Tristan Layton Hartzell, M.D.

Primary specialty

Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X

License

26210 Issued in NE

Practice address

301 N 27TH St
Suite 2
Norfolk, NE 68701-4401

Phone

(402) 844-8291

Fax

(402) 844-8292

NPI assigned

Nov 16, 2006

Last updated

Aug 20, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NE

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

Specialty

Hand SurgeryAlso: Plastic and Reconstructive Surgery

Education

Duke University School of Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Faith Regional Physician Services LLCGroup PAC ID 5193786168, 194 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Faith Health Hospital, Norfolk, NE, CCN 280125
• Boone County Health Center Hospital, Albion, NE, CCN 281334
• Providence Medical Center Hospital, Wayne, NE, CCN 281345
• Columbus Community Hospital, Inc Hospital, Columbus, NE, CCN 280111
• Antelope Memorial Hospital Hospital, Neligh, NE, CCN 281326

Merit-based Incentive Payment System (MIPS)

Final score

80.77 of 100Reported as group

Quality

67.03

Promoting interoperability

96

Improvement activities

40

Cost

72.22

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Faith Regional Physician Services, LLC

  • Family Medicine Physician
  • Norfolk, NE
  • NPI 1265489157
  Medicare reassignment Care Compare group NPD
• Faith Regional Physician Services, LLC

  • Anesthesiology Physician
  • Norfolk, NE
  • NPI 1275074577
  NPD

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

• Antelope Memorial Hospital

  • Critical Access Hospital
  • Neligh, NE
  • NPI 1083790893
  Care Compare affiliation
• Boone County Health Center

  • Critical Access Hospital
  • Albion, NE
  • NPI 1679508816
  Care Compare affiliation
• Columbus Community Hospital Inc

  dba Columbus Community Hospital

  • General Acute Care Hospital
  • Columbus, NE
  • NPI 1760589295
  Care Compare affiliation
• Faith Regional Health Services

  dba Faith Health

  • General Acute Care Hospital
  • Norfolk, NE
  • NPI 1285676544
  Care Compare affiliation
• Providence Medical Center

  • Critical Access Hospital
  • Wayne, NE
  • NPI 1801867494
  Care Compare affiliation

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408492800000",
    "number": "1184797110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N 27TH ST",
            "address_2": "SUITE 2",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687014401",
            "telephone_number": "402-844-8291",
            "fax_number": "402-844-8292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N 27TH ST",
            "address_2": "SUITE 2",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687014401",
            "telephone_number": "402-844-8291",
            "fax_number": "402-844-8292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTZELL",
        "first_name": "TRISTAN",
        "middle_name": "LAYTON",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2014-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "NE",
            "license": "26210",
            "primary": true
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "NE",
            "license": "26210",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "20079",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025561800",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "099588036",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenny T Hart
• Laura Hart
• Lily Hartl
• Margaret Hartsock
• Maryanne Hartzell, MD
• Cynthia Hatfield
• Jenna L Hatfield, DDS
• Carla Maria Hatona
• Carlisa Elisabeth Hatona
• Brent Hausmann

• Orthopaedic Hand Surgery Physician in Norfolk, NE
• Providers in Norfolk, NE by specialty
• Orthopaedic Hand Surgery Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.