Individual provider Active NPI

Casey John Gernovich, DO

  • Family Medicine Physician
  • North East, PA
National Provider Identifier
1508436346
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS024087 Issued in PA
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

Updated by the provider on Sep 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240823001207 PA Practitioner - Family Practice 2163961004 Reassigns benefits to 1 organization

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
Regional Health Services IncGroup PAC ID 4880593722, 572 clinicians
Keystone Rehabilitation Systems IncGroup PAC ID 7012826753, shared by 15 NPIs, 750 clinicians

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

ProcedureNumber of procedures
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Health Services Inc Family Medicine CurrentSince Sep 1, 2024 Accepting new patients
St Vincent Medical Education and Research Institute Inc Family Medicine PastSince Jun 1, 2021 Accepting new patients
Saint Vincent Medical Education and Research Institute Inc PastSince Jun 1, 2021 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.