Grigory E Gershkovich, M.D.

Primary specialty

Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X

License

C1-0024073 Issued in DE

Practice address

5841 S Maryland Ave # Mc3079
Chicago, IL 60637-1447

Phone

(773) 834-1634

Fax

(773) 702-4384

NPI assigned

Jun 7, 2012

Last updated

Nov 8, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in DE

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Hand SurgeryAlso: Orthopedic Surgery

Education

Georgetown University School of Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

First State Orthopaedics PAGroup PAC ID 6103800057, 97 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Christiana Hospital Hospital, Newark, DE, CCN 080001
• Bayhealth Medical Center, Kent Campus Hospital, Dover, DE, CCN 080004
• Bayhealth Hospital, Sussex Campus Hospital, Milford, DE, CCN 080009

Merit-based Incentive Payment System (MIPS)

Final score

97.8 of 100Reported as group

Quality

96

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: grigory.gershkovichmd.p1@direct.fsoortho.nextgenshare.com

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.

• First State Orthopaedics PA

  dba Orthopaedic Associates of Southern Delaware

  • Orthopaedic Surgery Physician
  • Lewes, DE
  • NPI 1184681488
  Medicare reassignment Care Compare group NPD
• First State Orthopaedics PA

  dba Rise Physical Therapy

  • Physical Therapist
  • Newark, DE
  • NPI 1679458327
  NPD
• First State Orthopaedics, PA

  • Orthopaedic Surgery Physician
  • Newark, DE
  • NPI 1346220266
  NPD

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

• Bayhealth Medical Center, Inc.

  dba Bayhealth Hospital, Sussex Campus

  • General Acute Care Hospital
  • Milford, DE
  • NPI 1023006434
  Care Compare affiliation
• Bayhealth Medical Center, Inc.

  dba Bayhealth Hospital, Kent Campus

  • General Acute Care Hospital
  • Dover, DE
  • NPI 1467546135
  Care Compare affiliation
• Christiana Care Health Services, Inc.

  dba Christiana Care

  • General Acute Care Hospital
  • Wilmington, DE
  • NPI 1134194038
  Care Compare affiliation

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

{
    "created_epoch": "1339027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636329600000",
    "number": "1235491069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 HARVESTER DR STE 110",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605276686",
            "telephone_number": "773-702-1150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5841 S MARYLAND AVE # MC3079",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606371447",
            "telephone_number": "773-834-1634",
            "fax_number": "773-702-4384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERSHKOVICH",
        "first_name": "GRIGORY",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-07",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "DE",
            "license": "C1-0024073",
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "IL",
            "license": "125069742",
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "DE",
            "license": "C1-0024073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Grace Gersch, PNP-AC
• Scott Alan Gershan, MD
• David B. Gershenzon, DMD
• Richard Nathan Gershenzon, D.D.S.
• Valeriya Gershevich, DACM, LAC
• Daria Akemi Gershkovitch, BA
• Elliot S Gershon
• Sheldon M. Gershon, M.D.
• Marina Gershteyn, PA-C
• Michelle Gershun

• Orthopaedic Hand Surgery Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Orthopaedic Hand Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; 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.

Verify at the official NPI Registry.