TRISTAN LAYTON HARTZELL M.D.
NPI 1184797110
Orthopaedic Surgery - Hand Surgery in Norfolk, NE

Q: What is Tristan Hartzell's NPI number?

The NPI number for Tristan Hartzell is 1184797110. It was assigned to this individual provider in the NPPES registry on November 16, 2006.

Q: What is Tristan Hartzell's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.

Q: When was this NPI record last updated?

The NPPES record for Tristan Hartzell was last updated on August 20, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 16, 2006PECOS EnrolledAccepts Medicare Assignment

77.55/100

CMS Quality Rating

301 N 27TH ST, SUITE 2, NORFOLK, NE 68701(402) 844-8291(402) 844-8292 Get Directions Write a Review

NPPES record last updated: August 20, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Tristan Layton Hartzell M.d. NPPES

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

TRISTAN LAYTON HARTZELL M.D. (NPI 1184797110) is an individual hand surgery provider in Norfolk, Nebraska, licensed in Nebraska (26210) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Columbus Community Hospital, Inc, and is a graduate of Duke University School Of Medicine (2004).

NPPES Registry Identity

NPI1184797110

Entity TypeIndividualMale

Primary Taxonomy207XS0106X

Provider Legal NameTRISTAN LAYTON HARTZELLCredential: M.D.

Location Address301 N 27TH ST, SUITE 2Norfolk, NE 68701-4401

Mailing Address301 N 27th St, Suite 2Norfolk, NE 68701-4401 · (402) 844-8291 · Fax (402) 844-8292

Phone(402) 844-8291

Fax(402) 844-8292

Sole ProprietorYes

Medical School CMSDuke University School Of MedicineGraduated 2004

Enumeration DateNovember 16, 2006

Last NPPES UpdateAugust 20, 2014

✔ NPI 1184797110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Hand SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207XS0106X

License✔ Licensed in NE · 26210

Definition

An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

Also ListedPlastic Surgery · Surgery of the HandTaxonomy 2082S0105X · License 26210 (NE)

301 N 27TH ST, Norfolk, NE 68701

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Other Identifiers 3

Other099588036NE · Medicare

Medicaid10025561800NE

Other20079NE · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.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

Tristan Layton Hartzell 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 ID7719156397

PECOS Enrollment IDI20110817000016

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 23

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.

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.

365 services365 patients

Release of wrist ligament using an endoscope 29848

This procedure involves using a small camera, called an endoscope, to view and treat a tight wrist ligament. The endoscope is inserted through a tiny incision, reducing recovery time and scarring. It helps to relieve pain and improve wrist function.

124 services118 patients

Incision of tendon covering of finger 26055

This procedure involves making a small cut into the protective sheath around a finger tendon. It's typically done to relieve pressure or inflammation, improve finger movement, or treat conditions like trigger finger. It's a safe, often outpatient procedure.

105 services62 patients

Nerve conduction, 9-10 studies 95911

Nerve conduction studies involve sending small electrical shocks through the skin to measure how quickly nerves transmit signals. This helps detect nerve damage. 9-10 studies mean this process will be repeated on different nerves to gather comprehensive data.

84 services84 patients

X-ray of wrist, minimum of 3 views 73110

An X-ray of the wrist, minimum of 3 views, is a diagnostic procedure that uses radiation to create images of your wrist from different angles. This helps detect fractures, infections, or other abnormalities for accurate diagnosis and treatment planning.

57 services55 patients

Injection into tendon or ligament 20550

An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.

55 services18 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.

49 services37 patients

X-ray of hand, minimum of 3 views 73130

An X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.

47 services46 patients

X-ray of finger, minimum of 2 views 73140

An X-ray of the finger involves capturing images of your finger from at least two different angles. This non-invasive procedure helps in visualizing the bones and joints, aiding in the diagnosis of fractures, infections, or other abnormalities. Minimal discomfort may be experienced.

40 services40 patients

Injection into tendon or ligament 20550

28 services21 patients

Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less 15004

This procedure involves preparing a specific area of your body, such as the face, scalp, neck, or extremities, for a skin graft. A skin graft is a surgical procedure where healthy skin is transferred to an area of the body that has lost skin. This preparation ensures the graft will take hold effectively.

26 services15 patients

Amputation of finger or thumb with direct closure 26951

Amputation of a finger or thumb with direct closure is a surgical procedure to remove a damaged or diseased finger or thumb. Following the removal, the wound is immediately closed to promote healing and minimize infection risk.

25 services12 patients

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.

24 services23 patients

Removal of growth of tendon finger or hand 26160

This procedure involves the surgical removal of abnormal growths on tendons in the finger or hand. These growths can cause discomfort or restrict movement. The process aims to alleviate pain and restore function to the affected area. It's done under anesthesia.

22 services20 patients

Release and/or relocation of elbow nerve 64718

This procedure involves adjusting the position of a nerve in your elbow to alleviate discomfort or improve function. The nerve is carefully moved from its original location and placed in a less strained position. This can help reduce pain and improve arm movement.

22 services22 patients

Treatment of 3 or more broken lower forearm bone pieces on thumb side inside wrist joint with placement of stabilizing device 25609

This treatment involves repairing multiple fractures in the lower forearm near the thumb side of the wrist. A device is placed to stabilize the area, promoting proper healing. This procedure helps restore function and minimize discomfort.

19 services19 patients

X-ray of elbow, minimum of 3 views 73080

An elbow X-ray with a minimum of 3 views is a non-invasive imaging test. It helps visualize the bones of the elbow from different angles. This aids in diagnosing conditions like fractures or arthritis. The procedure is quick, painless, and usually takes around 15 minutes.

17 services17 patients

Full thickness skin graft to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 20.0 sq cm or less 15240

A full thickness skin graft involves transplanting skin from one area of the body to another. In this case, to the forehead, cheeks, chin, mouth, neck, underarms, hands, or feet. The procedure helps heal areas affected by injury or disease, covering an area of 20.0 sq cm or less.

15 services11 patients

Removal of deep implant from bone 20680

This procedure involves the careful extraction of an implant deeply embedded in a bone. A specialist makes a small incision, then utilizes precise instruments to reach and safely remove the implant. The area is then closed and monitored for healing.

14 services13 patients

Anchoring of extending tendon of fingers to wrist bone 25301

This procedure involves securing the extended tendon of the fingers to the wrist bone. It helps improve hand function and stability. The tendon, a fibrous cord attaching muscle to bone, is fixed to the wrist to enhance finger movement and grip strength.

12 services12 patients

Removal of bone joints between wrist and fingers 25447

This procedure involves the surgical removal of bone joints between your wrist and fingers. It's typically done to relieve pain or restore function due to conditions like arthritis. After removal, the space may be filled with a graft or artificial joint.

12 services12 patients

Closed treatment of broken forearm (radius) bone at the wrist area on the thumb side of the wrist without manipulation 25600

This procedure involves treating a broken forearm bone near the wrist, specifically on the thumb side, without any physical realignment. A cast or splint is typically applied to stabilize the bone and promote healing. No surgical intervention is required.

12 services12 patients

Nerve conduction, 5-6 studies 95909

Nerve conduction studies involve testing the speed and strength of signals traveling through your nerves. This helps identify any nerve damage or dysfunction. For 5-6 studies, this means multiple nerves will be tested. Small electrodes are placed on your skin to send and receive signals, causing minimal discomfort.

12 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Columbus Community Hospital, Inc

Acute Care Hospitals · Columbus, NE

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number280111

Location4600 38th StColumbus, NE 68601 · Platte County

Emergency services Birthing friendly

Faith Regional Health Services

Acute Care Hospitals · Norfolk, NE

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number280125

Location2700 West Norfolk AveNorfolk, NE 68701 · Madison County

Emergency services Birthing friendly

Avera St Anthony's Hospital

Critical Access Hospitals · O' Neill, NE

OwnershipVoluntary non-profit - Church

CMS Certification Number281329

Location300 North 2nd StO' Neill, NE 68763 · Holt County

Emergency services

Boone County Health Center

Critical Access Hospitals · Albion, NE

5/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number281334

LocationP O Box 151, 723 West Fairview StAlbion, NE 68620 · Boone County

Emergency services

Providence Medical Center

Critical Access Hospitals · Wayne, NE

OwnershipVoluntary non-profit - Private

CMS Certification Number281345

Location1200 Providence RdWayne, NE 68787 · Wayne County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68701 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

$81.20 typical visit price

range $52.69 – $160.21

Typical copayment $20.30 (range $13.17 – $40.05)

Most-billed visit code 99203

Established Patient

$66.00 typical visit price

range $16.90 – $131.25

Typical copayment $16.50 (range $4.22 – $32.81)

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.

77.55/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

76.77

Promoting Interoperability

Improvement Activities

Cost

50.91

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.

Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf L3670

DME-Orthotic Devices · category DF000N

1 supplier44 claims44 services$110.18 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

MICHAEL A ADAMS MD

Family Medicine

301 N 27TH ST, SUITE 11
NORFOLK, NE 68701

Madison County (402) 844-8167

DR. NICHOLAS FRANCIS BOYLE MD

Surgery

301 N 27TH ST, STE 20
NORFOLK, NE 68701

Madison County (402) 844-8325

AMY L JORGENSEN PA-C

Physician Assistant

301 N 27TH ST, STE 2
NORFOLK, NE 68701

Madison County (402) 844-8291

KAYLIE MARGARET BEACH

Speech-Language Pathologist

301 N 27TH ST
NORFOLK, NE 68701

Madison County (402) 644-7396

ALEX ANDERSON DPT

Physical Therapist

301 N 27TH ST
NORFOLK, NE 68701

Madison County (402) 644-7396

DR. DAVID P LUX MD

Family Medicine

301 N 27TH ST, STE 1
NORFOLK, NE 68701

Madison County (402) 844-8000

KAYLA MARIE ELLIS RD, LMNT

Nutritionist

301 N 27TH ST
NORFOLK, NE 68701

Madison County (402) 371-4880

MALLORY N POCHOP MS, RD, LMNT, LD

Nutritionist

301 N 27TH ST
NORFOLK, NE 68701

Madison County (408) 844-8126

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 Tristan Hartzell's NPI number?

The NPI number for Tristan Hartzell is 1184797110. It was assigned to this individual provider in the NPPES registry on November 16, 2006.

Where is Tristan Hartzell located?

Tristan Hartzell practices at 301 N 27th St Suite 2, Norfolk, NE 68701. The listed phone number is (402) 844-8291.

What is Tristan Hartzell's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.

Is Tristan Hartzell enrolled in Medicare?

Yes. Tristan Hartzell 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 Tristan Hartzell accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Nebraska and 3 other insurers list Tristan Hartzell 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 Tristan Hartzell affiliated with any hospitals?

According to CMS data, Tristan Hartzell is affiliated with Columbus Community Hospital, Inc, Faith Regional Health Services, Avera St Anthony's Hospital, Boone County Health Center and Providence Medical Center.

When was this NPI record last updated?

The NPPES record for Tristan Hartzell was last updated on August 20, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.