ROGER K GERSTLE MD
NPI 1285792754
Family Medicine in Traverse City, MI

Active since December 05, 2006PECOS EnrolledAccepts Medicare Assignment
1719 S GARFIELD AVE, TRAVERSE CITY, MI 49686(231) 935-0799(231) 935-0962 Get Directions Write a Review

NPPES record last updated: April 26, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 20, 2022, Dec 18, 2020, Jan 5, 2017 (3 updates tracked since 2017).

About Roger K Gerstle Md NPPES

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

ROGER K GERSTLE MD (NPI 1285792754) is an individual family medicine provider in Traverse City, Michigan, licensed in Michigan (4301056940) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of University Of Washington School Of Medicine (1989).

NPPES Registry Identity

NPI1285792754
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameROGER K GERSTLECredential: MD
Location Address1719 S GARFIELD AVETraverse City, MI 49686-4337
Mailing Address1719 S Garfield AveTraverse City, MI 49686-4337 · (231) 935-0799 · Fax (231) 935-0962
Fax(231) 935-0962
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 1989
Enumeration DateDecember 5, 2006
Last NPPES UpdateApril 26, 20233 updates tracked since enumeration
NPPES CertifiedApril 26, 2023
✔ NPI 1285792754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 4301056940
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.
1719 S GARFIELD AVE, Traverse City, MI 49686

Secondary Practice Locations 4

Location 18881 M 119Harbor Springs, MI 49740-9586 · Phone (231) 347-5400 · Fax (231) 348-2515
Location 21105 Sixth StTraverse City, MI 49684-2345 · Phone (231) 935-5000
Location 31400 Medical Campus DrTraverse City, MI 49684-7823 · Phone (231) 935-8000
Location 49975 W Ottawa AveEmpire, MI 49630-9618 · Phone (231) 835-2088 · Fax (231) 835-2534

Other Identifiers 6

Other0802825942MI · Bcbsm Pin Number
Medicaid3308232MI
OtherP85174MI · Blue Care Network
OtherTAXID101MI · Comm. Choice Michigan
Other101862MI · Preferred Choices
Other110124848MI · Railroad Medicare

Accepted 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

Roger K Gerstle 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 ID3870693260
PECOS Enrollment IDI20070713000768
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

7

Medicare enrollment records show Roger Gerstle reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
1719 S GARFIELD AVE
Traverse City, MI 49686
  • Reassigned Medicare billing, Michigan enrollment
  • 18 clinicians in this Medicare group
Pain Medicine
550 MUNSON AVE
Traverse City, MI 49686
  • Reassigned Medicare billing, Michigan enrollment
  • 492 clinicians in this Medicare group
Family Medicine
550 MUNSON AVE
Traverse City, MI 49686
  • Reassigned Medicare billing, Michigan enrollment
  • 191 clinicians in this Medicare group
Rural Health
9975 W OTTAWA AVE
Empire, MI 49630
  • Reassigned Medicare billing, Michigan enrollment
  • 28 clinicians in this Medicare group
Obstetrics & Gynecology
7985 MACKINAW TRL
Cadillac, MI 49601
  • Reassigned Medicare billing, Michigan enrollment
  • 168 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
14734 PARK AVE
Charlevoix, MI 49720
  • Reassigned Medicare billing, Michigan enrollment
  • 96 clinicians in this Medicare group
Family Medicine
1200 W NORTH DOWN RIVER RD., SUITE C
Grayling, MI 49738
  • Reassigned Medicare billing, Michigan enrollment
  • 123 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 3

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 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 services30 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.
30 services29 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.
22 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49686 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 20

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

Social Worker (Clinical)
1719 S GARFIELD AVE
TRAVERSE CITY, MI 49686
Community Health Worker
1719 S GARFIELD AVE
TRAVERSE CITY, MI 49686
Pharmacy (Community/Retail Pharmacy)
1719 S GARFIELD AVE
TRAVERSE CITY, MI 49686
Social Worker (Clinical)
1719 S GARFIELD AVE
TRAVERSE CITY, MI 49686
Counselor (Professional)
1719 S GARFIELD AVE
TRAVERSE CITY, MI 49686
Nurse Practitioner (Family)
1719 S GARFIELD AVE
TRAVERSE CITY, MI 49686
Nurse Practitioner (Adult Health)
1719 S GARFIELD AVE
TRAVERSE CITY, MI 49686
Nurse Practitioner (Family)
1719 S GARFIELD AVE
TRAVERSE CITY, MI 49686

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 Roger Gerstle's NPI number?

The NPI number for Roger Gerstle is 1285792754. It was assigned to this individual provider in the NPPES registry on December 5, 2006.

Where is Roger Gerstle located?

Roger Gerstle practices at 1719 S Garfield Ave, Traverse City, MI 49686. The listed phone number is (231) 935-0799.

What is Roger Gerstle's specialty?

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

Is Roger Gerstle enrolled in Medicare?

Yes. Roger Gerstle 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 Roger Gerstle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Roger Gerstle reassigns Medicare benefits to 7 organizations: Traverse Health Clinic And Coalition (Traverse City, MI), Munson Medical Center (Traverse City, MI), Munson Medical Group (Traverse City, MI), Paul Oliver Memorial Hospital (Empire, MI), Munson Healthcare Otsego Memorial Hospital (Cadillac, MI) and 2 more organizations, listed in the Medicare section above. 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 Roger Gerstle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Roger Gerstle accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Roger Gerstle 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.

When was this NPI record last updated?

The NPPES record for Roger Gerstle was last updated on April 26, 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.