1. Home
  2. Directory
  3. Kentucky
  4. Newport
  5. Surgery
  6. NPI Profile

AUDREY ERTEL
NPI 1417213547
Surgery in Newport, KY

Active since April 03, 2012PECOS EnrolledAccepts Medicare Assignment
90.38/100
CMS Quality Rating
1400 GRAND AVENUE, NEWPORT, KY 41071(859) 578-5880(859) 578-5881 Get Directions Write a Review

NPPES record last updated: July 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Audrey Ertel NPPES

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

AUDREY ERTEL (NPI 1417213547) is an individual surgery provider in Newport, Kentucky, licensed in Kentucky (52529) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS, is affiliated with St Elizabeth Ft Thomas, and maintains a secondary practice location in Cincinnati.

NPPES Registry Identity

NPI1417213547
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameAUDREY ERTEL
Location Address1400 GRAND AVENUENewport, KY 41071-2570
Mailing AddressPo Box 635283Cincinnati, OH 45263-5283 · (859) 781-2628 · Fax (859) 572-4403
Phone(859) 578-5880
Fax(859) 578-5881
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 2012
Enumeration DateApril 3, 2012
Last NPPES UpdateJuly 23, 2025
NPPES CertifiedJuly 23, 2025
✔ NPI 1417213547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in KY · 52529
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.
1400 GRAND AVENUE, Newport, KY 41071
Open in Google Maps ↗

Secondary Practice Location 1

Location 1231 Albert Sabin Way, Mail Location 0558Cincinnati, OH 45267-2827 · Phone (513) 558-5861 · Fax (513) 558-3474

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.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

Audrey Ertel 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 ID8022258953
PECOS Enrollment IDI20190919002075
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 5

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
67 services67 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
44 services36 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
30 services27 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.
24 services24 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.
23 services21 patients

Hospital Affiliations CMS Care Compare 3

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

St Elizabeth Ft Thomas

Acute Care Hospitals · Fort Thomas, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180001
Location85 North Grand AvenueFort Thomas, KY 41075 · Campbell County
Emergency services

St Elizabeth Edgewood

Acute Care Hospitals · Edgewood, KY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180035
Location1 Medical Village DriveEdgewood, KY 41017 · Kenton County
Emergency services Birthing friendly

St Elizabeth Florence

Acute Care Hospitals · Florence, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180045
Location4900 Houston RoadFlorence, KY 41042 · Boone County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41071 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.76
Promoting Interoperability100
Improvement Activities40

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.

SUMMIT MEDICAL GROUP, INC.
Internal Medicine
1400 GRAND AVENUE
NEWPORT, KY 41071
Campbell County (859) 905-3070
MS. SHERRI LYNNE SCHWARTZ M.D.
Family Medicine
1400 GRAND AVENUE, ST ELIZABETH PHYSICIANS
NEWPORT, KY 41071
Campbell County (859) 912-7193
SUMMIT MEDICAL GROUP, INC
Urology
1400 GRAND AVENUE
NEWPORT, KY 41071
Campbell County (859) 212-0497
PATRICIA DANIELLE WALSH PA-C
Physician Assistant
1400 GRAND AVENUE
NEWPORT, KY 41071
Campbell County (859) 212-0497
ERIN RENEE TISCHNER DO
Internal Medicine
1400 GRAND AVENUE
NEWPORT, KY 41071
Campbell County (859) 781-2210
KAYLA SCHULER APRN
Nurse Practitioner
1400 GRAND AVENUE
NEWPORT, KY 41071
Campbell County (859) 757-4446
TYLER WILLIAM BROWNING M.D.
Family Medicine
1400 GRAND AVENUE, ST ELIZABETH PHYSICIANS
NEWPORT, KY 41071
Campbell County (859) 912-7193
MR. JONATHAN RAY VARNEY MSN, ARNP
Nurse Practitioner
1400 GRAND AVENUE
NEWPORT, KY 41071
Campbell County (859) 905-3070

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 Audrey Ertel's NPI number?

The NPI number for Audrey Ertel is 1417213547. It was assigned to this individual provider in the NPPES registry on April 3, 2012.

Where is Audrey Ertel located?

Audrey Ertel practices at 1400 Grand Avenue, Newport, KY 41071. The listed phone number is (859) 578-5880.

What is Audrey Ertel's specialty?

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

Is Audrey Ertel enrolled in Medicare?

Yes. Audrey Ertel 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 Audrey Ertel accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Audrey Ertel 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 Audrey Ertel affiliated with any hospitals?

According to CMS data, Audrey Ertel is affiliated with St Elizabeth Ft Thomas, St Elizabeth Edgewood and St Elizabeth Florence.

When was this NPI record last updated?

The NPPES record for Audrey Ertel was last updated on July 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.