SCOTT GERSH
NPI 1528117538
Internal Medicine in Raleigh, NC

NPI Status: Active since January 09, 2007

Contact Information

3400 WAKE FOREST RD
RALEIGH, NC
ZIP 27609
Phone: (919) 620-4467

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  • Individual
  • Male
  • Years of Experience 45
  • Internal Medicine
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About SCOTT GERSH

This page provides the complete NPI Profile along with additional information for Scott Gersh, an internist established in Raleigh, North Carolina with a medical specialization in Internal Medicine and more than 45 years of experience. He graduated from University Of Southern California Keck School Of Medicine in 1981. The healthcare provider is registered in the NPI registry with number 1528117538 assigned on January 2007. The practitioner's primary taxonomy code is 207R00000X with license number 00-29919 (NC). The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI
1528117538
Provider Name
SCOTT GERSH
Gender
Male
Entity Type
Individual
Location Address
3400 WAKE FOREST RD RALEIGH, NC 27609
Location Phone
(919) 620-4467
Mailing Address
3400 WAKE FOREST RD DUKE HEALTH RALEIGH HOSPITAL RALEIGH, NC 27609
Medical School Name
UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduation Year
1981
Is Sole Proprietor?
No
Enumeration Date
01-09-2007
Last Update Date
07-08-2007
Code Navigator

An internist like Scott Gersh is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, 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

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
License No.
00-29919
License State
NC
Taxonomy Description
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Clear Silver - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Clear Silver with $0 Insulin Options - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Gold with Atrium Health - HMO
  • Complete Gold with Atrium Health + Vision + Adult Dental - HMO
  • Complete Silver with Atrium Health - HMO
  • Complete Silver with Atrium Health + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Bronze with Atrium Health - HMO
  • Clear Silver - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Connect Bronze 5500 Indiv Med Deductible - HMO
  • Connect Bronze 6500 Indiv Med Deductible - HMO
  • Connect Bronze CMS Standard - HMO
  • Connect Gold CMS Standard - HMO
  • Connect Silver 3500 Indiv Med Deductible - HMO
  • Connect Silver 4400 Indiv Med Deductible - HMO
  • Connect Silver CMS Standard - HMO
  • Standard Expanded Bronze WellCare - PPO
  • Standard Gold WellCare - PPO
  • Standard Silver WellCare - PPO

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
206583AMEDICARE ID-TYPE UNSPECIFIED (04)NC 
C84020MEDICARE ID-TYPE UNSPECIFIED (04) 
8935108MEDICARE ID-TYPE UNSPECIFIED (04)NC 

Medicare Participation & PECOS Enrollment Status

Scott Gersh is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Scott Gersh 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

  • PECOS PAC ID: 1153332614

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20060511000359

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • 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)

    Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) (HCPCS:A4221)

    1 DME suppliers used 15 Medicare Claims 15 Services Paid

  • DME-Medical/Surgical Supplies (DA000N)

    Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) (HCPCS:A4222)

    1 DME suppliers used 16 Medicare Claims 58 Services Paid

  • DME-Medical/Surgical Supplies (DA023N)

    Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing (HCPCS:A6252)

    1 DME suppliers used 12 Medicare Claims 337 Services Paid

  • DME-Medical/Surgical Supplies (DA023N)

    Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard (HCPCS:A6446)

    1 DME suppliers used 20 Medicare Claims 1828 Services Paid

  • DME-Oxygen and Supplies (DC002N)

    Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate (HCPCS:E1390)

    1 DME suppliers used 12 Medicare Claims 12 Services Paid

Unknown

  • Treatment-Injections and Infusions (nononcologic) (RI026N)

    Injection, milrinone lactate, 5 mg (HCPCS:J2260)

    1 DME suppliers used 16 Medicare Claims 715 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.

Follow-up hospital inpatient care per day, typically 25 minutes

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

This service was performed 201 times for 104 patients

Follow-up hospital inpatient care per day, typically 35 minutes

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

This service was performed 320 times for 134 patients

Hospital discharge day management, more than 30 minutes

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

This service was performed 85 times for 85 patients

Hospital observation care on day of discharge

Hospital observation care on the day of discharge involves monitoring your health status to ensure stability before you leave. This includes assessing vital signs, response to treatment, and readiness for home care or rehabilitation.

This service was performed 12 times for 12 patients

New patient office or other outpatient visit, 15-29 minutes

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

This service was performed 17 times for 17 patients

Removal of skin and tissue, 20.0 sq cm or less

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

This service was performed 105 times for 20 patients

Removal of tissue from wound, 20.0 sq cm or less

This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.

This service was performed 63 times for 18 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $31.25 for a new patient copayment and $23.98 for an established patient copayment.

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 27609 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $125.01
  • Minimum New Patient Price $54.12
  • Maximum New Patient Price $165.09
  • Average New Patient Copayment $31.25
  • Minimum New Patient Copayment $13.53
  • Maximum New Patient Copayment $41.27

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $95.94
  • Minimum Established Patient Price $17.21
  • Maximum Established Patient Price $134.61
  • Average Established Patient Copayment $23.98
  • Minimum Established Patient Copayment $4.3
  • Maximum Established Patient Copayment $33.65

* 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.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Scott Gersh is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
DUKE UNIVERSITY HOSPITAL2100 ERWIN RD
DURHAM, NC 27705
(919) 684-8111Acute Care Hospitals

Reviews for SCOTT GERSH

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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.
1528117538
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2548211456
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 4 + 8 + 2 + 1 + 1 + 4 + 5 + 6 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1528117538 is valid because the calculated check digit 8 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
1083657266 JONAS MCALARNEY MD
Individual
Emergency Medicine3400 WAKE FOREST RD
RALEIGH, NC 27609
(919) 954-3215
1205929890DR. AMAL Y.A. YOUSSEF M. D., F. A. C. P.
Individual
Internal Medicine3400 WAKE FOREST RD
RALEIGH, NC 27609
(919) 954-3715
1750430773 ANTHONY MORGAN M.D.
Individual
Internal Medicine3400 WAKE FOREST RD
RALEIGH, NC 27609
(919) 620-4467
1972652980 CHARLES HODGES M.D.
Individual
Internal Medicine3400 WAKE FOREST RD
RALEIGH, NC 27609
(919) 620-4467
1245389261 ASGHAR YAMADI M.D.
Individual
Internal Medicine3400 WAKE FOREST RD
RALEIGH, NC 27609
(919) 620-4467
1124222898DR. TIMOTHY MATTHEW PLONK
Individual
Emergency Medicine3400 WAKE FOREST RD
RALEIGH, NC 27609
(919) 954-3965
1538363361 ANJALI GUPTA MD
Individual
Emergency Medicine3400 WAKE FOREST RD
RALEIGH, NC 27609
(919) 954-3965
1588962856 PAMULA ANNE STAMM RN
Individual
Registered Nurse3400 WAKE FOREST RD
RALEIGH, NC 27609
(919) 954-3285
1487754552MR. CATHAY C WANG M. D.
Individual
Emergency Medicine3400 WAKE FOREST RD
RALEIGH, NC 27609
(919) 954-3271
1669734703 JUDSON ELLIOTT CRNA
Individual
Nurse Anesthetist, Certified Registered3400 WAKE FOREST RD
RALEIGH, NC 27609
(919) 873-9533
1255328340DR. RAJIV SANAT PARIKH MD
Individual
Emergency Medicine3400 WAKE FOREST RD EMERGENCY DEPT.
RALEIGH, NC 27609
(919) 954-3215
1871761791 NADIA HAMEED PASHA MD
Individual
Internal Medicine3400 WAKE FOREST RD
RALEIGH, NC 27609
(919) 954-3965
1750646733 ALLETHAIRE MEDLICOTT RENNINGER CRNA
Individual
Registered Nurse3400 WAKE FOREST RD
RALEIGH, NC 27609
(919) 954-3000
1821051368 ARLENE CHUA MD
Individual
Family Medicine3400 WAKE FOREST RD
RALEIGH, NC 27609
(919) 954-3215
1710326608MRS. ELIZABETH W MOSLEY CRNA
Individual
Nurse Anesthetist, Certified Registered3400 WAKE FOREST RD
RALEIGH, NC 27609
(919) 954-3000
1982918074 JESSE SEVERINO DUDAS
Individual
Nurse Anesthetist, Certified Registered3400 WAKE FOREST RD DUKE RALEIGH HOSPITAL
RALEIGH, NC 27609
(919) 954-3939
1558781336DUKE UNIVERSITY
Organization
General Acute Care Hospital (Critical Access)3400 WAKE FOREST RD
RALEIGH, NC 27609
(919) 945-3000
1649685785 BRANDI SNOW AGACNP
Individual
Nurse Practitioner (Acute Care)3400 WAKE FOREST RD
RALEIGH, NC 27609
(919) 862-5680
1376731190 WALTER GEORGE JONES JR. CRNA
Individual
Nurse Anesthetist, Certified Registered3400 WAKE FOREST RD
RALEIGH, NC 27609
(919) 954-3765
1780617621MR. JAMES S KENNEDY CRNA
Individual
Nurse Anesthetist, Certified Registered3400 WAKE FOREST RD
RALEIGH, NC 27609
(919) 954-3765

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1528117538, enumerated in the NPI registry as an "individual" on January 09, 2007

The provider is located at 3400 Wake Forest Rd Raleigh, Nc 27609 and the phone number is (919) 620-4467

The provider's speciality is Internal Medicine with taxonomy code 207R00000X

The provider has more than 45 years of experience. He graduated from University Of Southern California Keck School Of Medicine in 1981.

The provider might be accepting Accepts: Aetna CVS Health, Ambetter from Absolute Total. 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 $125.01 with an average copayment of $31.25 for new patient appointments. Established patients should expect a typical charge of $95.94 and an average copayment of 23.98. 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: Follow-up hospital inpatient care per day, typically 25 minutes, Follow-up hospital inpatient care per day, typically 35 minutes, Hospital discharge day management, more than 30 minutes, Hospital observation care on day of discharge, New patient office or other outpatient visit, 15-29 minutes, Removal of skin and tissue, 20.0 sq cm or less and Removal of tissue from wound, 20.0 sq cm or less.

The practitioner is affiliated to the following hospital(s): DUKE UNIVERSITY HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on January 09, 2007. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.