CARL K GJERTSON M.D.
NPI 1063472017
Urology in Farmington, CT

Q: What is Carl Gjertson's NPI number?

The NPI number for Carl Gjertson is 1063472017. It was assigned to this individual provider in the NPPES registry on March 24, 2006.

Q: What is Carl Gjertson's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for Carl Gjertson was last updated on November 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.

Active since March 24, 2006PECOS EnrolledAccepts Medicare Assignment

263 FARMINGTON AVE, UROLOGY, FARMINGTON, CT 06030(860) 679-4100(860) 679-1390 Get Directions Write a Review

NPPES record last updated: November 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 12, 2025, Jul 11, 2022 (2 updates tracked since 2022).

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About Carl K Gjertson M.d. NPPES

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

CARL K GJERTSON M.D. (NPI 1063472017) is an individual urology provider in Farmington, Connecticut, licensed in New Jersey (25MA12258300) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Cape Regional Medical Center Inc, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1063472017

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameCARL K GJERTSONCredential: M.D.

Location Address263 FARMINGTON AVE, UROLOGYFarmington, CT 06030-6227

Mailing Address331 Newman Springs Road Bldg. 2, Suite 220Red Bank, NJ 07701 · (732) 807-0877 · Fax (201) 751-1680

Phone(860) 679-4100

Fax(860) 679-1390

Sole ProprietorNo

Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 2001

Enumeration DateMarch 24, 2006

Last NPPES UpdateNovember 12, 20252 updates tracked since enumeration

NPPES CertifiedNovember 12, 2025

✔ NPI 1063472017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

Licenses✔ Licensed in NJ · 25MA12258300✔ Licensed in CT · 045171

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Also ListedUrology · Pediatric UrologyTaxonomy 2088P0231X · License 045171 (CT)

263 FARMINGTON AVE, Farmington, CT 06030

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Secondary Practice Locations 4

Location 11173 Beacon Ave Ste BManahawkin, NJ 08050-2531 · Phone (609) 597-1991 · Fax (609) 978-4860

Location 21301 Route 72 W Ste 260Manahawkin, NJ 08050-2483 · Phone (609) 597-1991 · Fax (609) 597-8198

Location 3279 Mathistown RdLittle Egg Harbor Twp, NJ 08087-4021 · Phone (609) 597-1991 · Fax (609) 978-4860

Location 41145 Beacon Ave Ste AManahawkin, NJ 08050-2471 · Phone (609) 597-1991 · Fax (609) 597-8198

Other Identifiers 1

Medicaid1063472017CT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

Carl K Gjertson 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 ID5890707822

PECOS Enrollment IDI20240814001487

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 13

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

76 services71 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.

73 services66 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

46 services40 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.

36 services36 patients

Imaging of urinary tract following injection of a contrast agent 74420

This procedure involves injecting a contrast agent into your body to help highlight the urinary tract during imaging. The contrast agent makes your urinary tract more visible on the images, providing detailed information about its structure and function. This can help in diagnosing any potential issues.

34 services28 patients

Simple insertion of temporary bladder tube 51702

This procedure involves placing a temporary tube into your bladder to help with urine flow. It's done when the body can't naturally remove urine. The tube is inserted through a small opening and allows urine to drain into a bag. It's usually a short-term solution.

26 services15 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.

22 services19 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

20 services19 patients

Crushing of stone of ureter with insertion of stent using an endoscope 52356

This procedure involves using a thin, flexible tube (endoscope) to locate and break down kidney stones in the ureter. After this, a small tube (stent) is inserted to help maintain an open pathway for urine to flow.

18 services18 patients

Insertion of stent in ureter using an endoscope 52332

This procedure involves placing a small, flexible tube (stent) in your body's drainage system to help urine flow from the kidneys to the bladder. An endoscope, a thin tube with a light and camera, is used for precise placement.

16 services15 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.

15 services15 patients

Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope 52310

This is a procedure to remove an object, stone, or tube from your urinary tract. An endoscope, a thin, flexible tube with a light and camera, is used to locate and remove the object. It is a safe and effective way to address the issue.

12 services12 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cape Regional Medical Center Inc

Acute Care Hospitals · Cape May Court House, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310011

LocationTwo Stone Harbor BlvdCape May Court House, NJ 08210 · Cape May County

Emergency services

Shore Medical Center

Acute Care Hospitals · Somers Point, NJ

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310047

Location100 Medical Center WaySomers Point, NJ 08244 · Atlantic County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06030 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

$138.84 typical visit price

range $60.82 – $183.10

Typical copayment $34.71 (range $15.20 – $45.77)

Most-billed visit code 99204

Established Patient

$75.55 typical visit price

range $19.76 – $149.26

Typical copayment $18.88 (range $4.94 – $37.31)

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.

Referred Medical Equipment & Supplies CMS DME claims

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

Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352

DME-Orthotic Devices · category DF008N

1 supplier13 claims3,360 services$6.18 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 20

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

STATE OF CONNECTICUT HEALTH CENTER

Pathology (Anatomic Pathology & Clinical Pathology)

263 FARMINGTON AVE, LABORATORY HBP GROUP
FARMINGTON, CT 06030

Capitol Planning Region (860) 679-7503

MR. IAN THOMAS MCNEILL

Neurological Surgery

263 FARMINGTON AVE
FARMINGTON, CT 06030

Capitol Planning Region (860) 679-8080

DR. LUIS CHAVEZ DE PAZ DDS, MS, PHD

Dentist (Endodontics)

263 FARMINGTON AVE
FARMINGTON, CT 06030

Capitol Planning Region (860) 679-2719

TARUNYA REDDY VEDERE

Internal Medicine (Endocrinology, Diabetes & Metabolism)

263 FARMINGTON AVE
FARMINGTON, CT 06030

Capitol Planning Region (860) 679-3245

ZACHARY TALLENT SOLOMON

Surgery

263 FARMINGTON AVE
FARMINGTON, CT 06030

Capitol Planning Region (860) 679-3467

MICHAEL CONNOLLY

Psychiatry & Neurology (Psychiatry)

263 FARMINGTON AVE
FARMINGTON, CT 06030

Capitol Planning Region (860) 679-4733

EMILY WENG DO

Internal Medicine (Gastroenterology)

263 FARMINGTON AVE
FARMINGTON, CT 06030

Capitol Planning Region (860) 679-3158

ANDREW KEMERLEY DO

Student in an Organized Health Care Education/Training Program

263 FARMINGTON AVE
FARMINGTON, CT 06030

Capitol Planning Region (860) 679-3467

DOMENIC VALENTINO DO

Student in an Organized Health Care Education/Training Program

263 FARMINGTON AVE
FARMINGTON, CT 06030

Capitol Planning Region (860) 679-3600

CANDICE QUARELLA MD

Obstetrics & Gynecology

263 FARMINGTON AVE
FARMINGTON, CT 06030

Capitol Planning Region (860) 679-2792

EDWIN NICHOLAS RODRIGUEZ MD

Anesthesiology

263 FARMINGTON AVE
FARMINGTON, CT 06030

Capitol Planning Region (860) 679-3600

SARAH HADDAD

Student in an Organized Health Care Education/Training Program

263 FARMINGTON AVE
FARMINGTON, CT 06030

Capitol Planning Region (860) 679-2000

KALI KING MD

Student in an Organized Health Care Education/Training Program

263 FARMINGTON AVE
FARMINGTON, CT 06030

Capitol Planning Region (860) 679-6700

KYLA AUGUSTINE

Student in an Organized Health Care Education/Training Program

263 FARMINGTON AVE
FARMINGTON, CT 06030

Capitol Planning Region (860) 679-2000

DR. ALAN G LURIE DDS

Dentist (Oral and Maxillofacial Radiology)

263 FARMINGTON AVE, UCONN HEALTH CENTER MC2110
FARMINGTON, CT 06030

Capitol Planning Region (860) 679-2453

ANDREW ARNOLD MD

Internal Medicine (Endocrinology, Diabetes & Metabolism)

263 FARMINGTON AVE
FARMINGTON, CT 06030

Capitol Planning Region (860) 679-3245

JEFFERY SPIRO MD

Otolaryngology

263 FARMINGTON AVE
FARMINGTON, CT 06030

Capitol Planning Region (860) 679-2100

DOUGLAS E PETERSON DMD

Dentist

263 FARMINGTON AVE
FARMINGTON, CT 06030

Capitol Planning Region (860) 679-2952

MS. TAMMY MICHELLE DAVINO APRN

Nurse Practitioner (Acute Care)

263 FARMINGTON AVE
FARMINGTON, CT 06030

Capitol Planning Region (860) 679-3107

STATE OF CONNECITUT HEALTH CENTER

Internal Medicine (Infectious Disease)

263 FARMINGTON AVE, INFECTIOUS DISEASES ASSOCIATES
FARMINGTON, CT 06030

Capitol Planning Region (860) 679-4225

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 Carl Gjertson's NPI number?

The NPI number for Carl Gjertson is 1063472017. It was assigned to this individual provider in the NPPES registry on March 24, 2006.

Where is Carl Gjertson located?

Carl Gjertson practices at 263 Farmington Ave Urology, Farmington, CT 06030. The listed phone number is (860) 679-4100.

What is Carl Gjertson's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Carl Gjertson enrolled in Medicare?

Yes. Carl Gjertson 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.

What insurance does Carl Gjertson accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Carl Gjertson 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.

Is Carl Gjertson affiliated with any hospitals?

According to CMS data, Carl Gjertson is affiliated with Cape Regional Medical Center Inc and Shore Medical Center.

When was this NPI record last updated?

The NPPES record for Carl Gjertson was last updated on November 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.