Karen Ann Gersch, MD

Individual provider Active NPI Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Gainesville, GA

NPI 1649294240 · NPPES record last updated Oct 18, 2023

Key facts

NPI
1649294240
Entity type
Individual (NPI type 1)
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X
License
94636 (GA)
Practice address
200 S Enota Dr NE Ste 380
Gainesville, GA 30501-3475
Phone
(770) 219-7099
NPI assigned
Jul 27, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 4

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.

Medicare Care Compare profile

Specialty
Thoracic Surgery
Education
Brody School of Medicine at East Carolina University, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northeast Georgia Physicians Group Inc (884 clinicians)

Practice addresses (Care Compare)

200 S Enota Dr NE
Suite 380
Gainesville, GA 30501-3475
Phone (770) 219-7099

Hospital & facility affiliations

  • Northeast Georgia Medical Center, Inc Hospital · Gainesville, GA · CCN 110029
  • Northeast Georgia Medical Center Habersham Hospital · Demorest, GA · CCN 110041
  • NGMC Barrow, LLC Hospital · Winder, GA · CCN 110045

Merit-based Incentive Payment System (MIPS)

Final score
87.83 of 100 (group)
Quality
80.36
Promoting interoperability
100
Improvement activities
40
Cost
79.08

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)27

Medicare participation

Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20230427001177 GA Practitioner - Thoracic Surgery 5799780789 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
94636GAMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Georgia Physicians Group Inc Surgery Current
since Apr 19, 2023
Accepting new patients
Northeast Georgia Medical Center, Inc. Past Accepting new patients
Cardiovascular & Thoracic Surgeons, Inc. Surgery Past
since Apr 30, 2003
Accepting new patients

Locations

200 S Enota Dr NE
Ste 380
Gainesville, GA 30501
Phone (770) 219-7099

597 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 219-8275

743 Spring St NE
Gainesville, GA 30501
Phone (770) 219-5915

Interoperability endpoints

  • Direct secure messaging: karen.gersch@hca5.eclinicaldirectplus.com
  • FHIR API: https://api.platform.athenahealth.com/6293/brand/1/csg/1/fhir/r4

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 94636 GA
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 94636 GA Yes

Addresses

Primary practice location

200 S Enota Dr NE Ste 380
Gainesville, GA 30501-3475

Mailing address

200 S Enota Dr NE Ste 380
Gainesville, GA 30501-3475
Phone (770) 219-7099

Other identifiers

IdentifierTypeStateIssuer
000000536050OtherANTHEM
200876370MedicaidIN
2801007MedicaidOH
2810945OtherUNITED HEALTHCARE
2801007OtherBUCKEYE
310804060045OtherCARESOURCE

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address KAREN.GERSCH@hca5.eclinicaldirectplus.com
Direct Messaging Address kgersch163780@nghs.gadirect.net Direct

Other providers in Gainesville, GA

All providers in Gainesville, GA · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Georgia

Sources for this page

Verify at the official NPI Registry.