Thornberry practices at 3535 Southern Blvd, Kettering, OH 45429. The listed phone number is (937) 395-8166.

What is Gerald Thornberry's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Gerald Thornberry enrolled in Medicare?

Yes. Gerald Thornberry 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 Gerald Thornberry accept?

Health plans from CareSource, MedMutual and Oscar Health Insurance list Gerald Thornberry 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 Gerald Thornberry affiliated with any hospitals?

According to CMS data, Gerald Thornberry is affiliated with Caromont Regional Medical Center and Mercy Health-Anderson Hospital.

When was this NPI record last updated?

The NPPES record for Gerald Thornberry was last updated on April 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.