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DR. JAMES SCOTT GAERTNER MD
NPI 1225068315
Family Medicine in Bee Cave, TX

Active since July 04, 2006PECOS EnrolledAccepts Medicare Assignment
11805 FM 2244 RD STE 100, BEE CAVE, TX 78738(512) 402-9013(512) 402-9016 Get Directions Write a Review

NPPES record last updated: December 17, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 17, 2021, Jul 31, 2019 (2 updates tracked since 2019).

About Dr. James Scott Gaertner Md NPPES

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

DR. JAMES SCOTT GAERTNER MD (NPI 1225068315) is an individual family medicine provider in Bee Cave, Texas, licensed in Texas (J2016) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White Medical Center - Round Rock, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1225068315
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JAMES SCOTT GAERTNERCredential: MD
Location Address11805 FM 2244 RD STE 100Bee Cave, TX 78738-5337
Mailing AddressPo Box 844658Dallas, TX 75284-4658
Phone(512) 402-9013
Fax(512) 402-9016
Sole ProprietorYes
Medical School CMSOtherGraduated 1991
Enumeration DateJuly 4, 2006
Last NPPES UpdateDecember 17, 20212 updates tracked since enumeration
NPPES CertifiedDecember 17, 2021
✔ NPI 1225068315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · J2016
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
11805 FM 2244 RD STE 100, Bee Cave, TX 78738
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Other Identifiers 2

OtherJ2016TX · State License
OtherMD8966HI · State License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas.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

Dr. James Scott Gaertner 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 ID840189726
PECOS Enrollment IDI20130715000612
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 9

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 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.
357 services179 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.
132 services18 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
125 services125 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.
119 services112 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
59 services52 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.
31 services29 patients

Hospital Affiliations CMS Care Compare 3

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

Baylor Scott & White Medical Center - Round Rock

Acute Care Hospitals · Round Rock, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670034
Location300 University BlvdRound Rock, TX 78664 · Williamson County
Emergency services Birthing friendly

Baylor Scott & White Medical Center - Marble Falls

Acute Care Hospitals · Marble Falls, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670108
Location810 W Highway 71Marble Falls, TX 78654 · Burnet County
Emergency services Birthing friendly

Baylor Scott & White Medical Center- Austin

Acute Care Hospitals · Austin, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number670136
Location5245 W Us 290Austin, TX 78735 · Travis County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78738 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
$89.03 typical visit price
range $57.88 – $174.00
Typical copayment $22.25 (range $14.47 – $43.50)
Most-billed visit code 99203
Established Patient
$101.65 typical visit price
range $18.88 – $142.23
Typical copayment $25.41 (range $4.72 – $35.55)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

KRISTYN TIFFANY FAGERBERG M.D.
Family Medicine
11805 FM 2244 RD STE 100
BEE CAVE, TX 78738
Travis County (512) 402-9013

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 James Gaertner's NPI number?

The NPI number for James Gaertner is 1225068315. It was assigned to this individual provider in the NPPES registry on July 4, 2006.

Where is James Gaertner located?

James Gaertner practices at 11805 Fm 2244 Rd Ste 100, Bee Cave, TX 78738. The listed phone number is (512) 402-9013.

What is James Gaertner's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is James Gaertner enrolled in Medicare?

Yes. James Gaertner 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 James Gaertner accept?

Health plans from Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Texas list James Gaertner 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 James Gaertner affiliated with any hospitals?

According to CMS data, James Gaertner is affiliated with Baylor Scott & White Medical Center - Round Rock, Baylor Scott & White Medical Center - Marble Falls and Baylor Scott & White Medical Center- Austin.

When was this NPI record last updated?

The NPPES record for James Gaertner was last updated on December 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.