Active NPI 1316017189 Individual Practitioner Male Practitioner

Gavin W Duffy , PA

Physician Assistant • West Reading, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Gavin Duffy, PA is a certified Physician Assistant practicing in West Reading, PA. With approximately 20 years of clinical experience since completing medical education in 2006, Gavin Duffy delivers high-quality medical care to the local community at 601 SPRUCE ST.

Gavin Duffy is affiliated with The Milton S Hershey Medical Center Physicians Group and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, 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

601 Spruce St

West Reading, PA 196111443

Telephone 6103754567

Fax 6106858801

Associated Practice Facility / Clinic

🏢 Spine And Brain Neurosurgery Center Facility NPI 1912964032

Medicare Profile & Education

Medical School

Other

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in West Reading, PA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

20 Yrs +4.4 yrs vs City Avg

City Avg: 15.6 Yrs

State Avg: 11.5 Yrs

Regional Practice Density

45 Specialists

Practicing in West Reading, PA (8068 Statewide)

Telehealth Adoption Rate

2.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

69.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Duffy (20 Years) 20 Yrs

West Reading Specialty Average (15.6 Years) 15.6 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	34	28	$243.35	$73.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$440.96	$135.26
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$345.75	$101.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$320.60	$103.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	37	31	$175.86	$74.62
99231 Follow-up hospital inpatient care per day, typically 15 minutes	28	25	$117.50	$41.45
99221 Initial hospital inpatient care per day, typically 30 minutes	25	25	$301.08	$69.26
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	24	24	$394.38	$108.58
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$386.14	$137.93
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$117.45	$46.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	59	41	$120.00	$32.28
99213 Established patient office or other outpatient visit, typically 15 minutes	39	33	$170.00	$75.92
99221 Initial hospital inpatient care per day, typically 30 minutes	23	23	$312.00	$83.73
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$420.00	$112.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	14	$232.00	$106.96
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$365.00	$139.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	86	67	$170.00	$76.14
99231 Follow-up hospital inpatient care per day, typically 15 minutes	63	41	$120.00	$32.23
99221 Initial hospital inpatient care per day, typically 30 minutes	34	33	$312.00	$84.72
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	26	26	$420.00	$114.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$365.00	$141.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	70	54	$170.00	$62.78
99231 Follow-up hospital inpatient care per day, typically 15 minutes	66	37	$120.00	$33.78
99221 Initial hospital inpatient care per day, typically 30 minutes	43	42	$312.00	$87.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$365.00	$135.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	98	79	$167.24	$61.21
99231 Follow-up hospital inpatient care per day, typically 15 minutes	79	39	$117.97	$33.45
99221 Initial hospital inpatient care per day, typically 30 minutes	51	50	$307.29	$86.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	42	42	$357.40	$137.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$233.75	$90.53
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	17	$113.41	$37.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	104	79	$165.00	$60.22
99231 Follow-up hospital inpatient care per day, typically 15 minutes	75	52	$116.00	$32.97
99221 Initial hospital inpatient care per day, typically 30 minutes	46	46	$302.00	$85.17
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	42	42	$354.00	$136.39
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$232.00	$89.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$225.00	$88.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	75	64	$165.00	$59.59
99231 Follow-up hospital inpatient care per day, typically 15 minutes	59	43	$116.00	$32.76
99221 Initial hospital inpatient care per day, typically 30 minutes	55	54	$302.00	$82.12
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$354.00	$135.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	18	$1462.50	$88.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$232.00	$88.63
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	12	$290.00	$118.94

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License PA MA052836

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

The Milton S Hershey Medical Center Physicians Group

500 Universidy Dr, Hershey, PA 170332360

The Milton S Hershey Medical Center Physicians Group

2135 Noll Dr, Lancaster, PA 176037602

Phone: 2232027000

Practice Associates & Co-Workers

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

7 Associated Practitioners

Lisa Lewandowski , CRNP

Nurse Practitioner - Acute Care

NPI 1174809180

Certified Registered Nurse Practitioner

Dr. Richard Close , MD

Neurological Surgery

NPI 1295791382

Doctor of Medicine (M.D.)

Dr. Herman Lawson , MD

Neurological Surgery

NPI 1366589517

Doctor of Medicine (M.D.)

Tricia Eckman , CRNP

Nurse Practitioner - Adult Health

NPI 1508849878

Certified Registered Nurse Practitioner

Dr. Craig Johnson , MD

Neurological Surgery

NPI 1528028420

Doctor of Medicine (M.D.)

Trudy Bush , CRNP

Nurse Practitioner

NPI 1750348991

Certified Registered Nurse Practitioner

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 601 SPRUCE ST, WEST READING, PA 196111443 (Tel: 6103754567)

📍

Updated Business Mailing Address July 08, 2007

Registered at 601 SPRUCE ST, WEST READING, PA 196111443 (Tel: 6103754567)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as GAVIN DUFFY, P.A.

🎓

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

Physician Assistant (License #MA052836 in PA)

🟢

Initial NPI Registration & Enumeration November 09, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1316017189

Entity Type:

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

Enumeration Date: November 09, 2006

Last Update: July 08, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

601 Spruce St

West Reading, PA 196111443

Phone: 6103754567

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.