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DOUGLAS M GARTRELL MD
NPI 1023243417
Psychiatry & Neurology - Psychiatry in Baltimore, MD

Active since May 28, 2009PECOS Enrolled
84.77/100
CMS Quality Rating
6501 N CHARLES ST, BALTIMORE, MD 21204(410) 938-3000(410) 938-5131 Get Directions Write a Review

NPPES record last updated: August 5, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Douglas M Gartrell Md NPPES

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

DOUGLAS M GARTRELL MD (NPI 1023243417) is an individual psychiatry provider in Baltimore, Maryland, licensed in Maryland (D0072509) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023243417
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDOUGLAS M GARTRELLCredential: MD
Location Address6501 N CHARLES STBaltimore, MD 21204-6819
Mailing Address3015 Oak Green Ct Apt D, Addiction PsychiatryEllicott City, MD 21043-3523 · (443) 474-1043
Phone(410) 938-3000
Fax(410) 938-5131
Sole ProprietorYes
Enumeration DateMay 28, 2009
Last NPPES UpdateAugust 5, 2011
✔ NPI 1023243417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in MD · D0072509
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
6501 N CHARLES ST, Baltimore, MD 21204
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Douglas M Gartrell Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
301 services49 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
41 services38 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
19 services19 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
16 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21204 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$183.44 typical visit price
range $60.73 – $183.44
Typical copayment $45.86 (range $15.18 – $45.86)
Most-billed visit code 99205
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

84.77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.96
Promoting Interoperability77
Improvement Activities40
Cost92.79

Other Providers at the Same Location NPPES 20

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

MISS VICTORIA DIANE WANK CCC-SLP
Speech-Language Pathologist
6501 N CHARLES ST
TOWSON, MD 21204
Baltimore County (410) 938-4411
KAMIYLAH LAWSON
Nurse Practitioner (Psychiatric/Mental Health)
6501 N CHARLES ST
TOWSON, MD 21204
Baltimore County (410) 938-3000
MRS. ASHLEY ANN LESTER PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
6501 N CHARLES ST
BALTIMORE, MD 21204
Baltimore County (410) 938-3000
DR. RICHARD JOSPH LOEWENSTEIN M.D.
Psychiatry & Neurology (Psychiatry)
6501 N CHARLES ST
BALTIMORE, MD 21204
Baltimore County (410) 938-5075
MICHAEL J PRIESTER PHD
Psychologist (Clinical)
6501 N CHARLES ST
BALTIMORE, MD 21204
Baltimore County (410) 938-3000
DR. SARA ANN MIX
Psychologist (Clinical)
6501 N CHARLES ST
TOWSON, MD 21204
Baltimore County (443) 881-2028
CAROLINE J COHEN LCSW-C
Social Worker (Clinical)
6501 N CHARLES ST
BALTIMORE, MD 21204
Baltimore County (410) 938-3000
DR. BILLINA R SHAW MD
Psychiatry & Neurology (Psychiatry)
6501 N CHARLES ST
TOWSON, MD 21204
Baltimore County (410) 938-3000

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 Douglas Gartrell's NPI number?

The NPI number for Douglas Gartrell is 1023243417. It was assigned to this individual provider in the NPPES registry on May 28, 2009.

Where is Douglas Gartrell located?

Douglas Gartrell practices at 6501 N Charles St, Baltimore, MD 21204. The listed phone number is (410) 938-3000.

What is Douglas Gartrell's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Douglas Gartrell enrolled in Medicare?

Yes. Douglas Gartrell is registered in the Medicare PECOS enrollment system.

What insurance does Douglas Gartrell accept?

Health plans from Providence Health Plan list Douglas Gartrell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Douglas Gartrell was last updated on August 5, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.