NPIMap

Individual provider Active NPI

Gerald J Jerry Jr., MD

  • Orthopaedic Surgery Physician
  • Port Huron, MI
National Provider Identifier
1821068594
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
4301050081 Issued in MI
Practice address
600 Fort St
Suite 100
Port Huron, MI 48060-3941
Phone
(810) 987-9871
Fax
(810) 987-6070
NPI assigned
Jan 25, 2006
Last updated
May 21, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 4301050081 MI Primary

Addresses

Primary practice location

600 Fort St
Suite 100
Port Huron, MI 48060-3941

Mailing address

600 Fort St Ste 100
Port Huron, MI 48060-3942
Phone (810) 987-9871

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101025000607 MI Practitioner - Orthopedic Surgery 7416940614 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mendelson Orthopedics PCGroup PAC ID 8426008368, 69 clinicians

Practice addresses (Care Compare)

36622 5 Mile Rd
Livonia, MI 48154-1900
Phone (734) 542-0200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
27.07 of 100Reported as individual
Quality
9.47
Improvement activities
0
Cost
77.61

Merit-based Incentive Payment System (MIPS)

Final score
90.82 of 100Reported as apm
Quality
81.65
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement23
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301050081MIMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jerry Orthopaedic Institute, PLLC Orthopaedic Surgery CurrentSince Sep 28, 2016 Accepting new patients
Mendelson Orthopedics PC CurrentSince Oct 1, 2024 Accepting new patients
Mendelson Orthopedics PC Orthopaedic Surgery CurrentSince Oct 1, 2024 Accepting new patients
Mendelson Orthopedics PC Orthopaedic Surgery Current Accepting new patients
Bone & Joint Physical Therapy LLC PastSince Jul 1, 2018 Accepting new patients

Locations

7684 Solutions Ctr
#777684
Chicago, IL 60677

14555 Levan Rd
Ste 215
Livonia, MI 48154
Phone (734) 542-0200

36622 5 Mile Rd
Livonia, MI 48154
Phone (734) 542-0200

600 Fort St
Ste 100
Port Huron, MI 48060
Phone (810) 987-9711

35735 Mound Rd
Ste 100
Sterling Heights, MI 48310
Phone (586) 261-1960

500 Stephenson Hwy
#300
Troy, MI 48083
Phone (586) 439-6258

Interoperability endpoints

  • Direct secure messaging: geraldjerry@jerryortho.directglo.com
  • Direct secure messaging: jjerry1133405@direct.hfhs.org

Organizations & group practices 7

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 8

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": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779321600000",
    "number": "1821068594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 FORT ST STE 100",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603942",
            "telephone_number": "810-987-9871",
            "fax_number": "810-987-6070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 FORT ST",
            "address_2": "SUITE 100",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603941",
            "telephone_number": "810-987-9871",
            "fax_number": "810-987-6070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JERRY",
        "first_name": "GERALD",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "4301050081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Huron, MI

Sources for this page

Verify at the official NPI Registry.