Nicholas Edward Gerken, MD
NPI 1851688758ActiveIndividual· Orthopaedic Surgery· San Antonio, TX
Orthopaedic Surgery (MD) with Methodist Physician Practices PLLC, practicing in San Antonio, Texas. 259 Medicare patients in 2024, $167,103 paid; all of their 1,190 Part D prescriptions were generic. Ethicon US, LLC was the largest of 5 companies reporting payments in 2025, $19,789 in all, mostly consulting fees. Lists Baptist Medical Center and 3 other hospitals as hospital affiliations.
Overview
| NPI | 1851688758 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jun 30, 2011 |
| Last updated in NPPES | Jan 18, 2022 |
| Certified by provider | Aug 20, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery Primary | 207X00000X | R4046 | TX |
| Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery | 207XS0114X | R4046 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Orthopedic Surgery (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 259 |
|---|---|
| Services billed | 9,973 across 64 procedure codes |
| Paid by Medicare | $167,103 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,190 · 1,193 30-day fills |
|---|---|
| Patients | 231 |
| Total drug cost | $12,345 |
| Generic share | 100% of claims |
Education and affiliations
| Graduation year | 2010 |
|---|---|
| Medicare specialty | Orthopedic Surgery |
Medical group
- Methodist Physician Practices PLLCLive Oak, TX · 175 clinicians
Hospital affiliations
- Baptist Medical CenterSan Antonio, TX
- Medina Regional HospitalHondo, TX
- Methodist HospitalSan Antonio, TX
- Methodist Hospital Stone OakSan Antonio, TX
Other facilities
- Beyondfaith Homecare & Rehab San AntonioHome health agency · San Antonio, TX
- Capitol Home HealthHome health agency · San Antonio, TX
- Methodist Healthcare at HomeHome health agency · San Antonio, TX
Industry payments (Open Payments)
- 2025$19,789 · 19 payments from 5 companies
- 2024$4,473 · 6 payments from 4 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Ethicon US, LLC | $12,444 | 6 |
| Medical Device Business Services, Inc. | $7,032 | 10 |
| Depuy Synthes Sales Inc. | $149.29 | 1 |
| Biocomposites Inc | $83.04 | 1 |
| Ortho Development Corporation | $81.43 | 1 |
What the 2025 payments were for
- Consulting Fee$16,504 · 5 payments
- Travel and Lodging$2,253 · 4 payments
- Food and Beverage$950.54 · 9 payments
- Entertainment$81.43 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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