JEFFREY WAYNE GERTNER (MD) – Dermatology Physician, NPI 1912980624

JEFFREY WAYNE GERTNER (MD) is a healthcare provider. based in San diego, California. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. MD61659432 (WA). The NPI Number for JEFFREY WAYNE GERTNER (MD) is 1912980624

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
JEFFREY WAYNE GERTNER (MD)
NPI
1912980624
Phone
(619) 532-6744
Address
34800 BOB WILSON DR
Enumeration Date
28 November 2005
Last Update Date
21 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3602915700
Graduation Year
2003 (23 years ago)
PAC ID
2466829940
Group Practice PAC ID
7810386679
Professional Enrollment ID
I20250806004023
Address ID
WA983706667PO21800NWXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

2,141 DERMATOLOGY in CA

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Provider Addresses for JEFFREY WAYNE GERTNER (MD)

  • Naval Medical Center San Diego, 34800, Bob Wilson Drive, San Diego, San Diego County, California, 92101, United States

    DERMATOLOGY DEPARTMENT; SUITE 300

    SAN DIEGO, CA 921347049

    Phone: (619) 532-6744

    Type: Mailing

  • 21800 MARKET PL NW STE 103

    POULSBO, WA 983706667

    Phone: (360) 291-5700

    Fax: (360) 637-0863

    Type: Location

  • PO BOX 140

    JACKSONVILLE, FL 322120140

    Phone:

    Type: Mailing

  • 1 BOONE RD

    BREMERTON, WA 983121898

    Phone: (360) 475-4242

    Fax: (360) 475-4430

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-08-06

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250806004023IDermatologyWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92134)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7810386679View full group profile
NameSpecialtyState
Physician AssistantWA
Dermatology, Micrographic Dermatologic Surgery (Mds)CA
Nurse PractitionerAK

Reviews

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Frequently asked questions

Is JEFFREY WAYNE GERTNER (MD) listed with a National Provider Identifier?
Yes — JEFFREY WAYNE GERTNER (MD) has NPI 1912980624 on file in the registry.
Active or inactive — what applies to JEFFREY WAYNE GERTNER (MD)?
You should see JEFFREY WAYNE GERTNER (MD) as active in CMS-hosted NPPES data.
What area of care is associated with JEFFREY WAYNE GERTNER (MD)?
JEFFREY WAYNE GERTNER (MD)'s record emphasizes Dermatology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with JEFFREY WAYNE GERTNER (MD)?
Directory geography for JEFFREY WAYNE GERTNER (MD) centers on San Diego, California.
When was this NPI issued?
Enumeration for JEFFREY WAYNE GERTNER (MD) is noted as November 28, 2005 where the registry provides it.

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