Active NPI
Gregory John Fulchiero Jr., M.D., M.S.
- MOHS-Micrographic Surgery Physician
- Altoona, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- MOHS-Micrographic Surgery Physician
- License
- MD432947
- Practice address
- 2525 9TH Ave Ste 2a
Altoona, PA 16602-2014 - Phone
- (814) 943-7546
- Fax
- (814) 943-7543
- NPI assigned
- May 9, 2007
- Last updated
- Jan 22, 2025
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | MD432947 | PA | |
| MOHS-Micrographic Surgery Physician | 207ND0101X | MD432947 | PA | Primary |
| Dermatopathology Physician | 207ND0900X | MD432947 | PA | |
| Procedural Dermatology Physician | 207NS0135X | MD432947 | PA |
Addresses
Primary practice location
2525 9TH Ave Ste 2a
Altoona, PA 16602-2014
Mailing address
2525 9TH Ave
Suite 2a
Altoona, PA 16602-2014
Phone (814) 943-7546
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
- Dermatology
- Education
- Temple University School of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2525 9TH Ave
Suite 2a
Altoona, PA 16602-2014
Phone (814) 943-7546
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.27 of 100
- Quality
- 80.55
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 96 |
| Removal of tissue | 21 |
| Removal of skin lesions | 2874 |
| Removal of skin cancer | 672 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 53 |
| Skin biopsy | 1314 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Keystone Dermatology & Center for Skin Surgery, LLC | Dermatology | Current | Accepting new patients |
| Windber Hospital, Inc. | Past | Accepting new patients |
Locations
2525 9th Ave
Ste 2A
Altoona, PA 16602
Phone (814) 941-7170
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dermatology Physician
- Altoona, PA
- NPI 1558549733
-
dba Windber Medical Center
- General Acute Care Hospital
- Windber, PA
- NPI 1275620536
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Women's Health and Wellness
- Non-Surgical Family Planning Clinic/Center
- Altoona, PA
- NPI 1457303885
Hospital
-
- General Acute Care Hospital
- Altoona, PA
- NPI 1649278730
-
- Psychiatric Hospital Unit
- Altoona, PA
- NPI 1699773465
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737504000000",
"number": "1942414115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2525 9TH AVE",
"address_2": "SUITE 2A",
"city": "ALTOONA",
"state": "PA",
"postal_code": "166022014",
"telephone_number": "814-943-7546",
"fax_number": "814-943-7543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2525 9TH AVE STE 2A",
"city": "ALTOONA",
"state": "PA",
"postal_code": "166022014",
"telephone_number": "814-943-7546",
"fax_number": "814-943-7543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FULCHIERO",
"first_name": "GREGORY",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D., M.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-09",
"last_updated": "2025-01-22",
"certification_date": "2025-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "PA",
"license": "MD432947",
"primary": false
},
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "PA",
"license": "MD432947",
"primary": true
},
{
"code": "207ND0900X",
"taxonomy_group": "",
"desc": "Dermatology, Dermatopathology",
"state": "PA",
"license": "MD432947",
"primary": false
},
{
"code": "207NS0135X",
"taxonomy_group": "",
"desc": "Dermatology, Procedural Dermatology",
"state": "PA",
"license": "MD432947",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Altoona, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; 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.