2026 NPPES data Pediatric Surgery Physician NPI 1861795569 M.D.
Verify on CMS →

JUSTIN GERSTLE, M.D.

Pediatric Surgery Physician in NEW YORK, New York. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
MIPS score
90.761/100
▲ 8 pts above national avg 83.1 · [object Object]
What the federal data reveals: JUSTIN GERSTLE, M.D. is a Pediatric Surgery Physician ([object Object]) practicing in NEW YORK, New York . Their CMS MIPS Final Score of 90.761/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: JUSTIN GERSTLE, M.D. reported a CMS MIPS final score of 90.761 out of 100, above the 83.1 national average. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

JUSTIN GERSTLE, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

JUSTIN GERSTLE, M.D. at a glance

High performer (top quartile)

NPI registry status

Active

Issued 12/19/2010

NPI 1861795569

Primary specialty

Pediatric Surgery Physician

Niche

1,132 US NPIs in this specialty

MIPS final score

90.761/100 7.661000000000001% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in New York

How Pediatric Surgery Physician compares to other specialties among New York providers

New York providers

Pediatric Surgery Physician share within New York

1. Pediatric Surgery Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pediatric Surgery Physician share within New York

Medicare quality performance — MIPS

JUSTIN GERSTLE, M.D.'s 2023 MIPS final score plotted against the Pediatric Surgery Physician national average

High performer (top quartile)
MIPS Final Score
90.761/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pediatric Surgery Physician) — 90.761/100 vs national avg 83.1

0%100%National avg83%90.8%
MIPS final score (Pediatric Surgery Physician) — 90.761/100 vs national avg 83.1

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).

JUSTIN GERSTLE, M.D. is a Pediatric Surgery Physician provider practicing in NEW YORK, New York, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1861795569. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

JUSTIN GERSTLE, M.D. appears in the CMS NPPES registry as a Pediatric Surgery Physician provider holding M.D. credentials at 1275 YORK AVE STE H-1315, NEW YORK, NY, 10065, with a listed phone of (212) 639-7003. NPI 1861795569 was issued on 12/19/2010. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GERSTLE most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D prescribing data is not currently published for this NPI, which typically means the provider either wrote fewer than 11 Part D claims in the most recent reporting year, does not participate in Medicare, or practices in a specialty that rarely prescribes outpatient drugs. Absence of prescribing data is not a quality signal — many Pediatric Surgery Physician providers operate outside Part D entirely. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 90.761/100 for the 2023 performance year (Quality 87.872), compared with the national average of 83.1.

Pediatric Surgery Physician is a narrow specialty nationwide, with 1,132 enrolled providers across 52 states and an average of 272 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

1275 YORK AVE STE H-1315
NEW YORK, NY 10065

Provider Details

NPI 1861795569
Specialty Pediatric Surgery Physician
Credentials M.D.
Gender Male
NPI Issued 12/19/2010

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

90.761
Final Score
Avg: 83.1
87.872
Quality

Reporting: Group practice

License & disciplinary context — New York NYSBPMC 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~100K New York medical licensees in 2023 — they are NOT specific to JUSTIN GERSTLE, M.D.. To verify JUSTIN GERSTLE, M.D.'s current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases

NYSBPMC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the New York disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Pediatric Surgery Physician Overview

How JUSTIN GERSTLE, M.D. fits within the Pediatric Surgery Physician landscape nationally.

1,132
Pediatric Surgery Physician Providers in US
52
States with Pediatric Surgery Physician
272
Avg Claims per Provider

Nearby Pediatric Surgery Physician Providers in New York

Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as GERSTLE.

Compare Pediatric Surgery Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JUSTIN GERSTLE, M.D.'s specialty?
JUSTIN GERSTLE, M.D. specializes in Pediatric Surgery Physician and practices in NEW YORK, New York. Credentials: M.D..
What is JUSTIN GERSTLE, M.D.'s Medicare quality score?
JUSTIN GERSTLE, M.D. has a CMS MIPS Final Score of 90.761/100 (Quality: 87.872). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JUSTIN GERSTLE, M.D. located?
JUSTIN GERSTLE, M.D. is located at 1275 YORK AVE STE H-1315, NEW YORK, NY, 10065. Phone: (212) 639-7003.
What is JUSTIN GERSTLE, M.D.'s NPI number?
JUSTIN GERSTLE, M.D.'s National Provider Identifier (NPI) is 1861795569, issued on 12/19/2010.
How many Pediatric Surgery Physician providers are there in the US?
There are 1,132 Pediatric Surgery Physician providers across 52 states in the US. The average Pediatric Surgery Physician provider writes 272 Medicare Part D claims per year.
Does JUSTIN GERSTLE, M.D. accept Medicare?
JUSTIN GERSTLE, M.D. appears in CMS Medicare data. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JUSTIN GERSTLE, M.D.'s credentials?
JUSTIN GERSTLE, M.D.'s NPI is 1861795569 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

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.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
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 April 2026 (NPPES) / 2023 (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