NPPES file of Aug 9, 2026

James Anthony Gerardo, M.D., PH.D.

Cardiovascular Disease Physician · Altoona, PA

James Anthony Gerardo, M.D., PH.D. is a cardiovascular disease physician with a practice address in Altoona, Pennsylvania, and NPI 1306046438, issued on Jul 18, 2007. Check the license (Pennsylvania MD437970, as entered in NPPES) on the Pennsylvania Department of State (PALS); the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1306046438
Name
James Anthony Gerardo
Credential
M.D., PH.D.
Primary taxonomy
Cardiovascular Disease Physician 207RC0000X
License number
MD437970 PA
Self-reported in NPPES; status is on the state search
Practice location
1321 11TH Ave, Altoona, PA 16601
Phone
(814) 942-2411
Enumerated
Jul 18, 2007
Record last updated
May 8, 2019 (not updated in 7 years: call before relying on the address or phone)
Fax
(814) 296-2040
Medicaid ID
102367966 PA
Medicare enrollment
Enrolled (PECOS I20090819000066); accepts Medicare assignment
Medical or professional school
Brody School Of Medicine At East Carolina University, 2002
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 1321 11TH Ave

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Yuefeng Chen, M.D., PH.D.Interventional Cardiology Physician1467700716
  2. Alan Ford, M.D.Cardiovascular Disease Physician1104895960
  3. Joseph Gattuso, M.D.Cardiovascular Disease Physician1356347033
  4. Gorgi Kozeski, D.O.Clinical Cardiac Electrophysiology Physician1689817272
  5. Phallen Magill, RN, CRNPNurse Practitioner1063178689
  6. Michael Sabatini, M.D., PH.D.Cardiovascular Disease Physician1346433703

Verify James Anthony Gerardo in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersPennsylvania Department of State (PALS)
    Search for license MD437970
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Pennsylvania license search

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58% fewer Medicare Part D claims than the average cardiovascular disease physician in 2024

1,288 Medicare Part D claims for 211 beneficiaries, against an average of 3,078 among the 20,728 providers of this specialty who prescribed in Part D. Brand-name drugs were 15% of claims.

  1. James Gerardo1,288
  2. Specialty average3,078

Most prescribed

  1. Metoprolol Succinate247 claims
  2. Atorvastatin Calcium188 claims
  3. Clopidogrel99 claims
  4. Losartan Potassium84 claims
  5. Eliquis67 claims
  6. Metoprolol Tartrate66 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 72.6 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score55.1
  2. Costout of 100 · 30%55.1
  3. Promoting interoperabilityout of 100 · 25%98.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $708.42

26 payments; by number, the most common kind was food and beverage; the largest payer was Zoll Services LLC (a/k/a Zoll LifeCor Corp). The 16,686 providers of this specialty with any payment received $3,819.56 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. James Gerardo$708.42
  2. Specialty average$3,819.56

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Mount Nittany Medical Center Health Services IncBellefonte, PA

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

James Anthony Gerardo among 1,476 cardiovascular disease physician records in Pennsylvania

James Anthony Gerardo, M.D., PH.D. is one of 1,476 cardiovascular disease physician records with a practice address in Pennsylvania. 85% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 55% of them.

  • NPI issued2007 · 55% of these records are older, 36% newer
  • In a Medicare fileYes · 85% of these records are
  • In the CMS Doctors and Clinicians fileYes · 68% of these records are
  • Graduated2002 · median 2000 among the 1,003 with a school on file
  • Record last updated2019 · 62% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RC0000X and a Pennsylvania practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Cardiovascular Disease Physician providers in Pennsylvania

There are 1,476 cardiovascular disease physician records in Pennsylvania.

The 8 cardiovascular disease physician records with the nearest ZIP codes

  1. Craig Brandt, M.D.Altoona, PA 166011760451546
  2. Alan Ford, M.D.Altoona, PA 166011104895960
  3. Joseph Gattuso, M.D.Altoona, PA 166011356347033
  4. Michael Larkin, D.O.Altoona, PA 166011639147788
  5. Mario Poon, M.D.Altoona, PA 166011699744615
  6. Michael Sabatini, M.D., PH.D.Altoona, PA 166011346433703
  7. Hany ShanoudyAltoona, PA 166011942206784
  8. George JabbourAltoona, PA 166021861447856

Common questions

What is James Anthony Gerardo, M.D., PH.D.'s NPI number?

James Anthony Gerardo, M.D., PH.D.'s National Provider Identifier (NPI) is 1306046438, issued on Jul 18, 2007. An NPI identifies a provider in billing; it is not a license.

Where is James Anthony Gerardo, M.D., PH.D. located?

The NPPES record lists a practice address at 1321 11TH Ave, Altoona, PA, 16601. Phone: (814) 942-2411. Providers update this record themselves, so call before visiting.

How can I verify James Anthony Gerardo, M.D., PH.D.'s license?

NPPES lists Pennsylvania license number MD437970, as entered by the provider. Search the Pennsylvania Department of State (PALS) at https://www.pals.pa.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does James Anthony Gerardo, M.D., PH.D. prescribe under Medicare Part D?

In 2024, James Anthony Gerardo, M.D., PH.D. had 1,288 Medicare Part D claims for 211 beneficiaries; the average among cardiovascular disease physician prescribers was 3,078. Part D covers Medicare prescriptions only.

What is James Anthony Gerardo, M.D., PH.D.'s MIPS final score?

The 2023 MIPS final score is 72.6 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.