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DR. JACQUELINE L GERHART M.D.
NPI 1952563231
Family Medicine in Windsor, WI

Active since June 27, 2008PECOS EnrolledAccepts Medicare Assignment
77.43/100
CMS Quality Rating
4131 MERIDIAN LANE, WINDSOR, WI 53278(608) 846-3741(608) 846-7897 Get Directions Write a Review

NPPES record last updated: August 23, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jacqueline L Gerhart M.d. NPPES

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

DR. JACQUELINE L GERHART M.D. (NPI 1952563231) is an individual family medicine provider in Windsor, Wisconsin, licensed in Wisconsin (54602) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, is affiliated with University Of Wi Hospitals & Clinics Authority, and is a graduate of Mayo Medical School (2008).

NPPES Registry Identity

NPI1952563231
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JACQUELINE L GERHARTCredential: M.D.
Location Address4131 MERIDIAN LANEWindsor, WI 53278-0864
Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531
Phone(608) 846-3741
Fax(608) 846-7897
Sole ProprietorNo
Medical School CMSMayo Medical SchoolGraduated 2008
Enumeration DateJune 27, 2008
Last NPPES UpdateAugust 23, 2011
✔ NPI 1952563231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WI · 54602
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4131 MERIDIAN LANE, Windsor, WI 53278
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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. Jacqueline L Gerhart M.d. 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 ID1951598044
PECOS Enrollment IDI20101215000822
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.

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.
19 services19 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.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

University Of Wi Hospitals & Clinics Authority

Acute Care Hospitals · Madison, WI
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number520098
Location600 Highland AvenueMadison, WI 53792 · Dane County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53278 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

77.43/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.83
Promoting Interoperability77
Improvement Activities40
Cost62.12

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 Jacqueline Gerhart's NPI number?

The NPI number for Jacqueline Gerhart is 1952563231. It was assigned to this individual provider in the NPPES registry on June 27, 2008.

Where is Jacqueline Gerhart located?

Jacqueline Gerhart practices at 4131 Meridian Lane, Windsor, WI 53278. The listed phone number is (608) 846-3741.

What is Jacqueline Gerhart's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jacqueline Gerhart enrolled in Medicare?

Yes. Jacqueline Gerhart 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 Jacqueline Gerhart accept?

Health plans from Anthem Blue Cross and Blue Shield list Jacqueline Gerhart 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 Jacqueline Gerhart affiliated with any hospitals?

According to CMS data, Jacqueline Gerhart is affiliated with University Of Wi Hospitals & Clinics Authority.

When was this NPI record last updated?

The NPPES record for Jacqueline Gerhart was last updated on August 23, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.