Active NPI 1104974328 Individual Practitioner Male Practitioner

Gary Paul Neale , MB CHB

Specialist • Plains, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Gary Neale, MB CHB is a certified Specialist practicing in Plains, PA. With approximately 29 years of clinical experience since completing medical education in 1997, Gary Neale delivers high-quality medical care to the local community at 200 S RIVER ST.

Gary Neale is affiliated with Commonwealth Physician Network Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, initial hospital inpatient care per day, initial hospital care with straightforward or low-level medical decision making, 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

200 S River St

Plains, PA 187051143

Telephone 5708211100

Fax 5708211108

Associated Practice Facility / Clinic

🏢 Surgical Specialists Of Wyoming Valley, Pc Facility NPI 1497717482

Medicare Profile & Education

Medical School

Other

Graduation Year

1997

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Plains, PA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

29 Yrs -6.5 yrs vs City Avg

City Avg: 35.5 Yrs

State Avg: 35.7 Yrs

Regional Practice Density

4 Specialists

Practicing in Plains, PA (2255 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

55.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Neale (29 Years) 29 Yrs

Plains Specialty Average (35.5 Years) 35.5 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
99213 Established patient office or other outpatient visit, typically 15 minutes	52	39	$125.00	$84.35
99221 Initial hospital inpatient care per day, typically 30 minutes	22	22	$325.00	$79.59
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	19	$325.00	$126.06
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	17	13	$225.00	$114.45
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$275.00	$160.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	51	41	$125.00	$81.88
99231 Follow-up hospital inpatient care per day, typically 15 minutes	38	23	$100.00	$48.61
99221 Initial hospital inpatient care per day, typically 30 minutes	27	26	$325.00	$81.21
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	23	23	$325.00	$127.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	14	$200.00	$119.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$275.00	$151.59
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	14	14	$360.00	$115.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$200.00	$108.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	66	47	$125.00	$85.00
99231 Follow-up hospital inpatient care per day, typically 15 minutes	54	36	$100.00	$38.14
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	29	29	$175.00	$70.01
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$275.00	$153.65
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$325.00	$132.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$200.00	$119.04
43246 Insertion of stomach tube using a flexible endoscope	13	13	$525.00	$134.92
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	12	12	$360.00	$124.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	86	46	$100.00	$38.02
99213 Established patient office or other outpatient visit, typically 15 minutes	81	49	$125.00	$85.72
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$275.00	$166.35
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	26	26	$175.00	$71.13
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	21	$325.00	$128.03
99221 Initial hospital inpatient care per day, typically 30 minutes	18	18	$325.00	$99.95
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	16	16	$360.00	$108.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	14	$200.00	$110.17
99442 Telephone medical discussion with physician, 11-20 minutes	14	12	$125.00	$83.83
47562 Removal of gallbladder using an endoscope	12	12	$1670.00	$564.43
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$110.00	$53.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	136	64	$100.00	$39.64
99213 Established patient office or other outpatient visit, typically 15 minutes	77	45	$125.00	$71.99
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	58	50	$175.00	$72.80
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	31	31	$325.00	$138.44
99221 Initial hospital inpatient care per day, typically 30 minutes	31	29	$325.00	$102.43
99442 Telephone medical discussion with physician, 11-20 minutes	23	17	$125.00	$74.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$282.35	$157.16
43246 Insertion of stomach tube using a flexible endoscope	15	15	$525.00	$158.56
31600 Opening of windpipe through neck for insertion of breathing tube	13	13	$820.00	$316.35
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	11	11	$360.00	$122.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	93	57	$100.00	$38.98
99213 Established patient office or other outpatient visit, typically 15 minutes	86	51	$125.00	$71.83
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	64	52	$175.00	$71.91
99221 Initial hospital inpatient care per day, typically 30 minutes	30	30	$325.00	$100.48
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	26	25	$325.00	$135.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$275.00	$160.99
43246 Insertion of stomach tube using a flexible endoscope	23	23	$525.00	$170.22
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	17	15	$360.00	$130.65
31600 Opening of windpipe through neck for insertion of breathing tube	11	11	$820.00	$299.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	104	70	$127.26	$69.95
99231 Follow-up hospital inpatient care per day, typically 15 minutes	50	34	$95.00	$38.76
99221 Initial hospital inpatient care per day, typically 30 minutes	19	18	$325.00	$100.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$275.00	$160.59
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	15	15	$464.00	$141.38
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	13	13	$157.69	$71.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	158	86	$130.00	$70.29
99231 Follow-up hospital inpatient care per day, typically 15 minutes	34	21	$75.00	$38.53
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	31	19	$100.00	$70.79
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	25	25	$200.00	$134.57
99415 Prolonged office or other outpatient service by clinical staff - first hour	21	19	$50.00	$8.27
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	18	16	$250.00	$198.88
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	16	16	$750.00	$129.45
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	16	16	$350.00	$200.58
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$269.58	$159.17
43775 Stomach reduction procedure with partial removal of stomach using an endoscope	12	12	$3736.00	$1113.41

Medical Specialties & State Licenses

CMS Verified: 2022-03-14

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License PA MD427857

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Specialist

NUCC Taxonomy Code: 174400000X

State License CA A95263

Surgery

NUCC Taxonomy Code: 208600000X

State License PA MD427857

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

1025213870001 (PA)

Commercial Insurance / Payer ID Medicare

196200HUY

Hospital & Practice Group Affiliations

Commonwealth Physician Network Llc

743 Jefferson Ave, Scranton, PA 185101638

Phone: 5703449457

Commonwealth Physician Network Llc

4 E Main St, Nanticoke, PA 186341602

Phone: 5707357474

Commonwealth Physician Network Llc

200 S River St, Plains, PA 187051143

Phone: 5708211100

Commonwealth Physician Network Llc

575 N River St, Wilkes Barre, PA 187022634

Phone: 5705528938

Practice Associates & Co-Workers

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

9 Associated Practitioners

Dr. Juan Derojas , MD

Surgery - Vascular Surgery

NPI 1073581013

Doctor of Medicine (M.D.)

Kyle Landis , PA

Physician Assistant - Surgical

NPI 1144773151

Physician Assistant

Dr. Chester Yavorski , MD

Surgery - Vascular Surgery

NPI 1174590467

Doctor of Medicine (M.D.)

Dr. Clark Gerhart , MD

Surgery

NPI 1265400204

Doctor of Medicine (M.D.)

Dr. David Lucchino , MD

Surgery

NPI 1265409551

Doctor of Medicine (M.D.)

Dr. Feroz Sheikh , MD

Surgery

NPI 1285693903

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 14, 2022

Specialist (License #A95263 in CA)

✅

NPI Profile Active January 11, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location January 11, 2012

Registered at 200 S RIVER ST, PLAINS, PA 187051143 (Tel: 5708211100)

📍

Updated Business Mailing Address January 11, 2012

Registered at 200 S RIVER ST, PLAINS, PA 187051143 (Tel: 5708211100)

👤

Provider Name / Credentials Updated January 11, 2012

Recorded as GARY NEALE, MB CHB

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 11, 2012

Specialist (License #MD427857 in PA)

🟢

Initial NPI Registration & Enumeration January 05, 2007

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1104974328

Entity Type:

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

Enumeration Date: January 05, 2007

Last Update: March 14, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

200 S River St

Plains, PA 187051143

Phone: 5708211100

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.