MICHAEL B GERHARDT M.D.
NPI 1003905191
Orthopaedic Surgery - Sports Medicine in Santa Monica, CA

Active since October 12, 2006PECOS EnrolledAccepts Medicare Assignment
85.71/100
CMS Quality Rating
2020 SANTA MONICA BLVD STE 400, SANTA MONICA, CA 90404(310) 829-2663(310) 315-5620 Get Directions Write a Review

NPPES record last updated: February 10, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Michael B Gerhardt M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL B GERHARDT M.D. (NPI 1003905191) is an individual sports medicine provider in Santa Monica, California, licensed in California (A67283) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Medical College Of Pennsylvania (1997).

NPPES Registry Identity

NPI1003905191
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameMICHAEL B GERHARDTCredential: M.D.
Location Address2020 SANTA MONICA BLVD STE 400Santa Monica, CA 90404-2139
Mailing Address2020 Santa Monica Blvd Ste 400Santa Monica, CA 90404-2139 · (310) 829-2663 · Fax (310) 315-5620
Fax(310) 315-5620
Sole ProprietorNo
Medical School CMSMedical College Of PennsylvaniaGraduated 1997
Enumeration DateOctober 12, 2006
Last NPPES UpdateFebruary 10, 2016
NPI 1003905191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License Licensed in CA · A67283
Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License A67283 (CA)
2020 SANTA MONICA BLVD STE 400, Santa Monica, CA 90404

Other Identifiers 2

Medicare PINWA67283A
Medicare UPINH70553CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Michael B Gerhardt M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7810090487
PECOS Enrollment IDI20100726000076
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 20

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg J7318
Hyaluronan or derivative, Durolane, is a treatment injected directly into the joint to relieve pain and improve mobility. It's often used for arthritis in the knee. The substance works by supplementing your body's natural joint fluid to help lubricate and cushion the joint.
1,920 services19 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
1,280 services223 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
222 services196 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
215 services168 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
209 services209 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
170 services160 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.67
Promoting Interoperability100
Improvement Activities40
Cost61.47

Reported Quality Measures

Risk-standardized complication rate (RSCR) following elective primary total hip arthroplasty (THA) and/or total knee arthroplasty (TKA) for Merit-based Incentive Payment System (MIPS)
Lower rates are better for this measure.
0.03%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
3 suppliers19 claims19 services$45.51 avg. paid by Medicare
Hip orthosis, abduction control of hip joint, postoperative hip abduction type, prefabricated, includes fitting and adjustment L1686
DME-Orthotic Devices · category DF000N
1 supplier12 claims12 services$949.46 avg. paid by Medicare
Lower extremity orthoses, not otherwise specified L2999
DME-Orthotic Devices · category DF000N
1 supplier12 claims12 services$754.04 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Medicine & Rehabilitation (Pain Medicine)
2020 SANTA MONICA BLVD STE 400
SANTA MONICA, CA 90404
Orthopaedic Surgery
2020 SANTA MONICA BLVD STE 400
SANTA MONICA, CA 90404
Orthopaedic Surgery (Sports Medicine)
2020 SANTA MONICA BLVD STE 400
SANTA MONICA, CA 90404
Orthopaedic Surgery
2020 SANTA MONICA BLVD STE 400
SANTA MONICA, CA 90404
Pediatrics (Sports Medicine)
2020 SANTA MONICA BLVD STE 400
SANTA MONICA, CA 90404
Orthopaedic Surgery
2020 SANTA MONICA BLVD STE 400
SANTA MONICA, CA 90404
Orthopaedic Surgery (Foot and Ankle Surgery)
2020 SANTA MONICA BLVD STE 400
SANTA MONICA, CA 90404
Orthopaedic Surgery
2020 SANTA MONICA BLVD STE 400
SANTA MONICA, CA 90404

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Gerhardt's NPI number?

The NPI number for Michael Gerhardt is 1003905191. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Where is Michael Gerhardt located?

Michael Gerhardt practices at 2020 Santa Monica Blvd Ste 400, Santa Monica, CA 90404. The listed phone number is (310) 829-2663.

What is Michael Gerhardt's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Michael Gerhardt enrolled in Medicare?

Yes. Michael Gerhardt is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Michael Gerhardt was last updated on February 10, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.