NPI registry status
Active
2026 NPPES data Pediatric Urology Physician NPI 1063472017 M.D.
Verify on CMS → Carl Gjertson, M.D.
Pediatric Urology Physician in Farmington, Connecticut.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 364 in Pediatric Urology Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
1K
Medicare Part D claims · 261 beneficiaries · Pediatric Urology Physician avg: 592
Industry payments
$139.63
8 payments · CMS Open Payments (Sunshine Act)
What the federal data shows
Carl Gjertson, M.D. filed 1,045 Medicare Part D claims in 2024 as a Pediatric Urology Physician in Farmington, Connecticut.
- 1K
- Part D claims, 2024
- Likely
- board-certified (heuristic)
- ≥75th
- pct by Part D claim volume (lower-bound band)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Federal trust snapshot
What official records show about Carl Gjertson, M.D.
Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1063472017), first enumerated 03/24/2006.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 1,045 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
4 CMS Care Compare hospital affiliations on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Reported
Industry payment transparency
$139.63 in reported industry payments (8 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1063472017 · Pediatric Urology Physician
NPI-10 · ENUM-LEGACY · TAX-TRACE · RX-MID · BOOK-THIN · PHOTO-ENUM
- NPI-10 1063472017
- ENUM-LEGACY 2006
- TAX-TRACE 364
- RX-MID 1,045
- BOOK-THIN 4 in Connecticut
- PHOTO-ENUM Leon Smith Harrison · 2006
Carl Gjertson, M.D.'s Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2024, across all CMS prescribers nationally
1,045 ≥ 75th percentile 75% of 1,416,883 prescribers are in lower value bands
Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2024
✓
Board certification likely (heuristic, not verified)
Carl Gjertson, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 4 hospital affiliations - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Carl Gjertson, M.D.?
Quality data not reportedPrimary specialty
Pediatric Urology Physician
Medicare Part D claims
1,045 77% vs specialty avg
Specialty distribution in Connecticut
How Pediatric Urology Physician compares to other specialties among Connecticut providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Pediatric Urology Physician. Verify directly:
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Practice Address
Provider Details
| NPI | 1063472017 |
|---|---|
| Specialty | Pediatric Urology Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 03/24/2006 |
Hospital and facility affiliations
Facilities where Carl Gjertson, M.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
According to CMS billing records, Carl Gjertson, M.D. is affiliated with 4 Medicare-billing facilities.
Cape Physicians Associates PA
Cape May Court House, NJ
Hackensack Meridian Health Medical Group - Specialty Care PC
Manahawkin, NJ
Jersey Urology Group P. A.
Somers Point, NJ
Shore Specialty Consultants
Somers Point, NJ
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Industry payments received (2024) - CMS Open Payments transparency data
The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Carl Gjertson, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$140
Largest payer
Genmab U.S., Inc.
Most common payment type
Food and Beverage
Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2024.
1,045
Total Claims
$32K
Total Drug Cost
261
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 2,840.533
- Total Day Supply
- 83,825
- Generic Drug Cost
- $20K
- Antibiotic Claims
- 74
Patient Demographics
- Average Patient Age
- 75.8 years
- Avg HCC Risk Score
- 1.20
- Gender Split
- 11% female / 89% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Carl Gjertson, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2024
- Finasteride
Finasteride
386 claims
- Tamsulosin Hcl
Tamsulosin Hcl
365 claims
- Potassium Citrate Er 71
Potassium Citrate Er
71 claims
- Allopurinol 37
Allopurinol
37 claims
- Nitrofurantoin Mon… 29
Nitrofurantoin Mono-Macro
29 claims
- Sulfamethoxazole-T… 22
Sulfamethoxazole-Trimethoprim
22 claims
- Dutasteride 16
Dutasteride
16 claims
- Levofloxacin 13
Levofloxacin
13 claims
| Drug | Claims |
|---|---|
| Finasteride | 386 |
| Tamsulosin Hcl | 365 |
| Potassium Citrate Er Potassium Citrate | 71 |
| Allopurinol | 37 |
| Nitrofurantoin Mono-Macro Nitrofurantoin Monohyd/M-Cryst | 29 |
| Sulfamethoxazole-Trimethoprim Sulfamethoxazole/Trimethoprim | 22 |
| Dutasteride | 16 |
| Levofloxacin | 13 |
| Indapamide | 12 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Pediatric Urology Physician Overview
How Carl Gjertson, M.D. fits within the Pediatric Urology Physician landscape nationally.
364
Pediatric Urology Physician Providers in US
44
States with Pediatric Urology Physician
592
Avg Claims per Provider
Carl Gjertson, M.D.'s 1,045 claims are above the specialty average of 592.
Nationwide Pediatric Urology Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Gjertson, both outside Connecticut so the neighborhoods are not geographic containment.
Same NPPES enumeration year (2006)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Pediatric Urology Physician Providers in Connecticut
Other clinicians with the same primary specialty enrolled in Connecticut, drawn from the same CMS NPPES roster as Gjertson.
One of 4 Pediatric Urology Physician providers enrolled in Connecticut, 3 are shown here.
Dr. Leon Chertin
MD
Hartford, CT
Dr. Jeremy Kaufman
MD
Trumbull, CT
Dr. Courtney Rowe
M.D.
Hartford, CT
Compare Pediatric Urology Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Carl Gjertson, M.D.'s specialty? ▼
Carl Gjertson, M.D. specializes in Pediatric Urology Physician and practices in Farmington, Connecticut. Credentials: M.D..
How much does Carl Gjertson, M.D. prescribe under Medicare Part D? ▼
In 2024, Carl Gjertson, M.D. wrote 1,045 Medicare Part D claims totaling $32K in drug costs for 261 beneficiaries.
Where is Carl Gjertson, M.D. located? ▼
Carl Gjertson, M.D. is located at 263 FARMINGTON AVE, Farmington, CT, 06030. Phone: (860) 679-4100.
What is Carl Gjertson, M.D.'s NPI number? ▼
Carl Gjertson, M.D.'s National Provider Identifier (NPI) is 1063472017, issued on 03/24/2006.
How many Pediatric Urology Physician providers are there in the US? ▼
There are 364 Pediatric Urology Physician providers across 44 states in the US. The average Pediatric Urology Physician provider writes 592 Medicare Part D claims per year.
What drugs does Carl Gjertson, M.D. prescribe most often? ▼
Based on 2024 Medicare Part D data, Carl Gjertson, M.D.'s most frequently prescribed drugs include Finasteride, Tamsulosin Hcl, Potassium Citrate Er. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Carl Gjertson, M.D. accept Medicare? ▼
Carl Gjertson, M.D. appears in CMS Medicare data with 1,045 Part D claims and 261 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Carl Gjertson, M.D.'s credentials? ▼
Carl Gjertson, M.D.'s NPI is 1063472017 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2024). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of August 2026 (NPPES) / 2024 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.