GRETCHEN SUAREZ
NPI 1003117383
Hospitalist in Indianapolis, IN

Active since November 03, 2010PECOS EnrolledAccepts Medicare Assignment
90.38/100
CMS Quality Rating
1120 W MICHIGAN ST, INDIANAPOLIS, IN 46202(317) 278-0042(317) 278-0027 Get Directions Write a Review

NPPES record last updated: April 10, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 10, 2025, Mar 23, 2021, Aug 8, 2019 (3 updates tracked since 2019).

About Gretchen Suarez NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRETCHEN SUAREZ (NPI 1003117383) is an individual hospitalist provider in Indianapolis, Indiana, licensed in Ohio (35.120462) and active in the NPI registry since November 2010. She is enrolled in Medicare PECOS, is affiliated with Bethesda North, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1003117383
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameGRETCHEN SUAREZ
Location Address1120 W MICHIGAN STIndianapolis, IN 46202-5209
Mailing Address11040 Valleystream DrMontgomery, OH 45242-3010 · (513) 362-9247
Fax(317) 278-0027
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateNovember 3, 2010
Last NPPES UpdateApril 10, 20253 updates tracked since enumeration
NPPES CertifiedApril 10, 2025
NPI 1003117383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in OH · 35.120462
Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License 57018810 (OH), 01095723A (IN)
1120 W MICHIGAN ST, Indianapolis, IN 46202

Secondary Practice Locations 3

Location 110500 Montgomery RdCincinnati, OH 45242-4402 · Phone (513) 865-2246 · Fax (513) 865-5596
Location 23535 Southern BlvdKettering, OH 45429-1221 · Phone (937) 395-6665 · Fax (937) 395-6668
Location 311040 Valleystream DrMontgomery, OH 45242-3010 · Phone (513) 362-9247

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Gretchen Suarez is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9234379728
PECOS Enrollment IDI20130705000003
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
159 services65 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
17 services15 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
14 services14 patients
Emergent insertion of breathing tube into windpipe using an endoscope 31500
This is a procedure where a thin tube is inserted into your windpipe to aid in breathing. It's done in emergency situations, using an endoscope, a tool with a light and camera, to ensure correct placement.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Bethesda North

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360179
Location10500 Montgomery RoadCincinnati, OH 45242 · Hamilton County
Emergency services Birthing friendly

Mercy Health - Clermont Hospital

Acute Care Hospitals · Batavia, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360236
Location3000 Hospital DriveBatavia, OH 45103 · Clermont County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46202 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.76
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%45 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
1120 W MICHIGAN ST
INDIANAPOLIS, IN 46202
Student in an Organized Health Care Education/Training Program
1120 W MICHIGAN ST
INDIANAPOLIS, IN 46202
Psychiatry & Neurology (Neurology)
1120 W MICHIGAN ST
INDIANAPOLIS, IN 46202
Student in an Organized Health Care Education/Training Program
1120 W MICHIGAN ST
INDIANAPOLIS, IN 46202
Internal Medicine
1120 W MICHIGAN ST
INDIANAPOLIS, IN 46202
Student in an Organized Health Care Education/Training Program
1120 W MICHIGAN ST
INDIANAPOLIS, IN 46202
Student in an Organized Health Care Education/Training Program
1120 W MICHIGAN ST
INDIANAPOLIS, IN 46202
Internal Medicine (Critical Care Medicine)
1120 W MICHIGAN ST, GATCH HALL CL 285
INDIANAPOLIS, IN 46202

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gretchen Suarez's NPI number?

The NPI number for Gretchen Suarez is 1003117383. It was assigned to this individual provider in the NPPES registry on November 3, 2010.

Where is Gretchen Suarez located?

Gretchen Suarez practices at 1120 W Michigan St, Indianapolis, IN 46202. The listed phone number is (317) 278-0042.

What is Gretchen Suarez's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Gretchen Suarez enrolled in Medicare?

Yes. Gretchen Suarez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Gretchen Suarez accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Gretchen Suarez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Gretchen Suarez affiliated with any hospitals?

According to CMS data, Gretchen Suarez is affiliated with Bethesda North and Mercy Health - Clermont Hospital.

When was this NPI record last updated?

The NPPES record for Gretchen Suarez was last updated on April 10, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.