DR. THEODORE H GERTEL MD
NPI 1669441077
Orthopaedic Surgery in Milwaukee, WI

Active since March 16, 2006PECOS EnrolledAccepts Medicare Assignment
1218 W KILBOURN AVE, SUITE 301, MILWAUKEE, WI 53233(414) 276-6000(414) 276-1758 Get Directions Write a Review

NPPES record last updated: January 20, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Theodore H Gertel Md NPPES

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

DR. THEODORE H GERTEL MD (NPI 1669441077) is an individual orthopaedic surgery provider in Milwaukee, Wisconsin, licensed in Wisconsin (30207) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Aurora St Lukes Medical Center, and is a graduate of New York University School Of Medicine (1983).

NPPES Registry Identity

NPI1669441077
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. THEODORE H GERTELCredential: MD
Location Address1218 W KILBOURN AVE, SUITE 301Milwaukee, WI 53233-1330
Mailing Address1218 W Kilbourn Ave, Suite 301Milwaukee, WI 53233-1330 · (414) 276-6000 · Fax (414) 276-1758
Fax(414) 276-1758
Sole ProprietorNo
Medical School CMSNew York University School Of MedicineGraduated 1983
Enumeration DateMarch 16, 2006
Last NPPES UpdateJanuary 20, 2010
NPI 1669441077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in WI · 30207
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
1218 W KILBOURN AVE, Milwaukee, WI 53233

Other Identifiers 5

Medicare UPINE44000WI
Medicare PIN000302672WI
Medicare PIN000546190WI
Medicaid31499100WI
Medicare NSC0758970001WI

Accepted 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

Dr. Theodore H Gertel 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 ID7810971199
PECOS Enrollment IDI20100709000701
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 2

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

Aurora St Lukes Medical Center

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520138
Location2900 W Oklahoma AveMilwaukee, WI 53215 · Milwaukee County
Emergency services Birthing friendly

Froedtert Memorial Lutheran Hospital

Acute Care Hospitals · Milwaukee, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520177
Location9200 W Wisconsin AveMilwaukee, WI 53226 · Milwaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53233 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

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.

Internal Medicine (Gastroenterology)
1218 W KILBOURN AVE, SUITE 404
MILWAUKEE, WI 53233
Specialist
1218 W KILBOURN AVE, SUITE 301
MILWAUKEE, WI 53233
Physician Assistant
1218 W KILBOURN AVE, SUITE 511
MILWAUKEE, WI 53233
Advanced Practice Midwife
1218 W KILBOURN AVE, SUITE 200
MILWAUKEE, WI 53233
Internal Medicine
1218 W KILBOURN AVE, SUITE 403
MILWAUKEE, WI 53233
Internal Medicine
1218 W KILBOURN AVE, STE 124
MILWAUKEE, WI 53233
Physician Assistant
1218 W KILBOURN AVE, SUITE 511
MILWAUKEE, WI 53233
Internal Medicine (Hematology & Oncology)
1218 W KILBOURN AVE, SUITE 200
MILWAUKEE, WI 53233

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 Theodore Gertel's NPI number?

The NPI number for Theodore Gertel is 1669441077. It was assigned to this individual provider in the NPPES registry on March 16, 2006.

Where is Theodore Gertel located?

Theodore Gertel practices at 1218 W Kilbourn Ave Suite 301, Milwaukee, WI 53233. The listed phone number is (414) 276-6000.

What is Theodore Gertel's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Theodore Gertel enrolled in Medicare?

Yes. Theodore Gertel 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 Theodore Gertel accept?

Health plans from Anthem Blue Cross and Blue Shield, Network Health and UnitedHealthcare list Theodore Gertel 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 Theodore Gertel affiliated with any hospitals?

According to CMS data, Theodore Gertel is affiliated with Aurora St Lukes Medical Center and Froedtert Memorial Lutheran Hospital.

When was this NPI record last updated?

The NPPES record for Theodore Gertel was last updated on January 20, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.