Active NPI
Casey John Gernovich, DO
- Family Medicine Physician
- North East, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS024087
- Practice address
- 2060 N Pearl St
North East, PA 16428-1926 - Phone
- (814) 877-7711
- Fax
- (814) 877-7715
- NPI assigned
- Jun 24, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS024087 | PA | Primary |
Addresses
Primary practice location
2060 N Pearl St
North East, PA 16428-1926
Mailing address
2060 N Pearl St
North East, PA 16428-1926
Phone (814) 877-7711
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | casey.j.gernovich@upmcdirect.com |
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
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Keystone Rehabilitation Systems Inc
Practice addresses (Care Compare)
2060 N Pearl St
Vineyard Primary Care
North East, PA 16428-1926
Phone (814) 877-7711
5930 Old French Rd
Erie, PA 16509-3656
Phone (814) 860-7816
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regional Health Services Inc | Family Medicine | Current | Accepting new patients |
| St Vincent Medical Education and Research Institute Inc | Family Medicine | Past | Accepting new patients |
| Saint Vincent Medical Education and Research Institute Inc | Past | Accepting new patients |
Locations
3406 Peach St
Erie, PA 16508
Phone (814) 877-5381
311 W 24th St
Ste 305
Erie, PA 16502
Phone (814) 454-4484
2060 N Pearl St
North East, PA 16428
Phone (814) 454-8287
2 Hot Metal St
Bldg 3RD
Pittsburgh, PA 15203
Interoperability endpoints
- cgernovich430214@upmc.direct-ci.com
Organizations & group practices 3
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
- Erie, PA
- NPI 1174520654
-
- Clinical Medical Laboratory
- Erie, PA
- NPI 1275771230
-
- Internal Medicine Physician
- Erie, PA
- NPI 1902881477
Family Medicine
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Erie, PA
- NPI 1487647590
-
- General Acute Care Hospital
- Erie, PA
- NPI 1538207394
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726012800000",
"number": "1508436346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2060 N PEARL ST",
"city": "NORTH EAST",
"state": "PA",
"postal_code": "164281926",
"telephone_number": "814-877-7711",
"fax_number": "814-877-7715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2060 N PEARL ST",
"city": "NORTH EAST",
"state": "PA",
"postal_code": "164281926",
"telephone_number": "814-877-7711",
"fax_number": "814-877-7715"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERNOVICH",
"first_name": "CASEY",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-06-24",
"last_updated": "2024-09-11",
"certification_date": "2024-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "OS024087",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "casey.j.gernovich@upmcdirect.com",
"affiliation": "N",
"address_1": "600 Grant St",
"address_2": "Floor 58",
"city": "Pittsburgh",
"state": "PA",
"country_code": "US",
"postal_code": "152192702",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in North East, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; 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.