William Gianfagna, M.D.
NPI 1275501850 · Pediatrics Physician · Pottsville, PA
Enrolled with Medicare as Practitioner - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
William Gianfagna, M.D. is a Pediatrics Physician provider in Pottsville, PA (NPI 1275501850).
Provider details
- NPI number
- 1275501850
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- MD026364E (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
69 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Blood Test, Clotting Time85610 | 53 | $4 |
| Hemoglobin A1c Level83036 | 16 | $10 |
Typical Medicare-allowed amounts for these services range $4–$10 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-03-09
- Last updated
- 2020-08-05
- Certified
- 2020-08-05
Frequently asked questions
- What is William Gianfagna's NPI number?
- William Gianfagna's National Provider Identifier (NPI) is 1275501850, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is William Gianfagna's specialty?
- William Gianfagna is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is William Gianfagna located?
- William Gianfagna's practice location on file with NPPES is 529 Terry Reiley Way, Pottsville, PA 17901.
- What is William Gianfagna's phone number?
- The practice phone number listed in the NPPES registry for William Gianfagna is (570) 624-4444.
- Does William Gianfagna accept Medicare?
- William Gianfagna is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is William Gianfagna's NPI active?
- Yes — William Gianfagna's NPI (1275501850) is active in the NPPES registry as of the last update on 2020-08-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.