Individual provider Active NPI

Gerald L Muncy Jr., MD

  • Family Medicine Physician
  • Prescott, AZ
National Provider Identifier
1376506246
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
AZ20267 Issued in AZ
Practice address
300 N Lee Blvd
Prescott, AZ 86301-5710
Phone
(928) 708-4300
Fax
(928) 458-2122
NPI assigned
Apr 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X AZ20267 AZ Primary
Family Medicine Physician 207Q00000X MD60036841 WA

Addresses

Primary practice location

300 N Lee Blvd
Prescott, AZ 86301-5710

Mailing address

PO Box 10880
Prescott, AZ 86304-0880
Phone (602) 406-4786

Other practice location 1

3120 Clearwater Dr
Prescott, AZ 86305-7131
Phone (928) 771-3704

Other practice location 2

6648 N Viewpoint Dr Ste 5
Prescott Valley, AZ 86315-4942
Phone (928) 708-4800

Other names 1

  • Gary Muncy Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20051130000374 AZ Practitioner - Family Practice 4981624368 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Loma Linda University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1003 Willow Creek Rd
Prescott, AZ 86301-1641

3120 Clearwater Dr
Prescott, AZ 86305-7131
Phone (928) 771-3704

7700 E Florentine Rd
Prescott Valley, AZ 86314-2245

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions154
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
AZ20267AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Phoenix Collaborative Care PC CurrentSince Oct 16, 2023 Accepting new patients
4C Medical Group PLC Family Medicine CurrentSince Mar 26, 2020 Accepting new patients
Yavapai Regional Medical Center Physician Care LLC CurrentSince Jul 1, 2024 Accepting new patients
4C Medical Group PLC CurrentSince Mar 26, 2020 Accepting new patients
Yavapai Regional Medical Center Physician Care LLC CurrentSince Jul 1, 2024 Accepting new patients
Yavapai Regional Medical Center Physician Care LLC Current Accepting new patients
Greater Phoenix Collaborative Care PC CurrentSince Oct 16, 2023 Accepting new patients
Prescott Gastroenterology Past Accepting new patients
Yavapai Regional Medical Center Physician Care Past Accepting new patients

Locations

5830 N 19th Ave
Phoenix, AZ 85015
Phone (602) 249-0115

300 N Lee Blvd
Prescott, AZ 86301
Phone (928) 708-4300

3120 Clearwater Dr
Prescott, AZ 86305
Phone (928) 445-4818

6648 N Viewpoint Dr
Ste 5
Prescott Valley, AZ 86315
Phone (928) 708-4800

6501 E Greenway Pkwy
Ste 160
Scottsdale, AZ 85254
Phone (480) 365-6603

6501 E Greenway Pkwy
Scottsdale, AZ 85254
Phone (480) 368-7893

9590 E Ironwood Square Dr
Ste 125
Scottsdale, AZ 85258
Phone (480) 272-6400

1460 W Valencia Rd
Tucson, AZ 85746
Phone (520) 573-0966

Organizations & group practices 9

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 5

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": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1376506246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10880",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863040880",
            "telephone_number": "602-406-4786",
            "fax_number": "916-636-4358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N LEE BLVD",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863015710",
            "telephone_number": "928-708-4300",
            "fax_number": "928-458-2122"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3120 Clearwater Dr",
            "address_purpose": "LOCATION",
            "city": "Prescott",
            "state": "AZ",
            "postal_code": "863057131",
            "country_code": "US",
            "telephone_number": "928-771-3704",
            "fax_number": "928-771-0434",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6648 N Viewpoint Dr Ste 5",
            "address_purpose": "LOCATION",
            "city": "Prescott Valley",
            "state": "AZ",
            "postal_code": "863154942",
            "country_code": "US",
            "telephone_number": "928-708-4800",
            "fax_number": "928-458-2123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUNCY",
        "first_name": "GERALD",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "AZ20267",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD60036841",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GARY",
            "last_name": "MUNCY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Prescott, AZ

Sources for this page

Verify at the official NPI Registry.