Active NPI
Gerome Medinaceli Gepigon, PA-C
- Physician Assistant
- Duarte, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 67602
- Practice address
- 1500 Duarte Rd
Duarte, CA 91010-3012 - Phone
- (800) 826-4673
- NPI assigned
- Feb 5, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 67602 | CA | Primary |
| Surgical Physician Assistant | 363AS0400X | 61032719 | WA | |
| Surgical Physician Assistant | 363AS0400X | 6763 | CT | |
| Surgical Physician Assistant | 363AS0400X | 1145 | NH |
Addresses
Primary practice location
1500 Duarte Rd
Duarte, CA 91010-3012
Mailing address
PO Box 512185
Los Angeles, CA 90051-0185
Other practice location 1
399 Farmington Ave Ste 210
Farmington, CT 06032-1944
Phone (860) 548-7338
Other practice location 2
1 Medical Center Dr
Lebanon, NH 03756-1000
Phone (603) 650-2225
Other practice location 3
12039 NE 128th St Ste 500
Kirkland, WA 98034-3029
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | direct@cityofhope.direct-ci.com | Direct | CITY OF HOPE MEDICAL FOUNDATION |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH, WA, CT, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1244 Storrs Rd
Road
Storrs, CT 06268-2200
Phone (860) 724-2579
1500 Duarte Rd
Duarte, CA 91010-3012
Phone (626) 256-4673
330 Western Blvd
Glastonbury, CT 06033-4383
Phone (860) 696-4380
330 Western Boulevard
Suite 103
Glastonbury, CT 06033-4383
Phone (860) 972-2884
399 Farmington Ave
Lowr Level
Farmington, CT 06032-1936
Phone (860) 278-0079
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.42 of 100
- Quality
- 83.36
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.9
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.73 of 100
- Quality
- 73.46
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1145 | NH | MD | Occupational Therapist |
| 67602 | CA | MD | Physician Assistant |
| 6763 | CT | MD | Surgical Physician Assistant |
| 61032719 | WA | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City of Hope Medical Foundation | Current | Accepting new patients | |
| King County Public Hospital District No 2 | Current | Accepting new patients | |
| King County Public Hospital District No. 2 | Current | Accepting new patients | |
| Hartford Healthcare Medical Group Specialists, PLLC | Surgical | Current | Accepting new patients |
| Mary Hitchcock Memorial Hospital | Current | Accepting new patients | |
| Mary Hitchcock Memorial Hospital | Current | Accepting new patients | |
| Hartford Healthcare Medical Group Specialists LLC | Current | Accepting new patients | |
| Dartmouth-Hitchcock Clinic | Current | Accepting new patients | |
| Overlake Medical Clinics, LLC | Current | Accepting new patients |
Locations
1500 Duarte Rd
Duarte, CA 91010
Phone (626) 359-8111
399 Farmington Ave
Ste 210
Farmington, CT 06032
Phone (860) 548-7338
330 Western Blvd
Fl 2
Glastonbury, CT 06033
Phone (860) 522-4158
1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579
1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977
1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922
1750 112th Ave NE
Ste B102
Bellevue, WA 98004
Phone (425) 688-5460
12039 NE 128th St
Ste 300
Kirkland, WA 98034
Phone (425) 899-3123
12039 NE 128th St
Ste 500
Kirkland, WA 98034
Phone (425) 899-1220
Interoperability endpoints
- ggepigon564152@xdr.hhchealthdirect.org
- direct@cityofhope.direct-ci.com
Organizations & group practices 10
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.
-
- Hematology & Oncology Physician
- Duarte, CA
- NPI 1871886366
-
- Surgery Physician
- Hartford, CT
- NPI 1023584216
Surgical
-
- Internal Medicine Physician
- Lebanon, NH
- NPI 1548210198
-
- General Acute Care Hospital
- Lebanon, NH
- NPI 1023092053
-
- Specialist
- Bellevue, WA
- NPI 1801828421
-
- Neuromusculoskeletal Medicine & OMM Physician
- Kirkland, WA
- NPI 1801986070
-
- Customized Equipment (DME)
- Groton, CT
- NPI 1295367068
-
- Internal Medicine Physician
- Kirkland, WA
- NPI 1467542639
-
- Physical Therapist
- Kirkland, WA
- NPI 1356920946
-
- Psychiatric Hospital
- Hampstead, NH
- NPI 1699584219
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Duarte, CA
- NPI 1750358297
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774310400000",
"number": "1326406224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 512185",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900510185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 DUARTE RD",
"city": "DUARTE",
"state": "CA",
"postal_code": "910103012",
"telephone_number": "800-826-4673"
}
],
"practiceLocations": [
{
"address_1": "399 Farmington Ave Ste 210",
"address_purpose": "LOCATION",
"city": "Farmington",
"state": "CT",
"postal_code": "060321944",
"country_code": "US",
"telephone_number": "860-548-7338",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Medical Center Dr",
"address_purpose": "LOCATION",
"city": "Lebanon",
"state": "NH",
"postal_code": "037561000",
"country_code": "US",
"telephone_number": "603-650-2225",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12039 NE 128th St Ste 500",
"address_purpose": "LOCATION",
"city": "Kirkland",
"state": "WA",
"postal_code": "980343029",
"country_code": "US",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GEPIGON",
"first_name": "GEROME",
"middle_name": "MEDINACELI",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-02-05",
"last_updated": "2026-03-24",
"certification_date": "2026-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "67602",
"primary": true
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "WA",
"license": "61032719",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "CT",
"license": "6763",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "NH",
"license": "1145",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "direct@cityofhope.direct-ci.com",
"affiliation": "Y",
"affiliationName": "CITY OF HOPE MEDICAL FOUNDATION",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1500 Duarte Rd",
"city": "Duarte",
"state": "CA",
"country_code": "US",
"postal_code": "910103012",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Duarte, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.