NPIMap

Individual provider Active NPI

Jennifer Gurske-Deperio, MD

  • Orthopaedic Surgery Physician
  • Orchard Park, NY
National Provider Identifier
1972768042
Registry record updated Dec 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
251338 Issued in NY
Practice address
5959 Big Tree Rd
Orchard Park, NY 14127-2291
Phone
(716) 821-4400
Fax
(716) 829-2138
NPI assigned
Jul 28, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Orthopaedic Surgery Physician 207X00000X 251338 NY Primary
Orthopaedic Surgery Physician 207X00000X ME106411 FL

Addresses

Primary practice location

5959 Big Tree Rd
Orchard Park, NY 14127-2291

Mailing address

4225 Genesee St
Suite 107
Cheektowaga, NY 14225-1994
Phone (716) 906-5908

Other identifiers 2

IdentifierTypeStateIssuer
251338OtherNYLICENSE NUMBER, STATE OF NEW YORK
390200000XOtherNYSTUDENT, HEALTH CARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110815000416 NY Practitioner - Orthopedic Surgery 0244354322 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
State University of New York at Buffalo School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Orthopaedic Services Inc.Group PAC ID 7810983004, 115 clinicians

Practice addresses (Care Compare)

5959 Big Tree Rd
Orchard Park, NY 14127-2210
Phone (716) 204-3200

Hospital & facility affiliations

  • Vna of Western Ny Chha Home health agency, Cheektowaga, NY, CCN 337006
  • Erie County Medical Center Hospital, Buffalo, NY, CCN 330219
  • Kenmore Mercy Hospital Hospital, Kenmore, NY, CCN 330102
  • Mercy Hospital of Buffalo Hospital, Buffalo, NY, CCN 330279
  • Kaleida Health Hospital, Buffalo, NY, CCN 330005
  • Upmc Chautauqua at Wca Hospital, Jamestown, NY, CCN 330239

Merit-based Incentive Payment System (MIPS)

Final score
88.69 of 100Reported as group
Quality
77.6
Promoting interoperability
100
Improvement activities
40
Cost
81.28

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)11
Removal of tissue54
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME106411FLMDOrthopaedic Surgery Physician
251338NYMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southtowns Surgery Center LLC CurrentSince Nov 12, 2023 Accepting new patients
University Orthopaedic Services, Inc Orthopaedic Surgery CurrentSince Aug 31, 2011 Accepting new patients
Erie County Medical Center Corporation CurrentSince Oct 25, 2024 Accepting new patients
Erie County Medical Center Corporation CurrentSince Oct 25, 2024 Accepting new patients
University Orthopaedic Services Inc. Orthopaedic Surgery CurrentSince Aug 31, 2011 Accepting new patients
Erie County Medical Center Corporation Past Accepting new patients

Locations

726 Exchange St
Ste 200
Buffalo, NY 14210

160 Farber Hall
Buffalo, NY 14214
Phone (716) 829-2070

4225 Genesee St
Cheektowaga, NY 14225
Phone (716) 829-6123

4225 Genesee St
Ste 107
Cheektowaga, NY 14225

462 Grider St
Cheektowaga, NY 14215
Phone (716) 831-8612

5959 Big Tree Rd
Orchard Park, NY 14127
Phone (716) 260-1593

5959 Big Tree Rd
Ste 108
Orchard Park, NY 14127
Phone (716) 810-7997

5959 Big Tree Rd
Ste 100
Orchard Park, NY 14127

Interoperability endpoints

  • Direct secure messaging: jgurski@ubortho.medentdirect.com

Organizations & group practices 6

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 12

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": "1217203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480982400000",
    "number": "1972768042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4225 GENESEE ST",
            "address_2": "SUITE 107",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142251994",
            "telephone_number": "716-906-5908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5959 BIG TREE RD",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141272291",
            "telephone_number": "716-821-4400",
            "fax_number": "716-829-2138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GURSKE-DEPERIO",
        "first_name": "JENNIFER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-28",
        "last_updated": "2016-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "251338",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME106411",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER, STATE OF NEW YORK",
            "identifier": "251338",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STUDENT, HEALTH CARE",
            "identifier": "390200000X",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orchard Park, NY

Sources for this page

Verify at the official NPI Registry.