Active NPI
Roy Walter Gernhardt III, M.D., PC
- Family Medicine Physician
- Forty Fort, PA
National Provider Identifier
1215071972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD432211
- Practice address
- 1732 Wyoming Ave
Forty Fort, PA 18704-4340 - Phone
- (570) 288-6888
- Fax
- (570) 288-6880
- NPI assigned
- Feb 16, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD432211 | PA | Primary |
Addresses
Primary practice location
1732 Wyoming Ave
Forty Fort, PA 18704-4340
Mailing address
PO Box 1067
Kingston, PA 18704-0067
Phone (570) 288-8881
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1019675520001 | Medicaid | PA |
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.
-
- Family Medicine Physician
- Forty Fort, PA
- NPI 1093995938
Family Medicine, PA
Hospital & facility affiliations 52
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Kingston, PA
- NPI 1609871409
-
- Home Health Agency
- Forty Fort, PA
- NPI 1710129762
-
- Home Health Agency
- East Stroudsburg, PA
- NPI 1083859516
-
- Home Health Agency
- Wilkes Barre, PA
- NPI 1619901527
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1732 Wyoming Ave
Forty Fort, PA 18704-4340
Phone (570) 288-6888
Hospital & facility affiliations
- Bayada Home Health Care, Inc.
- Commonwealth Home Health & Hospice of Wilkes-Barre
- Associated Family Home Care, Inc.
- Wilkes-Barre General Hospital
- Geisinger Wyoming Valley Medical Center
- Geisinger Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 33.71 of 100
- Quality
- 25
- Improvement activities
- 0
- Cost
- 79.03
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070911000330 | PA | Practitioner - Family Practice | 2466545181 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD432211 | PA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roy W Gernhardt III MD PC | Family Medicine | Current | Accepting new patients |
Locations
1732 Wyoming Ave
Kingston, PA 18704
Phone (570) 287-6930
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778198400000",
"number": "1215071972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1067",
"city": "KINGSTON",
"state": "PA",
"postal_code": "187040067",
"telephone_number": "570-288-8881",
"fax_number": "570-288-8065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1732 WYOMING AVE",
"city": "FORTY FORT",
"state": "PA",
"postal_code": "187044340",
"telephone_number": "570-288-6888",
"fax_number": "570-288-6880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERNHARDT",
"first_name": "ROY",
"middle_name": "WALTER",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "M.D., PC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-16",
"last_updated": "2026-05-08",
"certification_date": "2026-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MD432211",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1019675520001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Forty Fort, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.