Dr Theodore H Gertel, MD - Medicare Orthopedic Surgery in Milwaukee, WI

Dr Theodore H Gertel, MD is a medicare enrolled "Orthopaedic Surgery" physician in Milwaukee, Wisconsin. He went to New York University School Of Medicine and graduated in 1983 and has 41 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Milwaukee Orthopaedic Group Ltd and his current practice location is 1218 W Kilbourn Ave, Suite 301, Milwaukee, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (414) 276-6000.

Dr Theodore H Gertel is licensed to practice in Wisconsin (license number 30207) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1669441077.

Contact Information

Dr Theodore H Gertel, MD
1218 W Kilbourn Ave, Suite 301,
Milwaukee, WI 53233-1330
(414) 276-6000
(414) 276-1758

Map and Direction




Physician's Profile

Full NameDr Theodore H Gertel
GenderMale
SpecialityOrthopedic Surgery
Experience41 Years
Location1218 W Kilbourn Ave, Milwaukee, Wisconsin
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Theodore H Gertel attended and graduated from New York University School Of Medicine in 1983
  NPI Data:
  • NPI Number: 1669441077
  • Provider Enumeration Date: 03/16/2006
  • Last Update Date: 01/20/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 7810971199
  • Enrollment ID: I20100709000701

Medical Identifiers

Medical identifiers for Dr Theodore H Gertel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669441077NPI-NPPES
31499100MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery 30207 (Wisconsin)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Milwaukee Orthopaedic Group Ltd27694660368

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Theodore H Gertel allows following entities to bill medicare on his behalf.
Entity NameMilwaukee Orthopaedic Group Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013071349
PECOS PAC ID: 2769466036
Enrollment ID: O20040615000668

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Theodore H Gertel is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Theodore H Gertel, MD
1218 W Kilbourn Ave, Suite 301,
Milwaukee, WI 53233-1330

Ph: (414) 276-6000
Dr Theodore H Gertel, MD
1218 W Kilbourn Ave, Suite 301,
Milwaukee, WI 53233-1330

Ph: (414) 276-6000

Reviews and Comments


Orthopaedic Surgery Doctors in Milwaukee, WI

Brent Witten, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2801 W Kinnickinnic River Pkwy Ste 370, Milwaukee, WI 53215
Phone: 414-649-7900    
Robert A. Diulio, M.D.
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 2801 W Kinnickinnic River Pkwy, Suite 575, Milwaukee, WI 53215
Phone: 414-643-8800    Fax: 414-643-6600
Bruce T Faure, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 3003 W Good Hope Rd, Milwaukee, WI 53209
Phone: 414-352-3100    Fax: 414-247-4597
Dr. David James Siverhus, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2500 N Mayfair Rd, Suite 670, Milwaukee, WI 53226
Phone: 414-453-7418    Fax: 414-453-7420
Dr. Steven T Grindel, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 9200 W Wisconsin Ave, Department Of Orthopaedic Surgery, Milwaukee, WI 53226
Phone: 414-805-7437    Fax: 414-805-7499
Dr. Perry T Shuman, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226
Phone: 414-805-7410    Fax: 414-805-7499
Bridget Kenny Ellsworth,
Orthopedic Surgery
Medicare: Medicare Enrolled
Practice Location: 9000 W Wisconsin Ave, Milwaukee, WI 53226
Phone: 414-337-7300    Fax: 414-337-7337

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.