NPIMap

Individual provider Active NPI

Gerald E Frey Jr., PA-C

  • Physician Assistant
  • Hagerstown, MD
National Provider Identifier
1174543532
Registry record updated Apr 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0002608 Issued in MD
Practice address
13 Western Maryland Pkwy Ste 106
Hagerstown, MD 21740-6474
Phone
(240) 513-4591
NPI assigned
Jul 20, 2006
Last updated
Apr 7, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X OA003097 PA
Physician Assistant 363A00000X C0002608 MD Primary
Medical Physician Assistant 363AM0700X MA051226 PA

Addresses

Primary practice location

13 Western Maryland Pkwy Ste 106
Hagerstown, MD 21740-6474

Mailing address

17 Western Maryland Pkwy
Suite 100
Hagerstown, MD 21740-5471
Phone (301) 797-6389

Other identifiers 2

IdentifierTypeStateIssuer
P00670464OtherPARR MEDICARE
P00122897OtherMDRR MEDICARE

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address gfrey107225@direct.wvuhsdirect.com Health Information Exchange (HIE)
Direct Messaging Address gfrey107225@direct.wvuhsdirect.com Health Information Exchange (HIE)
Direct Messaging Address gfrey107225@direct.wvuhsdirect.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, WV2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100924000808 MD Practitioner - Physician Assistant 9537148028 Reassigns benefits to 1 organization
I20170821001909 WV Practitioner - Physician Assistant 9537148028 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Meritus Medical Center IncGroup PAC ID 7113811795, shared by 8 NPIs, 730 clinicians

Practice addresses (Care Compare)

1 Medical Ctr Dr
Morgantown, WV 26506-1200
Phone (304) 598-4865

11110 Medical Campus Rd
Hagerstown, MD 21742-6700

13 Western Maryland Pkwy
106 Wvu Medicine Brain and Spine
Hagerstown, MD 21740-6474
Phone (240) 513-4591

13079 Garrett Hwy
Uha Oakland CKD Clinic
Oakland, MD 21550
Phone (304) 598-4800

2500 Hospital Dr
Martinsburg, WV 25401-3402
Phone (304) 264-1000

61 Campus Dr
Martinsburg, WV 25404-7542

RT 7 Box
Suite 1495
Oakland, MD 21550
Phone (301) 334-3400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C0002608MDMDPhysician Assistant
OA003097PAMDPhysician Assistant
MA051226PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
West Virginia University Medical Corporation CurrentSince Jul 10, 2017 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

13 Western Maryland Pkwy
Ste 106
Hagerstown, MD 21740
Phone (240) 513-4591

112 N 7th St
Chambersburg, PA 17201
Phone (717) 217-4300

880 N Tennessee Ave
Ste 104
Martinsburg, WV 25401
Phone (304) 596-5160

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

Interoperability endpoints

  • Direct secure messaging: gfrey107225@direct.wvuhsdirect.com

Organizations & group practices 3

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 11

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

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649289600000",
    "number": "1174543532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 WESTERN MARYLAND PKWY",
            "address_2": "SUITE 100",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217405471",
            "telephone_number": "301-797-6389",
            "fax_number": "301-797-4119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 WESTERN MARYLAND PKWY STE 106",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217406474",
            "telephone_number": "240-513-4591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREY",
        "first_name": "GERALD",
        "middle_name": "E",
        "name_suffix": "Jr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA003097",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0002608",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA051226",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00670464",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00122897",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gfrey107225@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "880 N Tennessee Ave Ste 104",
            "city": "Martinsburg",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254019401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gfrey107225@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "13 Western Maryland Pkwy Ste 106",
            "city": "Hagerstown",
            "state": "MD",
            "country_code": "US",
            "postal_code": "217406474",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gfrey107225@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "880 N Tennessee Ave",
            "city": "Martinsburg",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254019401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

Verify at the official NPI Registry.