npidexNPI registry + Medicare data

RANDY GERTNER, MD

Nephrology Physician · FREDERICKSBURG, VA

Individual Active NPI 1285745752

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
20246273,088$529,738$291,610$216,472
20236412,630$478,082$292,714$219,408
20226502,029$338,452$277,809$209,110

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month623$52$38
G2211Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's538$16$12
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more450$93$57
90960Dialysis services, 4 or more physician visits per month (20 years or older)261$336$263
99439Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month181$46$35
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more153$82$54
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes126$75$60
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes94$113$89
90961Dialysis services, 2-3 physician visits per month (20 years or older)69$281$220
99424Principal care management services for a single high-risk disease, first 30 minutes provided personally by qualified health care professional, per calendar month.65$80$58
G0506Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)57$54$37
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes52$125$99

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Nephrology Physician207RN0300X✓0101235455VA
Nephrology Physician207RN0300X010123545VA

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
Yes
Hospice
Yes

Other Nephrology Physician providers in Virginia

See all Nephrology Physician providers in Virginia →

Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.