GENA R GHEARING (M.D.) – Epilepsy Physician, NPI 1154307114

GENA R GHEARING (M.D.) is a healthcare provider. based in Iowa city, Iowa. specializing in NEUROLOGY. They hold the professional credentials M.D.. They hold a License No. MD-43937 (IA). The NPI Number for GENA R GHEARING (M.D.) is 1154307114

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
GENA R GHEARING (M.D.)
NPI
1154307114
Phone
(319) 353-7323
Address
200 HAWKINS DR
Enumeration Date
21 December 2005
Last Update Date
12 March 2025

Doctor Profile

Medical School Name
NEW YORK MEDICAL COLLEGE
Secondary Phone
2122414572
Graduation Year
2001 (25 years ago)
PAC ID
3870692106
Group Practice PAC ID
2264691070
Professional Enrollment ID
I20250121000149
Address ID
NY111022448LO2510XAVEX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience92
Completeness75
Years active:20State licenses:3Digital endpointsOther names

193 NEUROLOGY in IA

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Provider Addresses for GENA R GHEARING (M.D.)

  • University of Iowa Hospitals & Clinics, 200, Hawkins Drive, Iowa City, Johnson County, Iowa, 52245, United States

    2RCP

    IOWA CITY, IA 522421009

    Phone: (319) 353-7323

    Type: Mailing

  • 1468 MADISON AVE # 1052

    NEW YORK, NY 100296508

    Phone: (212) 241-1261

    Fax: (646) 537-9690

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $114.

Total Amount is formed as General ($114) + Research ($0) + Ownership ($0) = $114.

Last reported payment date: 2024-12-07 • Largest payer in this snapshot: SK Life Science, Inc. ($114).

Total Amount

$114

General + Research + Ownership

Payments

1

Total payment records

General Amount

$114

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-07

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
SK Life Science, Inc.$114
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-01-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250121000149INeurologyNYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
95720Measurement of brain wave activity with video (veeg), 12-26 hours with review and report by health care professional14888$0
99215Established patient office or other outpatient visit, 40-54 minutes9772$0
G0453Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition to primary procedure)7712$0
95718Measurement of brain wave activity with video (veeg), 2-12 hours with review and report by health care professional5351$0
95813Measurement of brain wave activity (eeg), 61-119 minutes5252$0
View full utilization report →

Insurance plans in this area (ZIP 52242)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2264691070View full group profile
NameSpecialtyState
-NY
P S Y C H I A T R YNY
E N D O C R I N O L O G YFL
-NY
Internal Medicine, GastroenterologyNY
-NY
P S Y C H I A T R YNY
Critical Care (Intensivists), Internal Medicine, Pulmonary DiseaseNY
Physician AssistantNY
P S Y C H I A T R YNY

Reviews

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Frequently asked questions

Can I cross-check GENA R GHEARING (M.D.) using NPI 1154307114?
NPI 1154307114 belongs to GENA R GHEARING (M.D.); compare other details if you need extra assurance.
Would GENA R GHEARING (M.D.) appear as active to a payer?
You can treat GENA R GHEARING (M.D.) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for GENA R GHEARING (M.D.)?
At a glance, GENA R GHEARING (M.D.) is tied to Epilepsy Physician. Clinical services aligned with this taxonomy classification.
Is GENA R GHEARING (M.D.) associated with Iowa City?
Public fields place GENA R GHEARING (M.D.) around Iowa City, Iowa. Always confirm the exact site before visiting.
Does GENA R GHEARING (M.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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