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KEVIN RAY GERTSCH M.D.
NPI 1366679995
Ophthalmology in Gainesville, GA

Active since June 22, 2009PECOS EnrolledAccepts Medicare Assignment
83.32/100
CMS Quality Rating
1485 JESSE JEWELL PKWY NE, STE 100, GAINESVILLE, GA 30501(770) 564-1711(770) 534-9158 Get Directions Write a Review

NPPES record last updated: May 9, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kevin Ray Gertsch M.d. NPPES

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

KEVIN RAY GERTSCH M.D. (NPI 1366679995) is an individual ophthalmology provider in Gainesville, Georgia, licensed in Georgia (076038) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and is a graduate of St. Louis College Of Physicians And Surgeons (2009).

NPPES Registry Identity

NPI1366679995
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameKEVIN RAY GERTSCHCredential: M.D.
Location Address1485 JESSE JEWELL PKWY NE, STE 100Gainesville, GA 30501-3801
Mailing Address9065 Devonwood CtGainesville, GA 30506-4825 · (319) 356-8264 · Fax (319) 356-0363
Phone(770) 564-1711
Fax(770) 534-9158
Sole ProprietorNo
Medical School CMSSt. Louis College Of Physicians And SurgeonsGraduated 2009
Enumeration DateJune 22, 2009
Last NPPES UpdateMay 9, 2016
✔ NPI 1366679995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in GA · 076038
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1485 JESSE JEWELL PKWY NE, Gainesville, GA 30501
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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

Kevin Ray Gertsch 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 ID547403164
PECOS Enrollment IDI20200228002109
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.

Hospital Affiliations CMS Care Compare

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

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130006
Location190 East Bannock StreetBoise, ID 83712 · Ada County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30501 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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.

83.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.51
Promoting Interoperability100
Improvement Activities40
Cost64.88

Other Providers at the Same Location NPPES 15

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

HEATHER D BUTLER M.D.
Pediatrics
1485 JESSE JEWELL PKWY NE, SUITE 200
GAINESVILLE, GA 30501
Hall County (770) 534-5255
EROL ONAL D.O
Pediatrics
1485 JESSE JEWELL PKWY NE, SUITE 200
GAINESVILLE, GA 30501
Hall County (770) 534-5255
AMY H COCHRAN M.D.
Pediatrics
1485 JESSE JEWELL PKWY NE, SUITE 200
GAINESVILLE, GA 30501
Hall County (770) 534-5255
HIGHTOWER DIALYSIS LLC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1485 JESSE JEWELL PKWY NE, SUITE 260
GAINESVILLE, GA 30501
Hall County (770) 297-0547
DR. MATTHEW WEBSTER HOLLAR M.D.
Ophthalmology
1485 JESSE JEWELL PKWY NE, STE 100
GAINESVILLE, GA 30501
Hall County (770) 534-1711
JENNIFER W GOTTSMAN MD
Pediatrics
1485 JESSE JEWELL PKWY NE, SUITE 200
GAINESVILLE, GA 30501
Hall County (770) 534-5255
KEVIN R JOHNSON MD
Pediatrics
1485 JESSE JEWELL PKWY NE, SUITE 200
GAINESVILLE, GA 30501
Hall County (770) 534-5255
PEDIATRIC ASSOCIATES LLP
Pediatrics
1485 JESSE JEWELL PKWY NE, SUITE 200
GAINESVILLE, GA 30501
Hall County (770) 534-5255

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 Kevin Gertsch's NPI number?

The NPI number for Kevin Gertsch is 1366679995. It was assigned to this individual provider in the NPPES registry on June 22, 2009.

Where is Kevin Gertsch located?

Kevin Gertsch practices at 1485 Jesse Jewell Pkwy NE Ste 100, Gainesville, GA 30501. The listed phone number is (770) 564-1711.

What is Kevin Gertsch's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Kevin Gertsch enrolled in Medicare?

Yes. Kevin Gertsch 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 Kevin Gertsch accept?

Health plans from Providence Health Plan list Kevin Gertsch 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 Kevin Gertsch affiliated with any hospitals?

According to CMS data, Kevin Gertsch is affiliated with St Luke's Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Kevin Gertsch was last updated on May 9, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.