DR. THEODORE L. GERSTLE MD
NPI 1144492638
Plastic Surgery in Lexington, KY

Q: What is Theodore Gerstle's NPI number?

The NPI number for Theodore Gerstle is 1144492638. It was assigned to this individual provider in the NPPES registry on March 25, 2008.

Q: What is Theodore Gerstle's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Q: Is Theodore Gerstle enrolled in Medicare?

No. Theodore Gerstle has opted out of Medicare through July 30, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Theodore Gerstle was last updated on July 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since March 25, 2008Opted out of Medicare · through Jul 30, 2027

3363 TATES CREEK RD STE 209, LEXINGTON, KY 40502(859) 279-2111 Get Directions Write a Review

NPPES record last updated: July 2, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Theodore L. Gerstle Md NPPES

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

DR. THEODORE L. GERSTLE MD (NPI 1144492638) is an individual plastic surgery provider in Lexington, Kentucky, licensed in Kentucky (47125) and active in the NPI registry since March 2008. He has opted out of Medicare through July 30, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1144492638

Entity TypeIndividualMale

Primary Taxonomy208200000X

Provider Legal NameDR. THEODORE L. GERSTLECredential: MD

Location Address3363 TATES CREEK RD STE 209Lexington, KY 40502

Mailing Address3363 Tates Creek Rd Ste 209Lexington, KY 40502-3459 · (859) 279-2111

Phone(859) 279-2111

Sole ProprietorYes

Enumeration DateMarch 25, 2008

Last NPPES UpdateJuly 2, 2018

✔ NPI 1144492638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

License✔ Licensed in KY · 47125

Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

3363 TATES CREEK RD STE 209, Lexington, KY 40502

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Theodore L. Gerstle Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 30, 2015 through July 30, 2027.

Opt-Out Effective DateJuly 30, 2015

Opt-Out In Effect ThroughJuly 30, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40502 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$66.24 typical visit price

range $16.53 – $131.99

Typical copayment $16.56 (range $4.13 – $32.99)

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.

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 Theodore Gerstle's NPI number?

The NPI number for Theodore Gerstle is 1144492638. It was assigned to this individual provider in the NPPES registry on March 25, 2008.

Where is Theodore Gerstle located?

Theodore Gerstle practices at 3363 Tates Creek Rd Ste 209, Lexington, KY 40502. The listed phone number is (859) 279-2111.

What is Theodore Gerstle's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Theodore Gerstle enrolled in Medicare?

No. Theodore Gerstle has opted out of Medicare through July 30, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Theodore Gerstle was last updated on July 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.