DR. RANDY A GERTNER MD
NPI 1285745752
Internal Medicine - Nephrology in Fredericksburg, VA

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment
101 PARK HILL DR, FREDERICKSBURG, VA 22401(540) 371-3010(540) 899-9821 Get Directions Write a Review

NPPES record last updated: April 28, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Randy A Gertner Md NPPES

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

DR. RANDY A GERTNER MD (NPI 1285745752) is an individual nephrology provider in Fredericksburg, Virginia, licensed in Virginia (0101235455) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Mary Washington Hospital, and is a graduate of Pennsylvania State University College Of Medicine (1998).

NPPES Registry Identity

NPI1285745752
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. RANDY A GERTNERCredential: MD
Location Address101 PARK HILL DRFredericksburg, VA 22401
Mailing Address101 Park Hill DrFredericksburg, VA 22401 · (540) 371-3010 · Fax (540) 899-9821
Fax(540) 899-9821
Sole ProprietorNo
Medical School CMSPennsylvania State University College Of MedicineGraduated 1998
Enumeration DateAugust 31, 2006
Last NPPES UpdateApril 28, 2022
NPPES CertifiedApril 28, 2022
NPI 1285745752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Licenses Licensed in VA · 0101235455 Licensed in VA · 010123545
Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

101 PARK HILL DR, Fredericksburg, VA 22401

Other Identifiers 4

Other0007355524VA · Aetna
Medicaid010104203VA
Other184311VA · Anthem Bcbs
OtherP00207769VA · Railroad

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. Randy A Gertner 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 ID4082690177
PECOS Enrollment IDI20040629000291
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 20

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.

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
623 services177 patients
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.
450 services267 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
261 services56 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
181 services69 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.
153 services136 patients
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.
126 services75 patients

Hospital Affiliations CMS Care Compare 4

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

Mary Washington Hospital

Acute Care Hospitals · Fredericksburg, VA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490022
Location1001 Sam Perry BoulevardFredericksburg, VA 22401 · Fredericksburg City County
Emergency services Birthing friendly

Medical College Of Virginia Hospitals

Acute Care Hospitals · Richmond, VA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number490032
LocationPost Office Box 980510 1250 East Marshall StreetRichmond, VA 23298 · Richmond City County
Emergency services Birthing friendly

Stafford Hospital, LLC

Acute Care Hospitals · Stafford, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490140
Location101 Hospital Center BoulevardStafford, VA 22554 · Stafford County
Emergency services Birthing friendly

Spotsylvania Regional Medical Center

Acute Care Hospitals · Fredericksburg, VA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number490141
Location4600 Spotsylvania ParkwayFredericksburg, VA 22408 · Spotsylvania County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22401 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers20 claims2,010 services$0.29 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier11 claims930 services$0.01 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier11 claims1,980 services$0.16 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Internal Medicine (Nephrology)
101 PARK HILL DR
FREDERICKSBURG, VA 22401
Internal Medicine (Nephrology)
101 PARK HILL DR
FREDERICKSBURG, VA 22401
Internal Medicine (Nephrology)
101 PARK HILL DR
FREDERICKSBURG, VA 22401
Internal Medicine (Nephrology)
101 PARK HILL DR
FREDERICKSBURG, VA 22401
Internal Medicine (Nephrology)
101 PARK HILL DR
FREDERICKSBURG, VA 22401
Internal Medicine (Nephrology)
101 PARK HILL DR
FREDERICKSBURG, VA 22401
General Practice
101 PARK HILL DR
FREDERICKSBURG, VA 22401
Internal Medicine (Nephrology)
101 PARK HILL DR
FREDERICKSBURG, VA 22401

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 Randy Gertner's NPI number?

The NPI number for Randy Gertner is 1285745752. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Randy Gertner located?

Randy Gertner practices at 101 Park Hill Dr, Fredericksburg, VA 22401. The listed phone number is (540) 371-3010.

What is Randy Gertner's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Randy Gertner enrolled in Medicare?

Yes. Randy Gertner 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.

Is Randy Gertner affiliated with any hospitals?

According to CMS data, Randy Gertner is affiliated with Mary Washington Hospital, Medical College Of Virginia Hospitals, Stafford Hospital, LLC and Spotsylvania Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Randy Gertner was last updated on April 28, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.