DR. ELENA GERTSEN (M.D., PH.D.) – Anatomic Pathology & Clinical Pathology Physician, NPI 1881858876
Anatomic Pathology & Clinical Pathology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
460 PATHOLOGY in TN
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Provider Addresses for DR. ELENA GERTSEN (M.D., PH.D.)
1725, West Market Street, Clark Manor, Johnson City, Washington County, Tennessee, 37604, United States
JOHNSON CITY, TN 376046020
Phone: (423) 431-1310
Mailing address matches the actual address.
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.
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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: 2022-11-29
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130715000194 | I | Pathology | TN | TBD |
| I20221129000490 | I | Pathology | VA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 569 | 337 | $0 |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 193 | 59 | $0 |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 126 | 104 | $0 |
| 88307 | Pathology examination of tissue using a microscope, moderately high complexity | 125 | 81 | $0 |
| 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 83 | 80 | $0 |
Insurance plans in this area (ZIP 37604)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| P A T H O L O G Y | MN | |
| P A T H O L O G Y | TN | |
| P A T H O L O G Y | TN | |
| P A T H O L O G Y | TN | |
| P A T H O L O G Y | MD | |
| P A T H O L O G Y | TN | |
| P A T H O L O G Y | TN | |
| P A T H O L O G Y | TN | |
| P A T H O L O G Y | SC | |
| P A T H O L O G Y | TN |
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