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MARIA C CAPERELLI GERGEL DO
NPI 1962962126
Family Medicine in Whitehall, PA

Active since March 23, 2019PECOS EnrolledAccepts Medicare Assignment
82.9/100
CMS Quality Rating
3691 CRESCENT CT E STE 201, WHITEHALL, PA 18052(610) 434-9561 Get Directions Write a Review

NPPES record last updated: August 4, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 4, 2025, May 2, 2023, Mar 18, 2021 and 1 more (4 updates tracked since 2019).

About Maria C Caperelli Gergel Do NPPES

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

MARIA C CAPERELLI GERGEL DO (NPI 1962962126) is an individual family medicine provider in Whitehall, Pennsylvania, licensed in Pennsylvania (OS022453) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with Lehigh Valley Hospital, and is a graduate of West Virginia School Of Osteopathic Medicine (2019).

NPPES Registry Identity

NPI1962962126
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMARIA C CAPERELLI GERGELCredential: DO
Location Address3691 CRESCENT CT E STE 201Whitehall, PA 18052-3433
Mailing Address2100 Mack Blvd Fl 4Allentown, PA 18103-5622
Phone(610) 434-9561
Sole ProprietorNo
Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 2019
Enumeration DateMarch 23, 2019
Last NPPES UpdateAugust 4, 20254 updates tracked since enumeration
NPPES CertifiedAugust 4, 2025
✔ NPI 1962962126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in PA · OS022453✔ Licensed in NY · 318796
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.
3691 CRESCENT CT E STE 201, Whitehall, PA 18052
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Maria C Caperelli Gergel Do 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 ID1153657382
PECOS Enrollment IDI20230208000048
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

2

Medicare enrollment records show Maria Caperelli Gergel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lehigh Valley Physician Group
Same address
Family Medicine
3691 CRESCENT CT E, SUITE 201
Whitehall, PA 18052
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 2,895 clinicians in this Medicare group
NPI 1245568401 (610) 434-9561
Guthrie Medical Group, P.C,
68 mi
Family Medicine
5950 SR 6 STE 101
Tunkhannock, PA 18657
  • Reassigned Medicare billing, Pennsylvania and New York enrollments
  • Medicare enrollment name: Guthrie Medical Group PC
  • Also billed through NPI 1245246644 (New York)
  • 830 clinicians in this Medicare group
NPI 1164471652 (570) 836-4294

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 8

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.
318 services176 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
130 services105 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
98 services97 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.
38 services33 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
36 services36 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
29 services29 patients

Hospital Affiliations CMS Care Compare

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

Lehigh Valley Hospital

Acute Care Hospitals · Allentown, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390133
Location1200 South Cedar Crest BoulevardAllentown, PA 18103 · Lehigh County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18052 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
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

82.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.09
Promoting Interoperability100
Improvement Activities40
Cost65.94

Other Providers at the Same Location NPPES 2

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

MARY ELLEN WILLIAMS D.O.
Family Medicine
3691 CRESCENT CT E STE 201
WHITEHALL, PA 18052
Lehigh County (610) 434-9561
DR. ELLA-MARIE MAMEISIA KABIA MD
Family Medicine
3691 CRESCENT CT E STE 201
WHITEHALL, PA 18052
Lehigh County (610) 434-9561

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 Maria Caperelli Gergel's NPI number?

The NPI number for Maria Caperelli Gergel is 1962962126. It was assigned to this individual provider in the NPPES registry on March 23, 2019.

Where is Maria Caperelli Gergel located?

Maria Caperelli Gergel practices at 3691 Crescent Ct E Ste 201, Whitehall, PA 18052. The listed phone number is (610) 434-9561.

What is Maria Caperelli Gergel's specialty?

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

Is Maria Caperelli Gergel enrolled in Medicare?

Yes. Maria Caperelli Gergel 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.

Which organizations bill Medicare for Maria Caperelli Gergel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maria Caperelli Gergel reassigns Medicare benefits to 2 organizations: Lehigh Valley Physician Group (Whitehall, PA) and Guthrie Medical Group, P.C, (Tunkhannock, PA). 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 Maria Caperelli Gergel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Maria Caperelli Gergel affiliated with any hospitals?

According to CMS data, Maria Caperelli Gergel is affiliated with Lehigh Valley Hospital.

When was this NPI record last updated?

The NPPES record for Maria Caperelli Gergel was last updated on August 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.