GARY ALAN BAIOCCHI DO
NPI 1245200732
Family Medicine in Philadelphia, PA
NPI Status: Active since January 25, 2006
Contact Information
525 JAMESTOWN ST
SUITE 201
PHILADELPHIA, PA
ZIP 19128
Phone: (215) 482-2412
Fax: (215) 487-1251
- Individual
- Male
- Family Medicine
- PECOS Enrolled
About GARY BAIOCCHI
This page provides the complete NPI Profile along with additional information for Gary Baiocchi, a primary care provider established in Philadelphia, Pennsylvania with a medical specialization in Family Medicine. The healthcare provider is registered in the NPI registry with number 1245200732 assigned on January 2006. The practitioner's primary taxonomy code is 207Q00000X with license number 0S005465L (PA). The provider is registered as an individual and his NPI record was last updated 12 years ago.
- NPI
- 1245200732
- Provider Name
- GARY ALAN BAIOCCHI DO
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 525 JAMESTOWN ST SUITE 201 PHILADELPHIA, PA 19128
- Location Phone
- (215) 482-2412
- Location Fax
- (215) 487-1251
- Mailing Address
- PO BOX 820933 PHILADELPHIA, PA 19182
- Mailing Phone
- (215) 482-2412
- Mailing Fax
- (215) 487-1251
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-25-2006
- Last Update Date
- 12-30-2013
- Code Navigator
A primary care provider (PCP) like Gary Baiocchi sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 0S005465L
- License State
- PA
- Taxonomy Description
- Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
0001665 | OTHER (01) | PA | AETNA HMO |
1079018 | OTHER (01) | PA | KEYSTONE MERCY HEALTH PLA |
597586 | OTHER (01) | PA | MEDICARE GROUP TPI |
B41424 | MEDICARE UPIN (02) | ||
2Y0373 | OTHER (01) | PA | HEALTH NET |
0098182102 | OTHER (01) | PA | AMERICHOICE |
694 | OTHER (01) | PA | BRAVO HEALTH |
CD4829 | OTHER (01) | PA | RAILROAD MEDICARE TPI |
001307263 | MEDICAID (05) | PA | |
080100922 | OTHER (01) | PA | RAIL ROAD MEDICARE |
613144 | OTHER (01) | PA | COVENTRY HEALTH AMERICA |
415254 | MEDICARE PIN (08) | PA | |
0058558000 | OTHER (01) | PA | INDEPENDENCE BLUE CROSS |
415254 | OTHER (01) | PA | HIGHMARK BLUE SHIELD |
5602292 | OTHER (01) | PA | AETNA PPO |
P519014 | OTHER (01) | PA | OXFORD |
Medicare Participation & PECOS Enrollment Status
Gary Baiocchi is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Durable Medical Equipment
DME-Other DME (DE017N)
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips (HCPCS:A4253)
11 DME suppliers used 23 Medicare Claims 50 Services Paid
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Administration of influenza virus vaccine
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
Influenza vaccine split virus, preservative free
Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment
Insertion of needle into vein for collection of blood sample
Transitional care management services for problem of high complexity
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
This service was performed 50 times for 47 patientsAn annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
This service was performed 90 times for 90 patientsAn annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.
This service was performed 12 times for 12 patientsThis is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
This service was performed 24 times for 21 patientsThis is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
This service was performed 221 times for 109 patientsThe Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
This service was performed 38 times for 38 patientsThe quadrivalent influenza vaccine is a shot to protect you from four different flu viruses. It's preservative-free and given in a 0.5 ml dose. It helps your body build immunity to the flu, reducing your risk of getting sick.
This service was performed 12 times for 11 patientsAn Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.
This service was performed 11 times for 11 patientsThis procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
This service was performed 133 times for 93 patientsTransitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.
This service was performed 21 times for 18 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 19128 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $92.69
- Minimum New Patient Price $59.88
- Maximum New Patient Price $180.99
- Average New Patient Copayment $23.17
- Minimum New Patient Copayment $14.97
- Maximum New Patient Copayment $45.24
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $105.21
- Minimum Established Patient Price $19.3
- Maximum Established Patient Price $147.29
- Average Established Patient Copayment $26.3
- Minimum Established Patient Copayment $4.82
- Maximum Established Patient Copayment $36.82
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 2 | 4 | 5 | 2 | 0 | 0 | 7 | 3 | 2 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 2 | 8 | 5 | 4 | 0 | 0 | 7 | 6 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 2 + 8 + 5 + 4 + 0 + 0 + 7 + 6 + 24 = 58 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
60 - 58 = 2 | 2 |
The NPI number 1245200732 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1891769493 | STEVEN MEISTER MD Individual | Internal Medicine (Cardiovascular Disease) | 525 JAMESTOWN ST SUITE 107 PHILADELPHIA, PA 19128 (215) 482-1607 |
1528027554 | DR. SUZANNE JENNIFER PESCE MD Individual | Ophthalmology | 525 JAMESTOWN ST SUITE 207 PHILADELPHIA, PA 19128 (215) 483-8444 |
1780766436 | DR. LAWRENCE BLOOM M.D. Individual | Ophthalmology | 525 JAMESTOWN ST STE. 207 PHILADELPHIA, PA 19128 (215) 483-8444 |
1154491629 | BLOOM EYE ASSOCIATES, LTD. Organization | Ophthalmology | 525 JAMESTOWN ST SUITE 207 PHILADELPHIA, PA 19128 (215) 483-8444 |
1700862349 | LAUREN SUE ROSENBERG MD Individual | Family Medicine | 525 JAMESTOWN ST SUITE 201 PHILA, PA 19128 (215) 482-2412 |
1396745394 | DR. BRUCE BART GARBER M.D. Individual | Urology | 525 JAMESTOWN ST SUITE 108 PHILADELPHIA, PA 19128 (215) 247-3082 |
1376544478 | UROLOGIC SURGEONS, INC. Organization | Urology | 525 JAMESTOWN ST SUITE 108 PHILADELPHIA, PA 19128 (215) 247-3082 |
1033195326 | ANDREW LEON PRITCHARD O.D. Individual | Optometrist | 525 JAMESTOWN ST SUITE 207 PHILADELPHIA, PA 19128 (215) 483-8444 |
1740263656 | DR. NANCY L. GRABOYES-LEOPOLD MD Individual | Internal Medicine (Gastroenterology) | 525 JAMESTOWN ST SUITE 101 PHILADELPHIA, PA 19128 (215) 463-1483 |
1457334369 | DR. BETH C. GARDNER MD Individual | Internal Medicine (Gastroenterology) | 525 JAMESTOWN ST SUITE 101 PHILADELPHIA, PA 19128 (215) 463-1483 |
1427031343 | DR. RICHARD A. GAMBESCIA MD Individual | Internal Medicine (Gastroenterology) | 525 JAMESTOWN ST SUITE 101 PHILADELPHIA, PA 19128 (215) 463-1483 |
1174506729 | DR. LARRY M. BOROWSKY MD Individual | Internal Medicine (Gastroenterology) | 525 JAMESTOWN ST SUITE 101 PHILADELPHIA, PA 19128 (215) 463-1483 |
1801826177 | PHILADELPHIA GASTROENTEROLOGY GROUP, P.C. Organization | Internal Medicine (Gastroenterology) | 525 JAMESTOWN ST SUITE 101 PHILADELPHIA, PA 19128 (215) 463-1483 |
1558878546 | SONJA LYNN JULIAN Individual | Physician Assistant (Medical) | 525 JAMESTOWN ST PHILADELPHIA, PA 19128 (215) 482-7546 |
1740671767 | ADVANCED DERMATOLOGY OF PENNSYLVANIA, PC Organization | Dermatology | 525 JAMESTOWN ST SUITE 206 PHILADELPHIA, PA 19128 (215) 482-7546 |
1477541357 | TEMPLE UNIVERSITY OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCATION Organization | Obstetrics & Gynecology | 525 JAMESTOWN ST STE 201 PHILADELPHIA, PA 19128 (215) 483-7700 |
1013946995 | HAROLD J. MILSTEIN, M.D., P.C. Organization | Dermatology | 525 JAMESTOWN ST SUITE 206 PHILADELPHIA, PA 19128 (215) 483-3666 |
1205246287 | PREMIER ORTHOPAEDIC AND SPORTS MEDICINE ASSOCIATES, LTD Organization | Orthopaedic Surgery | 525 JAMESTOWN ST SUITE 105 PHILADELPHIA, PA 19128 (215) 482-6693 |
1578536223 | SUMAN S JASWAL MD Individual | Internal Medicine (Clinical Cardiac Electrophysiology) | 525 JAMESTOWN ST SUITE 107 PHILADELPHIA, PA 19128 (215) 482-1607 |
1316098635 | TEMPLE PHYSICIANS INC. Organization | Family Medicine | 525 JAMESTOWN ST SUITE 201 PHILADELPHIA, PA 19128 (215) 214-2412 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245200732, enumerated in the NPI registry as an "individual" on January 25, 2006
The provider is located at 525 Jamestown St Suite 201 Philadelphia, Pa 19128 and the phone number is (215) 482-2412
The provider's speciality is Family Medicine with taxonomy code 207Q00000X
The provider might be accepting Accepts: Aetna, Medicare, Medicaid, Railroad Medicare, Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $92.69 with an average copayment of $23.17 for new patient appointments. Established patients should expect a typical charge of $105.21 and an average copayment of 26.3. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Administration of influenza virus vaccine, Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit, Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes, Influenza vaccine split virus, preservative free, Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage, Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment, Insertion of needle into vein for collection of blood sample and Transitional care management services for problem of high complexity.
This NPI record was last updated on January 25, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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