NPIMap

Individual provider Active NPI

Gary Raymond Decker, MD

  • Infectious Disease Physician
  • Wilkes Barre, PA
National Provider Identifier
1144279209
Registry record updated Nov 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
MD042296E Issued in PA
Practice address
545 N River St
Suite 205
Wilkes Barre, PA 18702-2600
Phone
(570) 822-6036
Fax
(570) 829-1520
NPI assigned
May 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X MD042296E PA Primary

Addresses

Primary practice location

545 N River St
Suite 205
Wilkes Barre, PA 18702-2600

Mailing address

545 N River St
Suite 205
Wilkes Barre, PA 18702-2600
Phone (570) 822-6036

Other identifiers 6

IdentifierTypeStateIssuer
0012845610001MedicaidPA
075321OtherPAFIRST PRIORITY HEALTH
8408OtherPAGEISINGER HEALTH PLAN
102861OtherPAUNISON HEALTH PLAN
710341OtherPAHIGHMARK BLUE SHIELD
710341OtherPAFIRST PRIORITY LIFE

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
I20111228000473 PA Practitioner - Infectious Disease 1153336912 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Georgetown University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wyoming Valley Infectious Disease Assoc, PCGroup PAC ID 9234176058, 3 clinicians

Practice addresses (Care Compare)

545 N River St
Suite 205
Wilkes Barre, PA 18702-2647
Phone (570) 822-6036

Hospital & facility affiliations

  • Regional Hospital of Scranton Hospital, Scranton, PA, CCN 390237
  • Wilkes-Barre General Hospital Hospital, Wilkes-Barre, PA, CCN 390137
  • Geisinger-Community Medical Center Hospital, Scranton, PA, CCN 390001

Merit-based Incentive Payment System (MIPS)

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD042296EPAMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wyoming Valley Infectious Disease Assoc, PC Infectious Disease CurrentSince Mar 25, 1992 Accepting new patients

Locations

545 N River St
Ste 205
Wilkes Barre, PA 18702
Phone (570) 822-6036

107 Loomis St
Wilkes Barre, PA 18702
Phone (570) 822-6036

Organizations & group practices 1

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

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290124800000",
    "number": "1144279209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 N RIVER ST",
            "address_2": "SUITE 205",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187022600",
            "telephone_number": "570-822-6036",
            "fax_number": "570-829-1520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 N RIVER ST",
            "address_2": "SUITE 205",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187022600",
            "telephone_number": "570-822-6036",
            "fax_number": "570-829-1520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECKER",
        "first_name": "GARY",
        "middle_name": "RAYMOND",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2010-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "PA",
            "license": "MD042296E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012845610001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY HEALTH",
            "identifier": "075321",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER HEALTH PLAN",
            "identifier": "8408",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON HEALTH PLAN",
            "identifier": "102861",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "710341",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY LIFE",
            "identifier": "710341",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilkes Barre, PA

Sources for this page

Verify at the official NPI Registry.