JUSTIN GABRIEL HARTKE (M.D.) – Gastroenterology Physician, NPI 1154689685

JUSTIN GABRIEL HARTKE (M.D.) is a healthcare provider. based in Wausau, Wisconsin. specializing in GASTROENTEROLOGY. They hold the professional credentials M.D.. They hold a License No. 69359-20 (WI). The NPI Number for JUSTIN GABRIEL HARTKE (M.D.) is 1154689685

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
JUSTIN GABRIEL HARTKE (M.D.)
NPI
1154689685
Phone
(715) 847-2558
Address
411 WESTWOOD DR
Enumeration Date
3 May 2012
Last Update Date
3 July 2018

Doctor Profile

Medical School Name
WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Secondary Phone
7158472558
Graduation Year
2012 (14 years ago)
PAC ID
6002043965
Group Practice PAC ID
4385677814
Professional Enrollment ID
I20180820001506
Address ID
WI544014152WA411XXDRXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:14State licenses:1Digital endpointsOther names

382 GASTROENTEROLOGY in WI

Provider Addresses for JUSTIN GABRIEL HARTKE (M.D.)

  • 411 WESTWOOD DR

    WAUSAU, WI 544014152

    Phone: (715) 847-2558

    Fax: (715) 847-2557

    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)

CMS reports 4 Open Payments records for all available years, with a total value of $70.

Total Amount is formed as General ($70) + Research ($0) + Ownership ($0) = $70.

Last reported payment date: 2023-10-23 • Largest payer in this snapshot: NESTLE HEALTHCARE NUTRITION INC. ($48).

Total Amount

$70

General + Research + Ownership

Payments

4

Total payment records

General Amount

$70

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-23

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2018-08-20

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180820001506IGastroenterologyWITBD

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
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare8484$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope6866$0
45380Biopsy of large bowel using a flexible endoscope4545$0
99214Established patient office or other outpatient visit, 30-39 minutes3431$0
99204New patient office or other outpatient visit, 45-59 minutes3232$0
View full utilization report →

Insurance plans in this area (ZIP 54401)

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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: 4385677814View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)WI
Certified Registered Nurse Anesthetist (Crna)WI
G A S T R O E N T E R O L O G YWI
P A T H O L O G YWI
Certified Registered Nurse Anesthetist (Crna)WI
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)WI
G A S T R O E N T E R O L O G YWI
Gastroenterology, Internal Medicine, Geriatric MedicineWI
Nurse PractitionerWI

Reviews

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Frequently asked questions

How is JUSTIN GABRIEL HARTKE (M.D.) identified in CMS data?
CMS-hosted NPPES data lists JUSTIN GABRIEL HARTKE (M.D.) with NPI 1154689685.
Can I rely on JUSTIN GABRIEL HARTKE (M.D.) being an active provider?
As of the registry snapshot, JUSTIN GABRIEL HARTKE (M.D.) is marked active.
What is JUSTIN GABRIEL HARTKE (M.D.)'s specialty?
The listing groups JUSTIN GABRIEL HARTKE (M.D.) with Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for JUSTIN GABRIEL HARTKE (M.D.)?
JUSTIN GABRIEL HARTKE (M.D.)'s geographic hint is Wausau, Wisconsin in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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