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JUSTIN GERARD M.D.
NPI 1104275643
Surgery in Chicago, IL

Active since June 06, 2016PECOS EnrolledAccepts Medicare Assignment
95.69/100
CMS Quality Rating
1650 W HARRISON ST STE 466, CHICAGO, IL 60612(734) 308-8260 Get Directions Write a Review

NPPES record last updated: November 29, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Justin Gerard M.d. NPPES

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

JUSTIN GERARD M.D. (NPI 1104275643) is an individual surgery provider in Chicago, Illinois, licensed in Illinois (125.068998) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with University Health System, Inc, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1104275643
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameJUSTIN GERARDCredential: M.D.
Location Address1650 W HARRISON ST STE 466Chicago, IL 60612-3800
Mailing Address1650 W Harrison St Ste 466Chicago, IL 60612-3800 · (734) 308-8260
Phone(734) 308-8260
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateJune 6, 2016
Last NPPES UpdateNovember 29, 2020
NPPES CertifiedNovember 29, 2020
✔ NPI 1104275643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in IL · 125.068998
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1650 W HARRISON ST STE 466, Chicago, IL 60612
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Cigna Healthcare, Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Justin Gerard 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 ID4082907662
PECOS Enrollment IDI20230929000260
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Justin Gerard reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Health System, Inc
403 mi
Family Medicine
208 CENTRAL AVE W
Jamestown, TN 38556
  • Reassigned Medicare billing, Tennessee enrollment
  • 832 clinicians in this Medicare group
NPI 1669164307 (865) 670-6754
Ut Physicians - Trauma Services
943 mi
Trauma Surgery
6410 FANNIN ST, 1500
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 47 clinicians in this Medicare group
NPI 1588965131 (832) 325-7125

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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.
80 services50 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.
59 services58 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

University Health System, Inc

Acute Care Hospitals · Knoxville, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440015
Location1924 Alcoa HighwayKnoxville, TN 37920 · Knox County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60612 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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.

95.69/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.28
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 12

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

DR. HANS MICHAEL MURCIA MD
Emergency Medicine
1650 W HARRISON ST STE 466
CHICAGO, IL 60612
Cook County (312) 942-5000
DR. RAVI NUNNA M.D.
Neurological Surgery
1650 W HARRISON ST STE 466
CHICAGO, IL 60612
Cook County (312) 942-5495
JENNIFER KALIL MD
Surgery
1650 W HARRISON ST STE 466
CHICAGO, IL 60612
Cook County (216) 844-1000
ALETHEA JADE APPAVU DO
Physical Medicine & Rehabilitation
1650 W HARRISON ST STE 466
CHICAGO, IL 60612
Cook County (312) 942-5000
NATASHA RANA MD
Internal Medicine (Cardiovascular Disease)
1650 W HARRISON ST STE 466
CHICAGO, IL 60612
Cook County (312) 942-5000
DR. PHILLIP HARRISON HENRY MD
Psychiatry & Neurology (Psychiatry)
1650 W HARRISON ST STE 466
CHICAGO, IL 60612
Cook County (312) 942-5495
DR. MEGHAN MARIE EASTMAN MD
Anesthesiology
1650 W HARRISON ST STE 466
CHICAGO, IL 60612
Cook County (312) 942-5495
KELLY RYAN MD
Emergency Medicine
1650 W HARRISON ST STE 466
CHICAGO, IL 60612
Cook County (312) 942-5495

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 Justin Gerard's NPI number?

The NPI number for Justin Gerard is 1104275643. It was assigned to this individual provider in the NPPES registry on June 6, 2016.

Where is Justin Gerard located?

Justin Gerard practices at 1650 W Harrison St Ste 466, Chicago, IL 60612. The listed phone number is (734) 308-8260.

What is Justin Gerard's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Justin Gerard enrolled in Medicare?

Yes. Justin Gerard 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.

Which organizations bill Medicare for Justin Gerard's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justin Gerard reassigns Medicare benefits to 2 organizations: University Health System, Inc (Jamestown, TN) and Ut Physicians - Trauma Services (Houston, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Justin Gerard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Justin Gerard accept?

Health plans from BlueCross BlueShield of Tennessee, Cigna Healthcare, Oscar Insurance Company and UnitedHealthcare list Justin Gerard 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 Justin Gerard affiliated with any hospitals?

According to CMS data, Justin Gerard is affiliated with University Health System, Inc.

When was this NPI record last updated?

The NPPES record for Justin Gerard was last updated on November 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.