DR. THEODORE H GERTEL MD
NPI 1669441077
Orthopaedic Surgery in Milwaukee, WI
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 and is a graduate of New York University School Of Medicine (1983).
NPPES Registry Identity
Specialties & Licenses
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.
Other Identifiers 5
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.
Areas of Expertise CMS Part B claims 4
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.
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.
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.
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.
When was this NPI record last updated?
The NPPES record for Theodore Gertel was last updated on January 20, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.
