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JAMES GERSTLEY M.D.
NPI 1548214836
Radiology - Radiation Oncology in Boca Raton, FL

Active since May 20, 2006PECOS EnrolledAccepts Medicare Assignment
21020 STATE ROAD 7 STE 100, BOCA RATON, FL 33428(561) 883-8656 Get Directions Write a Review

NPPES record last updated: May 6, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About James Gerstley M.d. NPPES

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

JAMES GERSTLEY M.D. (NPI 1548214836) is an individual radiation oncology provider in Boca Raton, Florida, licensed in Florida (ME154816) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Tulane University School Of Medicine (1982).

NPPES Registry Identity

NPI1548214836
Entity TypeIndividualMale
Primary Taxonomy2085R0001X
Provider Legal NameJAMES GERSTLEYCredential: M.D.
Location Address21020 STATE ROAD 7 STE 100Boca Raton, FL 33428-1320
Mailing Address322 22nd Ave N Ste 500Nashville, TN 37203-1837 · (561) 883-8656
Phone(561) 883-8656
Sole ProprietorNo
Medical School CMSTulane University School Of MedicineGraduated 1982
Enumeration DateMay 20, 2006
Last NPPES UpdateMay 6, 2026
NPPES CertifiedMay 6, 2026
✔ NPI 1548214836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0001X
Licenses✔ Licensed in FL · ME154816✔ Licensed in NJ · 25MA06683700✔ Licensed in NY · 2093751
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
21020 STATE ROAD 7 STE 100, Boca Raton, FL 33428
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., Florida Blue (BlueCross BlueShield FL) and more.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

James Gerstley 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 ID2769419654
PECOS Enrollment IDI20250728001374
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 Reassignment

Medicare enrollment records show James Gerstley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Genesiscare Usa Of Florida LLC
Same address
Urology
5065 S STATE ROAD 7 STE 203
Lake Worth, FL 33449
  • Reassigned Medicare billing, Florida enrollment
  • 284 clinicians in this Medicare group
NPI 1184095234 (561) 432-0067

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33428 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
$179.05 typical visit price
range $58.56 – $179.05
Typical copayment $44.76 (range $14.64 – $44.76)
Most-billed visit code 99205
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
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.

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%587 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
100%101 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
100%163 patients5/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
99%123 patients4/55-star benchmark: 100%
Oncology: Medical and Radiation - Pain Intensity Quantified
Percentage of patient visits, regardless of patient age, with a diagnosis of cancer currently receiving chemotherapy or radiation therapy in which pain intensity is quantified
100%706 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
43%362 patients2/55-star benchmark: 99%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%318 patients5/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
91%362 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
29%362 patients2/55-star benchmark: 59%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Gerstley's NPI number?

The NPI number for James Gerstley is 1548214836. It was assigned to this individual provider in the NPPES registry on May 20, 2006.

Where is James Gerstley located?

James Gerstley practices at 21020 State Road 7 Ste 100, Boca Raton, FL 33428. The listed phone number is (561) 883-8656.

What is James Gerstley's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Is James Gerstley enrolled in Medicare?

Yes. James Gerstley 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 organization bills Medicare for James Gerstley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Gerstley reassigns Medicare benefits to Genesiscare Usa Of Florida LLC (Lake Worth, FL). The 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 James Gerstley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Gerstley accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare and 2 other insurers list James Gerstley 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 James Gerstley was last updated on May 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.