Active NPI 1588690747 Individual Practitioner Male Practitioner

Dr. Gerald J Monchik , MD

Surgery • Fall River, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Gerald Monchik, MD is a certified Surgery practicing in Fall River, MA. With approximately 60 years of clinical experience since graduating from University Of Pittsburgh School Of Medicine in 1966, Dr. Monchik delivers high-quality medical care to the local community at 1030 PRESIDENT AVE.

Dr. Monchik is affiliated with Southcoast Physicians Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include removal of skin and tissue, removal of skin and tissue, 20.0 sq cm or less, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1030 President Ave
Suite 3002

Fall River, MA 027205923

Telephone 5086763411

Fax 5086760932

Associated Practice Facility / Clinic

🏢 Southcoast Physician Services Inc Facility NPI 1104874874

Medicare Profile & Education

Medical School

University Of Pittsburgh School Of Medicine

Graduation Year

1966

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Fall River, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

60 Yrs +30.7 yrs vs City Avg

City Avg: 29.3 Yrs

State Avg: 28.2 Yrs

Regional Practice Density

9 Specialists

Practicing in Fall River, MA (1077 Statewide)

Telehealth Adoption Rate

22.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

74.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Monchik (60 Years) 60 Yrs

Fall River Specialty Average (29.3 Years) 29.3 Yrs

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
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	588	21	$143.42	$26.20
11042 Removal of skin and tissue, 20.0 sq cm or less	515	92	$328.55	$62.97
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	116	56	$109.59	$36.53
97597 Removal of tissue from wound, 20.0 sq cm or less	48	31	$117.83	$36.78
99213 Established patient office or other outpatient visit, typically 15 minutes	34	29	$203.18	$68.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	404	75	$326.00	$60.72
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	155	18	$142.00	$25.62
99183 Management and supervision of oxygen chamber therapy per session	103	16	$351.00	$107.85
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	95	49	$109.00	$36.07
97597 Removal of tissue from wound, 20.0 sq cm or less	54	33	$117.00	$36.20
99213 Established patient office or other outpatient visit, typically 15 minutes	41	37	$202.00	$67.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	15	$296.00	$96.42
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$252.00	$84.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	342	65	$326.00	$62.61
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	123	18	$142.00	$27.16
99183 Management and supervision of oxygen chamber therapy per session	81	15	$351.00	$111.42
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	57	38	$107.60	$36.91
97597 Removal of tissue from wound, 20.0 sq cm or less	44	26	$117.00	$37.04
17250 Application of chemical to stop tissue regrowth in wound	31	13	$120.00	$34.75
99213 Established patient office or other outpatient visit, typically 15 minutes	26	19	$196.35	$69.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	14	$288.47	$102.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	528	105	$326.00	$62.04
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	202	34	$142.00	$27.21
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	102	56	$84.53	$37.27
99183 Management and supervision of oxygen chamber therapy per session	84	13	$351.00	$112.05
97597 Removal of tissue from wound, 20.0 sq cm or less	59	32	$117.00	$37.18
99213 Established patient office or other outpatient visit, typically 15 minutes	26	24	$174.69	$69.84
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$239.78	$86.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	13	$265.71	$103.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	244	69	$328.61	$64.48
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	121	15	$142.00	$28.43
97597 Removal of tissue from wound, 20.0 sq cm or less	80	31	$86.76	$38.77
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	67	40	$81.00	$27.12
99183 Management and supervision of oxygen chamber therapy per session	63	12	$349.86	$116.99
99213 Established patient office or other outpatient visit, typically 15 minutes	19	18	$161.16	$53.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$239.88	$79.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	657	106	$204.77	$64.43
97597 Removal of tissue from wound, 20.0 sq cm or less	310	85	$76.75	$24.90
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	270	27	$86.51	$27.91
99183 Management and supervision of oxygen chamber therapy per session	166	20	$288.96	$112.24
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	130	77	$76.79	$26.44
97598 Removal of tissue from wound, each additional 20.0 sq cm	128	15	$56.56	$11.72
99213 Established patient office or other outpatient visit, typically 15 minutes	45	37	$149.44	$52.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	41	41	$221.32	$78.98
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$100.00	$47.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	774	106	$175.00	$60.32
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	397	27	$75.00	$26.29
97597 Removal of tissue from wound, 20.0 sq cm or less	279	83	$100.00	$22.71
99183 Management and supervision of oxygen chamber therapy per session	133	17	$250.00	$104.00
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	114	66	$100.00	$24.26
17250 Application of chemical to stop tissue regrowth in wound	53	21	$250.00	$32.47
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	50	42	$100.00	$43.36
97598 Removal of tissue from wound, each additional 20.0 sq cm	50	11	$50.00	$11.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	42	42	$250.00	$75.08
99213 Established patient office or other outpatient visit, typically 15 minutes	38	35	$165.00	$50.21
99213 Established patient office or other outpatient visit, typically 15 minutes	26	22	$165.00	$71.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	574	99	$175.00	$59.27
97597 Removal of tissue from wound, 20.0 sq cm or less	244	72	$100.00	$22.30
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	167	16	$75.00	$25.12
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	159	81	$100.00	$24.33
99183 Management and supervision of oxygen chamber therapy per session	67	12	$250.00	$105.45
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	49	43	$100.00	$42.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	47	$250.00	$73.11
99213 Established patient office or other outpatient visit, typically 15 minutes	47	40	$165.00	$70.67
17250 Application of chemical to stop tissue regrowth in wound	33	18	$250.00	$31.14
99213 Established patient office or other outpatient visit, typically 15 minutes	27	25	$165.00	$48.69

Medical Specialties & State Licenses

CMS Verified: 2020-04-23

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MA MA37145

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

2019914 (MA)

Medicaid State Provider ID

GM07816 (RI)

Commercial Insurance / Payer ID Aetna

3427518

Commercial Insurance / Payer ID Cigna For Referrals

7111118003

Commercial Insurance / Payer ID Hphc

8157

Commercial Insurance / Payer ID Railroad Medicare

020013711 (MA)

Commercial Insurance / Payer ID Tufts

037145

Commercial Insurance / Payer ID Bmc

000000021261

Commercial Insurance / Payer ID Swh

000367

Commercial Insurance / Payer ID Nhp

0027846

Hospital & Practice Group Affiliations

Southcoast Physicians Group Inc

101 Page St, New Bedford, MA 027403464

Phone: 5089735919

Secondary Practice Locations

363 Highland Ave

Fall River, MA 027203703

Phone: 5089737447

Practice Associates & Co-Workers

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

26 Associated Practitioners

Dr. Margaret Lee , MD

Obstetrics & Gynecology

NPI 1063478220

Doctor of Medicine (M.D.)

Laurel Gay , PA

Physician Assistant

NPI 1063526986

Physician Assistant

Dr. Henry Vaillancourt , MD

Family Medicine

NPI 1093770059

Doctor of Medicine (M.D.)

Dr. Sean Thomas , MD

Ophthalmology

NPI 1114053717

Doctor of Medicine (M.D.)

Dr. Susanne Matias-Gomes , DO

Obstetrics & Gynecology

NPI 1114150935

Doctor of Osteopathic Medicine (D.O.)

Dr. Ronald Schneider , MD

Dermatology

NPI 1114967643

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active September 04, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location September 04, 2013

Registered at 1030 PRESIDENT AVE, SUITE 3002, FALL RIVER, MA 027205923 (Tel: 5086763411)

📍

Updated Business Mailing Address September 04, 2013

Registered at 1030 PRESIDENT AVE, SUITE 3002, FALL RIVER, MA 027205923 (Tel: 5086763411)

👤

Provider Name / Credentials Updated September 04, 2013

Recorded as GERALD MONCHIK, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 04, 2013

Surgery (License #MA37145 in MA)

🟢

Initial NPI Registration & Enumeration June 22, 2006

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: 1588690747

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 22, 2006

Last Update: April 23, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1030 President Ave, Suite 3002

Fall River, MA 027205923

Phone: 5086763411

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.