ADAM THEODORE GERSTENBLITH (MD) – Retina Specialist (Ophthalmology) Physician, NPI 1265654875

ADAM THEODORE GERSTENBLITH (MD) is a healthcare provider. based in Hagerstown, Maryland. specializing in OPHTHALMOLOGY. They hold the professional credentials MD. They hold a License No. 21124 (MD). The NPI Number for ADAM THEODORE GERSTENBLITH (MD) is 1265654875

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
ADAM THEODORE GERSTENBLITH (MD)
NPI
1265654875
Phone
(301) 671-2400
Address
246 EASTERN BLVD N
Enumeration Date
3 May 2007
Last Update Date
6 December 2021

Doctor Profile

Medical School Name
JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3016712400
Graduation Year
2007 (19 years ago)
PAC ID
6204005028
Group Practice PAC ID
1052314473
Professional Enrollment ID
I20110812000384
Address ID
PA172013237CH961XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience80
Completeness75
Years active:19State licenses:3Digital endpointsOther names

666 OPHTHALMOLOGY in MD

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Provider Addresses for ADAM THEODORE GERSTENBLITH (MD)

  • 246, Eastern Boulevard North, Hagerstown, Washington County, Maryland, 21740, United States

    SUITE 102

    HAGERSTOWN, MD 217405965

    Phone: (301) 671-2400

    Type: Mailing

  • 10212 Governor Lane Blvd

    Williamsport, MD 217954086

    Phone: (301) 733-4200

    Fax: (301) 223-7121

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $1,833.

Total Amount is formed as General ($201) + Research ($1,632) + Ownership ($0) = $1,833.

Last reported payment date: 2024-10-01 • Largest payer in this snapshot: Regeneron Pharmaceuticals, Inc. ($1,632).

Total Amount

$1,833

General + Research + Ownership

Payments

11

Total payment records

General Amount

$201

General payments

Research Amount

$1,632

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

2

Ownership records

Last Payment Date

2024-10-01

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2013-06-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20110812000384IOphthalmologyPATBD
I20130607000246IOphthalmologyMDTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J2777Injection, faricimab-svoa, 0.1 mg71,160333$0
92134Imaging of retina3,0481,265$0
92014Established patient complete exam of visual system2,8801,234$0
67028Injection of drug into eye2,166479$0
J0178Injection, aflibercept, 1 mg1,642310$0
View full utilization report →

Insurance plans in this area (ZIP 21740)

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Provider's Procedures

ADAM THEODORE GERSTENBLITH (MD) performs procedures in OPHTHALMOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPHTHALMOLOGYMD92012Eye and medical examination for diagnosis and treatment, established patient3027
OPHTHALMOLOGYMD92134Diagnostic imaging of retina127103

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: 1052314473View full group profile
NameSpecialtyState
O P H T H A L M O L O G YPA
O P H T H A L M O L O G YPA

Reviews

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Frequently asked questions

What is the 10-digit NPI for ADAM THEODORE GERSTENBLITH (MD)?
ADAM THEODORE GERSTENBLITH (MD) — NPI 1265654875 — is the standard way to identify this listing.
Does the file indicate ADAM THEODORE GERSTENBLITH (MD) is practicing under active NPI?
Directory data currently reports ADAM THEODORE GERSTENBLITH (MD) as active.
What taxonomy line describes ADAM THEODORE GERSTENBLITH (MD)?
For research purposes, treat ADAM THEODORE GERSTENBLITH (MD) as Retina Specialist (Ophthalmology) Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect ADAM THEODORE GERSTENBLITH (MD) on a map?
Expect Hagerstown, Maryland as a primary anchor for ADAM THEODORE GERSTENBLITH (MD) unless the record lists multiple sites.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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