NPIMap

Individual provider Active NPI

Gary Paul Neale, MB CHB

  • Specialist
  • Plains, PA
National Provider Identifier
1104974328
Registry record updated Mar 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD427857 Issued in PA
Practice address
200 S River St
Plains, PA 18705-1143
Phone
(570) 821-1100
Fax
(570) 821-1108
NPI assigned
Jan 5, 2007
Last updated
Mar 14, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A95263 CA
Specialist 174400000X MD427857 PA Primary
Surgery Physician 208600000X MD427857 PA

Addresses

Primary practice location

200 S River St
Plains, PA 18705-1143

Mailing address

200 S River St
Plains, PA 18705-1143
Phone (570) 821-1100

Other identifiers 2

IdentifierTypeStateIssuer
1025213870001MedicaidPA
196200HUYOtherMEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gary.neale.1@21771.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110119000121 PA Practitioner - General Surgery 3375630106 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Commonwealth Physician Network LLCGroup PAC ID 2668696592, 63 clinicians

Practice addresses (Care Compare)

200 S River St
Plains, PA 18705-1143
Phone (570) 821-1100

4 E Main St
Nanticoke, PA 18634-1602
Phone (570) 735-7474

575 N River St
Wilkes Barre, PA 18702-2634
Phone (570) 552-8938

743 Jefferson Ave
Suite 203
Scranton, PA 18510-1638
Phone (570) 344-9457

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.17 of 100Reported as apm
Quality
78.34
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux13
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A95263CAMDSpecialist
MD427857PAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Physician Network LLC Surgery CurrentSince Apr 1, 2018 Accepting new patients
Wilkes Barre Hospital Company LLC Past Accepting new patients

Locations

4 E Main St
Nanticoke, PA 18634
Phone (570) 258-3939

200 S River St
Plains, PA 18705
Phone (570) 821-1100

Interoperability endpoints

  • Direct secure messaging: gary.neale.1@21771.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 34

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 34

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647216000000",
    "number": "1104974328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S RIVER ST",
            "city": "PLAINS",
            "state": "PA",
            "postal_code": "187051143",
            "telephone_number": "570-821-1100",
            "fax_number": "570-821-1108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S RIVER ST",
            "city": "PLAINS",
            "state": "PA",
            "postal_code": "187051143",
            "telephone_number": "570-821-1100",
            "fax_number": "570-821-1108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEALE",
        "first_name": "GARY",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "MB CHB",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A95263",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD427857",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD427857",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1025213870001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "196200HUY",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gary.neale.1@21771.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "200 S River St",
            "city": "Plains",
            "state": "PA",
            "country_code": "US",
            "postal_code": "187051143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plains, PA

Sources for this page

Verify at the official NPI Registry.