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Active NPI 1942949136 Individual Practitioner Male Practitioner

Gerald Paul Thornberry , PA-C

Physician Assistant • Kettering, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Gerald Thornberry, PA-C is a certified Physician Assistant practicing in Kettering, OH. With approximately 4 years of clinical experience since completing medical education in 2022, Gerald Thornberry delivers high-quality medical care to the local community at 3535 SOUTHERN BLVD.

Gerald Thornberry is affiliated with Gastonia Physician Services Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, emergency department visit with moderate level of medical decision making, emergency department visit with low level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3535 Southern Blvd

Kettering, OH 454291221

Telephone 9373958166
Associated Practice Facility / Clinic
🏢 Kettering Physiatrists, Inc. Facility NPI 1902893035

Medicare Profile & Education

Medical School

Other

Graduation Year

2022

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Kettering, OH

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
4 Yrs -3.7 yrs vs City Avg
City Avg: 7.7 Yrs
State Avg: 9.7 Yrs
Regional Practice Density
115 Specialists

Practicing in Kettering, OH (5376 Statewide)

Telehealth Adoption Rate
7.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
90.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Thornberry (4 Years) 4 Yrs
Kettering Specialty Average (7.7 Years) 7.7 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
99285 Emergency department visit for life threatening or functioning severity
44 43 $1639.93 $139.99
99284 Emergency department visit with moderate level of medical decision making
37 37 $868.41 $98.73
99283 Emergency department visit with low level of medical decision making
22 22 $501.73 $57.07
99291 Critical care, first 30-74 minutes
11 11 $2128.64 $172.88

Medical Specialties & State Licenses

CMS Verified: 2026-04-14
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OH 50.007594RX

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License OH APP-000599950

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Gastonia Physician Services Pllc

451 E Charlotte Ave, Mt Holly, NC 281202211

Phone: 9808342266

Secondary Practice Locations

2300 N Limestone St

Springfield, OH 455031102

Phone: 9375048305

1275 N High St

Hillsboro, OH 451338273

Phone: 9373936100

600 W Main St

Troy, OH 453733384

Phone: 9379807010

1 Kettering Way

Piqua, OH 453564146

Phone: 9379162625

1997 Miamisburg Centerville Rd

Centerville, OH 454593811

Phone: 9374016228

405 W Grand Ave

Dayton, OH 454057538

Phone: 9377233211

450f Washington Jackson Rd

Eaton, OH 453208699

Phone: 9374568376

1141 N Monroe Dr

Xenia, OH 453851619

Phone: 9373522500

8701 Old Troy Pike

Huber Heights, OH 454241066

Phone: 9375583338

4000 Miamisburg Centerville Rd

Miamisburg, OH 453427615

Phone: 9373848791

3535 Pentagon Blvd

Beavercreek, OH 454311705

Phone: 9377024500

100 Kettering Way

Franklin, OH 450051155

Phone: 9374584700

6147 State Route 122

Middletown, OH 450055201

Phone: 5132613410

Practice Associates & Co-Workers

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

40 Associated Practitioners
Annemarie Underwood , PA-C

Physician Assistant

NPI 1003551920

Physician Assistant (Certified)

Dr. Richard Garrison , MD

Emergency Medicine

NPI 1013994300

Doctor of Medicine (M.D.)

Zachary Carlisle , PA

Physician Assistant

NPI 1023994035

Physician Assistant

NPI 1033837091

MPAS, Physician Assistant (Certified)

Dr. Matthew Kiefaber , MD

Emergency Medicine

NPI 1043268519

Doctor of Medicine (M.D.)

Dr. Mitchell Garey , DO

Emergency Medicine

NPI 1053052860

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Business Mailing Address July 29, 2022

Registered at 3131 NEWMARK DR STE 220, MIAMISBURG, OH 453425400 (Tel: 9374388910)

NPI Profile Active June 03, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location June 03, 2022

Registered at 3535 SOUTHERN BLVD, KETTERING, OH 454291221 (Tel: 9372984331)

📍
Updated Business Mailing Address June 03, 2022

Registered at 7 GLENPARK CT, AMELIA, OH 451021743 (Tel: 5137397410)

👤
Provider Name / Credentials Updated June 03, 2022

Recorded as GERALD THORNBERRY, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 03, 2022

Physician Assistant (License #APP-000599950 in OH)

🟢
Initial NPI Registration & Enumeration June 03, 2022

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: 1942949136
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 03, 2022
Last Update: April 14, 2026
Sole Proprietor: Yes

Mailing Address

3131 Newmark Dr Ste 220

Miamisburg, OH 453425400

Phone: 9374388910

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.