NPPES file of Aug 9, 2026

Justin Theodore Gerstle, M.D.

Pediatric Surgery Physician · New York, NY

Justin Theodore Gerstle, M.D. is a pediatric surgery physician with a practice address in New York, New York, and NPI 1861795569, issued on Dec 19, 2010. Check the license (New York 294183-1, as entered in NPPES) on the NYS Education Department, Office of the Professions; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1861795569
Name
Justin Theodore Gerstle
Credential
M.D.
Primary taxonomy
Pediatric Surgery Physician 2086S0120X
License number
294183-1 NY
Self-reported in NPPES; status is on the state search
Practice location
1275 York Ave Ste H-1315, New York, NY 10065
Phone
(212) 639-7003
Enumerated
Dec 19, 2010
Record last updated
Mar 5, 2023
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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Verify Justin Theodore Gerstle in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersNYS Education Department, Office of the Professions
    Search for license 294183-1
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the New York license search

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The practice group's MIPS final score for 2023 (Medicare payment program): 90.8 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score87.9
  2. Costnot scored (reweighted)
  3. Promoting interoperabilitynot scored (reweighted)
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Justin Theodore Gerstle among 88 pediatric surgery physician records in New York

Justin Theodore Gerstle, M.D. is one of 88 pediatric surgery physician records with a practice address in New York. 53% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2010, is newer than 64% of them.

  • NPI issued2010 · 64% of these records are older, 34% newer
  • In a Medicare fileYes · 53% of these records are
  • In the CMS Doctors and Clinicians fileNo · 18% of these records are
  • Record last updated2023 · 58% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 2086S0120X and a New York practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Pediatric Surgery Physician providers in New York

There are 88 pediatric surgery physician records in New York.

The 8 pediatric surgery physician records with the nearest ZIP codes

  1. Emily Christison-Lagay, MDNew York, NY 100651245218502
  2. Enrico Danzer, M.D.New York, NY 100651497917702
  3. Jonathan Durell, MD, FRCSNew York, NY 100651356970768
  4. Khalid Elmalik, MDNew York, NY 100651699494807
  5. Angela Kadenhe-Chiweshe, M.D.New York, NY 100651992956288
  6. Hemal Kodikara, MBCHBNew York, NY 100651730608837
  7. Lucas Krauel, M.D.New York, NY 100651225388416
  8. Demetri Merianos, MDNew York, NY 100651902953854

Common questions

What is Justin Theodore Gerstle, M.D.'s NPI number?

Justin Theodore Gerstle, M.D.'s National Provider Identifier (NPI) is 1861795569, issued on Dec 19, 2010. An NPI identifies a provider in billing; it is not a license.

Where is Justin Theodore Gerstle, M.D. located?

The NPPES record lists a practice address at 1275 York Ave Ste H-1315, New York, NY, 10065. Phone: (212) 639-7003. Providers update this record themselves, so call before visiting.

How can I verify Justin Theodore Gerstle, M.D.'s license?

NPPES lists New York license number 294183-1, as entered by the provider. Search the NYS Education Department, Office of the Professions at https://www.op.nysed.gov/services/verifications/online-verification-searches. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

What is Justin Theodore Gerstle, M.D.'s MIPS final score?

The 2023 MIPS final score is 90.8 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.