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

Q: 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.

Q: What is Maria Caperelli Gergel's specialty?

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

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: August 02, 2026.

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

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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 Robert Packer 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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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

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.

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 2

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

Robert Packer Hospital

Acute Care Hospitals · Sayre, PA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390079

LocationOne Guthrie SquareSayre, PA 18840 · Bradford County

Emergency services Birthing friendly

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

Quality

74.09

Promoting Interoperability

100

Improvement Activities

Cost

65.94

Other Providers at the Same Location NPPES 3

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

ALEJANDRO GARCIA

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.

What insurance does Maria Caperelli Gergel accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Maria Caperelli Gergel 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 Maria Caperelli Gergel affiliated with any hospitals?

According to CMS data, Maria Caperelli Gergel is affiliated with Robert Packer Hospital and 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 12 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.