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JUSTIN B GERTH MD
NPI 1184814774
Surgery in Murfreesboro, TN

Active since July 30, 2007PECOS EnrolledAccepts Medicare Assignment
1800 MEDICAL CENTER PKWY STE 400&410, MURFREESBORO, TN 37129(615) 867-1940(615) 867-1941 Get Directions Write a Review

NPPES record last updated: May 5, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 5, 2023, Oct 7, 2022 (2 updates tracked since 2022).

About Justin B Gerth Md NPPES

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

JUSTIN B GERTH MD (NPI 1184814774) is an individual surgery provider in Murfreesboro, Tennessee, licensed in Tennessee (66645) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Saint Thomas Rutherford Hospital, and maintains a secondary practice location in Birmingham.

NPPES Registry Identity

NPI1184814774
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameJUSTIN B GERTHCredential: MD
Location Address1800 MEDICAL CENTER PKWY STE 400&410Murfreesboro, TN 37129-2567
Mailing Address300 20th Ave N Ste 403Nashville, TN 37203-5180
Phone(615) 867-1940
Fax(615) 867-1941
Sole ProprietorNo
Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 2006
Enumeration DateJuly 30, 2007
Last NPPES UpdateMay 5, 20232 updates tracked since enumeration
NPPES CertifiedMay 5, 2023
✔ NPI 1184814774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in TN · 66645✔ Licensed in AL · 30748
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.
1800 MEDICAL CENTER PKWY STE 400&410, Murfreesboro, TN 37129
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Secondary Practice Location 1

Location 152 Medical Park Dr E, Suite 308Birmingham, AL 35235-3430 · Phone (205) 838-3025 · Fax (205) 838-0411

Other Identifiers 1

Medicaid1077356LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama 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 B Gerth Md 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 ID941487219
PECOS Enrollment IDI20230509001418
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

3

Medicare enrollment records show Justin Gerth reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Saint Thomas Medical Partners
22 mi
Gynecology
4601 CAROTHERS PARKWAY, STE. 350
Franklin, TN 37067
  • Reassigned Medicare billing, Tennessee enrollment
  • 1,304 clinicians in this Medicare group
NPI 1164679411 (615) 284-4664
Birmingham Minimally Invasive Surgery PC
163 mi
Surgery
1 MEDICAL PARK DRIVE EAST, SUITE 100
Birmingham, AL 35235
  • Reassigned Medicare billing, Alabama enrollment
  • 3 clinicians in this Medicare group
NPI 1164467817 (205) 833-6907
Dhp Of Alabama PC
163 mi
Surgery
806 ST. VINCENT'S DRIVE, SUITE 500
Birmingham, AL 35205
  • Reassigned Medicare billing, Alabama enrollment
  • 12 clinicians in this Medicare group
NPI 1497187207 (205) 939-7000

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

Hospital Affiliations CMS Care Compare

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

Saint Thomas Rutherford Hospital

Acute Care Hospitals · Murfreesboro, TN
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number440053
Location1700 Medical Center ParkwayMurfreesboro, TN 37129 · Rutherford County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37129 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
92%242 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
98%1,110 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
70%454 patients3/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user
86%88 patients4/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
96%239 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Gerth's NPI number?

The NPI number for Justin Gerth is 1184814774. It was assigned to this individual provider in the NPPES registry on July 30, 2007.

Where is Justin Gerth located?

Justin Gerth practices at 1800 Medical Center Pkwy Ste 400&410, Murfreesboro, TN 37129. The listed phone number is (615) 867-1940.

What is Justin Gerth's specialty?

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

Is Justin Gerth enrolled in Medicare?

Yes. Justin Gerth 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 Gerth's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justin Gerth reassigns Medicare benefits to 3 organizations: Saint Thomas Medical Partners (Franklin, TN), Birmingham Minimally Invasive Surgery PC (Birmingham, AL) and Dhp Of Alabama PC (Birmingham, AL). 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 Gerth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Justin Gerth accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Justin Gerth 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 Gerth affiliated with any hospitals?

According to CMS data, Justin Gerth is affiliated with Saint Thomas Rutherford Hospital.

When was this NPI record last updated?

The NPPES record for Justin Gerth was last updated on May 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.