DR. ANDREW ERTL (MD) – Orthopaedic Surgery Physician, NPI 1679894943
Orthopaedic Surgery Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
628 ORTHOPEDIC SURGERY in WI
Provider Addresses for DR. ANDREW ERTL (MD)
260 26TH ST
PRAIRIE DU SAC, WI 535782203
Phone: (608) 643-2471
Fax: (608) 643-4788
Type: Mailing
1111 Leffingwell Ave NE
Grand Rapids, MI 495256406
Phone: (616) 459-7101
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $88.
Total Amount is formed as General ($88) + Research ($0) + Ownership ($0) = $88.
Last reported payment date: 2023-06-20 • Largest payer in this snapshot: Sanara MedTech Inc. ($44).
Total Amount
$88
General + Research + Ownership
Payments
3
Total payment records
General Amount
$88
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-06-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Sanara MedTech Inc. | $44 |
| Medtronic, Inc. | $30 |
| Advanced Oxygen Therapy Inc. | $14 |
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: 2016-09-14
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 |
|---|---|---|---|---|
| I20160914000049 | I | Orthopedic Surgery | WI | 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 |
|---|---|---|---|---|
| 73610 | X-ray of ankle, minimum of 3 views | 271 | 125 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 264 | 195 | $0 |
| 73620 | X-ray of foot, 2 views | 162 | 86 | $0 |
| 73630 | X-ray of foot, minimum of 3 views | 137 | 69 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 117 | 102 | $0 |
Insurance plans in this area (ZIP 53578)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ORTHOPEDIC SURGERY | WI | 73630 | X-ray of foot, minimum of 3 views | 21 | 17 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | FL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | WI | |
| Physician Assistant | WI | |
| Physician Assistant | WI | |
| - | WI | |
| Nurse Practitioner | WI | |
| Nurse Practitioner | WI | |
| Physician Assistant | WI | |
| Nurse Practitioner | WI | |
| Physician Assistant | WI |
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