Individual provider Active NPI

Gavin W Duffy, P.A.

  • Physician Assistant
  • West Reading, PA
National Provider Identifier
1316017189
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA052836 Issued in PA
Practice address
601 Spruce St
West Reading, PA 19611-1443
Phone
(610) 375-4567
Fax
(610) 685-8801
NPI assigned
Nov 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA052836 PA Primary

Addresses

Primary practice location

601 Spruce St
West Reading, PA 19611-1443

Mailing address

601 Spruce St
West Reading, PA 19611-1443
Phone (610) 375-4567

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061120000353 PA Practitioner - Physician Assistant 1658379086 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Milton S Hershey Medical Center Physicians GroupGroup PAC ID 3870405483, 1,606 clinicians

Practice addresses (Care Compare)

2135 Noll Dr
Suite D
Lancaster, PA 17603-7602
Phone (223) 202-7000

500 Universidy Dr
Hershey, PA 17033-2360

Hospital & facility affiliations

  • Penn State Health Lancaster Medical Center Hospital, Lancaster, PA, CCN 390339
  • Milton S Hershey Medical Center Hospital, Hershey, PA, CCN 390256
  • Penn State Health St. Joseph Hospital, Reading, PA, CCN 390096

Merit-based Incentive Payment System (MIPS)

Final score
79.36 of 100Reported as group
Quality
56.69
Promoting interoperability
100
Improvement activities
40
Cost
74.52

Merit-based Incentive Payment System (MIPS)

Final score
82.85 of 100Reported as group
Quality
65.84
Promoting interoperability
100
Improvement activities
40
Cost
77

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA052836PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph Medical Group CurrentSince Mar 1, 2024 Accepting new patients
Penn State Health Medical Group, LLC CurrentSince Sep 11, 2023 Accepting new patients
The Milton S. Hershey Medical Center Physicians Group CurrentSince Sep 11, 2023 Accepting new patients
The Milton S Hershey Medical Center Physician Group CurrentSince Sep 11, 2023 Accepting new patients
The Milton S. Hershey Medical Center Physicians Group Past Accepting new patients

Locations

500 University Dr
Hershey, PA 17033
Phone (717) 531-8181

500 University Dr
#A410
Hershey, PA 17033
Phone (717) 531-8131

1120 Cocoa Ave
Hershey, PA 17033
Phone (717) 533-4141

500 University Dr
#A4
Hershey, PA 17033
Phone (717) 531-6261

2135 Noll Dr
Ste D
Lancaster, PA 17603
Phone (223) 202-7000

1430 Harrisburg Pike
Lancaster, PA 17601
Phone (717) 327-4680

2500 Bernville Rd
Reading, PA 19605
Phone (610) 378-2300

2494 Bernville Rd
Ste 200
Reading, PA 19605
Phone (610) 378-2557

2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127

Organizations & group practices 7

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 3

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": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316017189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 SPRUCE ST",
            "city": "WEST READING",
            "state": "PA",
            "postal_code": "196111443",
            "telephone_number": "610-375-4567",
            "fax_number": "610-685-8801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 SPRUCE ST",
            "city": "WEST READING",
            "state": "PA",
            "postal_code": "196111443",
            "telephone_number": "610-375-4567",
            "fax_number": "610-685-8801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUFFY",
        "first_name": "GAVIN",
        "middle_name": "W",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA052836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Reading, PA

Sources for this page

Verify at the official NPI Registry.