Joel Kertznus, M.D.
NPI 1487639308 · Gastroenterology Physician · Hialeah, FL
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Joel Kertznus, M.D. is a Gastroenterology Physician provider in Hialeah, FL (NPI 1487639308).
Provider details
- NPI number
- 1487639308
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- ME89004 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
113 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 45 | $133 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 29 | $176 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 20 | $113 |
| Biopsy of Large Bowel Using a Flexible Endoscope45380 | 19 | $153 |
Typical Medicare-allowed amounts for these services range $113–$176 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 15 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Omeprazole | 113 | 52 |
| Famotidine | 69 | 24 |
| Pantoprazole Sodium | 54 | 26 |
| Linaclotidebrand: Linzess | 44 | — |
| Sodium, Potassium,mag Sulfatesbrand: Sod Sulf-Potass Sulf-Mag Sulf | 26 | 26 |
| Sod Sulf/Pot Chloride/Mag Sulfbrand: Sutab | 25 | 25 |
| Ursodiol | 23 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$3,880 across 67 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-12-14
- Last updated
- 2013-03-21
Frequently asked questions
- What is Joel Kertznus's NPI number?
- Joel Kertznus's National Provider Identifier (NPI) is 1487639308, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Joel Kertznus's specialty?
- Joel Kertznus is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Joel Kertznus located?
- Joel Kertznus's practice location on file with NPPES is 2140 W 68th St, Hialeah, FL 33016-1815.
- What is Joel Kertznus's phone number?
- The practice phone number listed in the NPPES registry for Joel Kertznus is (305) 822-4107.
- Does Joel Kertznus accept Medicare?
- Joel Kertznus is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Joel Kertznus's NPI active?
- Yes — Joel Kertznus's NPI (1487639308) is active in the NPPES registry as of the last update on 2013-03-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.