EDWARD J GERBER (PA-C) – Physician Assistant, NPI 1710966148

EDWARD J GERBER (PA-C) is a healthcare provider. based in Columbia, Missouri. specializing in Physician Assistant. They hold the professional credentials PA-C. They hold a License No. 2006037125 (MO). The NPI Number for EDWARD J GERBER (PA-C) is 1710966148

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
EDWARD J GERBER (PA-C)
NPI
1710966148
Phone
(573) 882-8091
Address
One Hospital Dr
Enumeration Date
13 January 2006
Last Update Date
6 January 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5733656800
Graduation Year
2004 (22 years ago)
PAC ID
9537125901
Group Practice PAC ID
8921917352
Professional Enrollment ID
I20071210000497

Contacts

Secure Messaging
egerber91789@direct-ehr-ssmhc.com
FHIR Endpoint
https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/
Secure Messaging
MUDOCREFERRAL@direct.health.missouri.edu
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

Provider Addresses for EDWARD J GERBER (PA-C)

  • One Hospital Dr

    Columbia, MO 652120001

    Phone: (573) 882-8091

    Fax: (573) 884-1902

    Type: Location

  • St. Mary's Hospital, 2505, Mission Drive, Jefferson City, Cole County, Missouri, 65109, United States

    SUITE 200

    JEFFERSON CITY, MO 651099508

    Phone: (573) 681-3759

    Fax: (573) 681-3659

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2007-12-10

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
I20071210000497IPhysician AssistantMOTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 65212)

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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: 8921917352View full group profile
NameSpecialtyState
-MO
Nurse PractitionerMO
Nurse PractitionerMO
Physician AssistantMO
-MO
Physician AssistantMO
Physician AssistantMO
Nurse PractitionerMO
P S Y C H I A T R YKS
Cardiovascular Disease (Cardiology), Internal MedicineAR

Reviews

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Frequently asked questions

Is EDWARD J GERBER (PA-C) listed with a National Provider Identifier?
Yes — EDWARD J GERBER (PA-C) has NPI 1710966148 on file in the registry.
Is EDWARD J GERBER (PA-C) shown as active in public data?
Registry records indicate EDWARD J GERBER (PA-C) maintains an active NPI.
How would a patient describe EDWARD J GERBER (PA-C)'s focus?
For EDWARD J GERBER (PA-C), the primary taxonomy reads as Physician Assistant. Clinical services aligned with this taxonomy classification.
Is EDWARD J GERBER (PA-C) located near Columbia?
EDWARD J GERBER (PA-C) currently maps to Columbia, Missouri in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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