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Deactivated NPI 1780678102 Deactivated / Inactive NPI Male Practitioner

Dr. Kevin D Gerig , MD

Surgery • Goshen, IN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Kevin Gerig has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 31, 2005
NPI Deactivation Date April 29, 2025
Total Practice Duration ~20 Years of Practice (2005 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Kevin Gerig, MD was a registered Surgery practicing in Goshen, IN. Throughout an active medical career spanning 20 years, Dr. Gerig provided care at the practice location at 2006 S MAIN ST until profile deactivation on 2025-04-29.

Historical Medicare Part B clinical services included biopsy of large bowel using an endoscope, established patient outpatient office visit, removal of polyps or growths of large bowel using an endoscope with mechanical snare. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

2006 S Main St
Stuite A

Goshen, IN 465265232

Telephone 5745359100
Fax 5745351020
Associated Practice Facility / Clinic
🏢 Gerig Surgical Associates Pc Facility NPI 1538152392

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Goshen, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.0 Yrs
State Avg: 25.9 Yrs
Regional Practice Density
12 Specialists

Practicing in Goshen, IN (657 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
77.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
45380 Biopsy of large bowel using an endoscope
35 35 $1050.00 $124.38
99213 Established patient office or other outpatient visit, typically 15 minutes
29 13 $225.00 $61.06
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare
26 26 $1109.62 $229.91
99213 Established patient office or other outpatient visit, typically 15 minutes
24 20 $225.00 $84.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
21 21 $275.00 $103.01
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
14 14 $400.00 $154.44
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
13 13 $153.46 $52.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
12 11 $300.00 $119.17
G0105 Colorectal cancer screening; colonoscopy on individual at high risk
11 11 $950.00 $158.44
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk
11 11 $950.00 $165.89

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License IN 01039933

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
NPI 1013901347

Doctor of Medicine (M.D.)

Brianna Latisnere-Blosser

Physician Assistant

NPI 1053143164
NPI 1063405827

Doctor of Medicine (M.D.)

NPI 1104810431

Doctor of Medicine (M.D.)

NPI 1144214560

Doctor of Medicine (M.D.)

NPI 1215435458

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
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NPI Profile Deactivated April 29, 2025

Record deactivated on April 29, 2025

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 16, 2024

Surgery (License #01039933A in IN)

NPI Profile Active July 17, 2012

NPI status registered as active in NPPES database

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Updated Practice Location July 17, 2012

Registered at 2006 S MAIN ST, STUITE A, GOSHEN, IN 465265232 (Tel: 5745359100)

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Updated Business Mailing Address July 17, 2012

Registered at 2006 S MAIN ST, STUITE A, GOSHEN, IN 465265232 (Tel: 5745359100)

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Provider Name / Credentials Updated July 17, 2012

Recorded as KEVIN GERIG, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 17, 2012

Surgery (License #01039933 in IN)

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Initial NPI Registration & Enumeration August 31, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1780678102
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 31, 2005
Last Update: July 17, 2012
Deactivation Date: April 29, 2025

Mailing Address

2006 S Main St, Stuite A

Goshen, IN 465265232

Phone: 5745359100

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.