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JUSTIN THOMAS ERTLE MD
NPI 1760801245
Internal Medicine in Macon, GA

Active since April 10, 2014PECOS EnrolledAccepts Medicare Assignment
707 PINE ST, MACON, GA 31201(478) 301-5820(478) 301-5825 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Jun 20, 2017 (3 updates tracked since 2017).

About Justin Thomas Ertle Md NPPES

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

JUSTIN THOMAS ERTLE MD (NPI 1760801245) is an individual internal medicine provider in Macon, Georgia, licensed in Georgia (78296) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Au Medical Center, and maintains a secondary practice location in Washington.

NPPES Registry Identity

NPI1760801245
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJUSTIN THOMAS ERTLECredential: MD
Location Address707 PINE STMacon, GA 31201-2106
Mailing Address707 Pine StMacon, GA 31201-2106 · (478) 301-5820 · Fax (478) 301-5825
Phone(478) 301-5820
Fax(478) 301-5825
Sole ProprietorYes
Medical School CMSGeorge Washington University School Of MedicineGraduated 2014
Enumeration DateApril 10, 2014
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1760801245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in GA · 78296
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
707 PINE ST, Macon, GA 31201
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Secondary Practice Location 1

Location 12150 Pennsylvania Ave NWWashington, DC 20037-3201 · Phone (202) 741-3000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health 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

Justin Thomas Ertle 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 ID1850680919
PECOS Enrollment IDI20170926002969
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 Reassignments

2

Medicare enrollment records show Justin Ertle reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wellstar Medical Group, LLC
76 mi
Internal Medicine
3885 PRINCETON LAKES WAY SW, SUITE 300
Atlanta, GA 30331
  • Reassigned Medicare billing, Georgia enrollment
  • 3,885 clinicians in this Medicare group
NPI 1205267192 (404) 344-0059
Au Medical Associates Inc
105 mi
Multi-Specialty
1120 15TH ST
Augusta, GA 30912
  • Reassigned Medicare billing, Georgia enrollment
  • 1,151 clinicians in this Medicare group
NPI 1841230620 (706) 721-2273

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

Areas of Expertise CMS Part B claims 2

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.

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.
56 services37 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.
16 services15 patients

Hospital Affiliations CMS Care Compare

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

Au Medical Center

Acute Care Hospitals · Augusta, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110034
Location1120 15th StreetAugusta, GA 30912 · Richmond County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31201 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
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$200.12 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

DOUGLAS PAUL FARMAN M.D.
Internal Medicine (Pulmonary Disease)
707 PINE ST
MACON, GA 31201
Bibb County (478) 301-5801
DR. MARIELA MINERVA MOLERO M.D., PH.D.
Internal Medicine
707 PINE ST
MACON, GA 31201
Bibb County (478) 301-5824
JENNIFER C HOFFMAN M.D.
Internal Medicine (Infectious Disease)
707 PINE ST
MACON, GA 31201
Bibb County (478) 301-5800
DR. GEORGE ALLEN TINDOL JR. M.D.
Internal Medicine
707 PINE ST
MACON, GA 31201
Bibb County (478) 301-5800
DR. RAFAEL ANDRES PONCE TERASHIMA MD
Internal Medicine (Infectious Disease)
707 PINE ST
MACON, GA 31201
Bibb County (478) 301-5800

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 Justin Ertle's NPI number?

The NPI number for Justin Ertle is 1760801245. It was assigned to this individual provider in the NPPES registry on April 10, 2014.

Where is Justin Ertle located?

Justin Ertle practices at 707 Pine St, Macon, GA 31201. The listed phone number is (478) 301-5820.

What is Justin Ertle's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Justin Ertle enrolled in Medicare?

Yes. Justin Ertle 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 organizations bill Medicare for Justin Ertle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justin Ertle reassigns Medicare benefits to 2 organizations: Wellstar Medical Group, LLC (Atlanta, GA) and Au Medical Associates Inc (Augusta, GA). Each 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 Justin Ertle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Justin Ertle accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Justin Ertle 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 Justin Ertle affiliated with any hospitals?

According to CMS data, Justin Ertle is affiliated with Au Medical Center.

When was this NPI record last updated?

The NPPES record for Justin Ertle was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.