Active NPI 1568521425 Individual Practitioner Male Practitioner

Dr. Gary Douglas Kanouse , MD

Internal Medicine • Berwick, PA

Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Gary Kanouse, MD is a certified Internal Medicine practicing in Berwick, PA. With approximately 41 years of clinical experience since graduating from Hahnemann University College Of Medicine in 1985, Dr. Kanouse delivers high-quality medical care to the local community at 695 E 16TH ST.

Dr. Kanouse is affiliated with Phoenix Rehabilitation And Health Services Inc and does not directly accept Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least, established patient outpatient office visit, subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

695 E 16th St
Suite D

Berwick, PA 186032320

Telephone 5707525500

Fax 5707526790

Associated Practice Facility / Clinic

🏢 Kanouse Medical Group Pc Facility NPI 1790859783

Medicare Profile & Education

Medical School

Hahnemann University College Of Medicine

Graduation Year

1985

Medicare Assignment

Not Specified

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Berwick, PA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

41 Yrs +16.7 yrs vs City Avg

City Avg: 24.3 Yrs

State Avg: 28.2 Yrs

Regional Practice Density

8 Specialists

Practicing in Berwick, PA (7609 Statewide)

Telehealth Adoption Rate

37.5% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

31.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kanouse (41 Years) 41 Yrs

Berwick Specialty Average (24.3 Years) 24.3 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
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	776	114	$85.00	$67.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	180	92	$200.00	$116.70
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	122	68	$110.00	$96.70
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	104	49	$250.00	$162.97
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	41	39	$150.00	$119.91
99213 Established patient office or other outpatient visit, typically 15 minutes	24	23	$150.00	$82.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	687	114	$85.00	$71.39
99213 Established patient office or other outpatient visit, typically 15 minutes	184	108	$150.00	$86.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	152	89	$200.00	$122.39
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	113	62	$110.00	$102.18
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	99	94	$150.00	$128.09
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	89	48	$250.00	$171.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	429	75	$85.00	$66.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	239	118	$196.86	$124.44
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	146	68	$241.44	$176.09
99213 Established patient office or other outpatient visit, typically 15 minutes	124	75	$144.68	$88.18
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	94	43	$110.00	$87.36
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	41	39	$150.00	$124.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	697	119	$85.00	$67.18
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	182	109	$199.59	$177.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	145	91	$147.10	$127.03
99213 Established patient office or other outpatient visit, typically 15 minutes	135	85	$90.00	$89.42
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	77	36	$110.00	$88.64
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	61	60	$150.00	$126.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	842	146	$85.00	$66.18
99213 Established patient office or other outpatient visit, typically 15 minutes	372	165	$90.00	$70.96
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	250	103	$110.00	$86.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	133	79	$130.00	$102.87
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	75	62	$175.00	$138.27
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	73	72	$150.00	$123.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	1,123	164	$85.00	$65.23
99213 Established patient office or other outpatient visit, typically 15 minutes	403	170	$90.00	$70.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	308	131	$130.23	$102.31
G0008 Administration of influenza virus vaccine	105	105	$30.00	$15.95
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	105	105	$30.00	$27.57
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	95	51	$110.00	$86.68
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	82	79	$150.00	$123.77
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	77	48	$175.00	$137.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	1,140	200	$85.00	$64.19
99213 Established patient office or other outpatient visit, typically 15 minutes	350	177	$90.00	$67.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	344	177	$130.00	$98.95
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	140	132	$150.00	$120.91
G0008 Administration of influenza virus vaccine	116	116	$30.00	$19.57
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	98	63	$175.00	$133.71
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	84	84	$30.00	$23.57
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	82	57	$110.00	$84.76
99335 Established patient assisted living visit, typically 25 minutes	53	13	$115.00	$88.19
Q2035 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria)	21	21	$30.00	$17.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$200.00	$154.02
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	12	12	$30.00	$18.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	866	152	$82.73	$65.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	351	169	$124.99	$100.49
99213 Established patient office or other outpatient visit, typically 15 minutes	338	177	$87.87	$68.30
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	181	105	$104.48	$85.86
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	125	120	$150.00	$122.74
G0008 Administration of influenza virus vaccine	112	110	$30.00	$24.05
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	110	110	$30.00	$23.57
99335 Established patient assisted living visit, typically 25 minutes	97	20	$106.60	$88.86
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	71	51	$168.24	$135.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$198.57	$154.00

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License PA MD036479E

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0011256360001 (PA)

Commercial Insurance / Payer ID Highmark Blue Shield

161376 (PA)

Commercial Insurance / Payer ID Capital Blue Cross

50002681 (PA)

Hospital & Practice Group Affiliations

Phoenix Rehabilitation And Health Services Inc

2000 Westinghouse Dr, Cranberry Twp, PA 160665238

Practice Associates & Co-Workers

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

3 Associated Practitioners

Dr. Zeferino Martinez , MD

Orthopaedic Surgery

NPI 1194780643

Doctor of Medicine (M.D.)

Dr. Roger Crake , MD

Surgery

NPI 1295733418

Doctor of Medicine (M.D.)

Dr. Ramesh Shah , MD

Internal Medicine - Pulmonary Disease

NPI 1760440853

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 July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 695 E 16TH ST, SUITE D, BERWICK, PA 186032320 (Tel: 5707525500)

📍

Updated Business Mailing Address July 08, 2007

Registered at 695 E 16TH ST, SUITE D, BERWICK, PA 186032320 (Tel: 5707525500)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as GARY KANOUSE, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Internal Medicine (License #MD036479E in PA)

🟢

Initial NPI Registration & Enumeration December 07, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Gary Kanouse. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1568521425

Entity Type:

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

Enumeration Date: December 07, 2006

Last Update: July 08, 2007

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

695 E 16th St, Suite D

Berwick, PA 186032320

Phone: 5707525500

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.