DR. RANDY A GERTNER (MD) – Nephrology Physician, NPI 1285745752
Nephrology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
332 NEPHROLOGY in VA
Loading map...
Provider Addresses for DR. RANDY A GERTNER (MD)
101, Park Hill Drive, Fredericksburg, Fredericksburg City, Virginia, 22401, United States
FREDERICKSBURG, VA 22401
Phone: (540) 371-3010
Fax: (540) 899-9821
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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: 2004-06-29
PECOS data refreshed: 2026-05-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040629000291 | I | Nephrology | 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 |
|---|---|---|---|---|
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 708 | 200 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 466 | 264 | $0 |
| 90960 | Dialysis services, 4 or more physician visits per month (20 years or older) | 211 | 52 | $0 |
| 99439 | Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month | 152 | 79 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 144 | 113 | $0 |
Insurance plans in this area (ZIP 22401)
Loading plans...
Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NEPHROLOGY | VA | 90961 | Dialysis services (2-3 physician visits per month), patient 20 years of age and older | 158 | 87 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nephrology, Internal Medicine | VA | |
| - | VA | |
| Nurse Practitioner | VA | |
| Nephrology, Internal Medicine | VA | |
| N E P H R O L O G Y | NY | |
| Nurse Practitioner | VA | |
| N E P H R O L O G Y | VA | |
| Nephrology, Internal Medicine | VA | |
| Nephrology, Internal Medicine | VA | |
| Nephrology, Internal Medicine | VA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.