Individual provider Active NPI

Gary Van Wertman II, DO

  • Orthopaedic Surgery Physician
  • Jacksonville, NC
National Provider Identifier
1083805006
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
201101058 Issued in NC
Practice address
2145 Country Club Rd Ste 800
Jacksonville, NC 28546-2404
Phone
(910) 939-5759
Fax
(910) 939-4951
NPI assigned
Aug 6, 2007
Last updated
Feb 19, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 201101058 NC Primary
Surgery Physician 208600000X 201101058 NC

Addresses

Primary practice location

2145 Country Club Rd Ste 800
Jacksonville, NC 28546-2404

Mailing address

PO Box 5105
Belfast, ME 04915-5100
Phone (910) 332-3800

Other identifiers 2

IdentifierTypeStateIssuer
1083805006MedicaidNC
NC2086MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gary.wertman.1@9526.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110919000801 NC Practitioner - Hand SurgeryPractitioner - Orthopedic Surgery 3678744836 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hand SurgeryAlso: Orthopedic Surgery
Education
Philadelphia College of Osteopathic Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergeortho PAGroup PAC ID 0749188894, 726 clinicians

Practice addresses (Care Compare)

2145 Country Club Rd
Suite 800
Jacksonville, NC 28546-2404
Phone (910) 332-3800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
90.19 of 100Reported as group
Quality
84.52
Promoting interoperability
100
Improvement activities
40
Cost
82.79

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)76
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
201101058NCMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergeortho PA Orthopaedic Surgery CurrentSince Feb 1, 2024 Accepting new patients
Emergeortho PA CurrentSince Feb 1, 2024 Accepting new patients

Locations

2145 Country Club Rd
Ste 400
Jacksonville, NC 28546
Phone (910) 353-2319

2145 Country Club Rd
Ste 800
Jacksonville, NC 28546
Phone (910) 939-5759

3714 Guardian Ave
Ste E
Morehead City, NC 28557
Phone (252) 222-5862

799 Doctors Ct
Roxboro, NC 27573
Phone (336) 599-4079

775 W Corbett Ave
Ste 2
Swansboro, NC 28584
Phone (252) 247-2101

2716 Ashton Dr
Wilmington, NC 28412
Phone (910) 332-1534

Interoperability endpoints

  • Direct secure messaging: gary.wertman.1@847.direct.athenahealth.com
  • Direct secure messaging: gary.wertman.1@9526.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1083805006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5105",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049155100",
            "telephone_number": "910-332-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2145 COUNTRY CLUB RD STE 800",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285462404",
            "telephone_number": "910-939-5759",
            "fax_number": "910-939-4951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERTMAN",
        "first_name": "GARY",
        "middle_name": "VAN",
        "name_suffix": "II",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-06",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NC",
            "license": "201101058",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "201101058",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083805006",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NC2086",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gary.wertman.1@9526.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "2145 Country Club Rd Ste 800",
            "city": "Jacksonville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "285462404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jacksonville, NC

Sources for this page

Verify at the official NPI Registry.