NPIMap

Individual provider Active NPI

Gary Thomas Verazin, MD

  • Surgery Physician
  • Kingston, PA
National Provider Identifier
1164480968
Registry record updated Aug 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD035085E Issued in PA
Practice address
390 Pierce St
Kingston, PA 18704-5532
Phone
(570) 714-0400
Fax
(570) 714-0423
NPI assigned
May 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD035085E PA Primary

Addresses

Primary practice location

390 Pierce St
Kingston, PA 18704-5532

Mailing address

390 Pierce St
Kingston, PA 18704
Phone (570) 714-0400

Other identifiers 8

IdentifierTypeStateIssuer
814562OtherPAFIRST PRIORITY HEALTH
001509142MedicaidPA
158006OtherPAHEALTH AMERICA
15967OtherPAGEISINGER HEALTH PLAN
2793632OtherPAAETNA
G17247OtherSTERLING OPTION 1
0015091420002MedicaidPA
VE484723OtherPAHIGHMARK BLUE SHIELD

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
I20111130000411 PA Practitioner - General SurgeryPractitioner - Surgical Oncology 6800849498 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Surgical Oncology
Education
Temple University School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

390 Pierce St
Kingston, PA 18704-5532

540 Pierce St
Kingston, PA 18704-5760
Phone (570) 714-0400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
22.3 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
74.33

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)23
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision33
Removal of tissue1-10
Skin biopsy11

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Andrews and Verazin Surgical Consultants Surgery CurrentSince Jun 1, 2012 Accepting new patients

Locations

540 Pierce St
Kingston, PA 18704
Phone (570) 287-2700

540 Pierce St
Ste 4
Kingston, PA 18704

390 Pierce St
Kingston, PA 18704
Phone (570) 288-3535

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 32

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

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661472000000",
    "number": "1164480968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 PIERCE ST",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "18704",
            "telephone_number": "570-714-0400",
            "fax_number": "570-714-0423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 PIERCE ST",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045532",
            "telephone_number": "570-714-0400",
            "fax_number": "570-714-0423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERAZIN",
        "first_name": "GARY",
        "middle_name": "THOMAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD035085E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY HEALTH",
            "identifier": "814562",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001509142",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA",
            "identifier": "158006",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER HEALTH PLAN",
            "identifier": "15967",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2793632",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STERLING OPTION 1",
            "identifier": "G17247",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015091420002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "VE484723",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, PA

Sources for this page

Verify at the official NPI Registry.