ERICH J GRETHEL MD
NPI 1003945411
Surgery in Austin, TX

Active since March 02, 2007PECOS EnrolledAccepts Medicare Assignment
1301 BARBARA JORDAN BLVD, SUITE 400, AUSTIN, TX 78723(512) 708-1234(512) 708-4567 Get Directions Write a Review

NPPES record last updated: February 3, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Erich J Grethel Md NPPES

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

ERICH J GRETHEL MD (NPI 1003945411) is an individual surgery provider in Austin, Texas, licensed in Texas (N5695) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and is a graduate of Harvard Medical School (2001).

NPPES Registry Identity

NPI1003945411
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameERICH J GRETHELCredential: MD
Location Address1301 BARBARA JORDAN BLVD, SUITE 400Austin, TX 78723-3077
Mailing Address1301 Barbara Jordan Blvd, Suite 400Austin, TX 78723-3077 · (512) 708-1234 · Fax (512) 708-4567
Fax(512) 708-4567
Sole ProprietorYes
Medical School CMSHarvard Medical SchoolGraduated 2001
Enumeration DateMarch 2, 2007
Last NPPES UpdateFebruary 3, 2012
NPI 1003945411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in TX · N5695
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedSpecialistTaxonomy 174400000X · License A83296 (CA)
Also ListedSurgery · Pediatric SurgeryTaxonomy 2086S0120X · License N5695 (TX)
1301 BARBARA JORDAN BLVD, Austin, TX 78723

Other Identifiers 1

Medicaid112887805TX

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

Erich J Grethel Md 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 ID2567484678
PECOS Enrollment IDI20100804001205
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78723 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
$89.03 typical visit price
range $57.88 – $174.00
Typical copayment $22.25 (range $14.47 – $43.50)
Most-billed visit code 99203
Established Patient
$71.95 typical visit price
range $18.88 – $142.23
Typical copayment $17.98 (range $4.72 – $35.55)
Most-billed visit code 99213
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.

Reported Quality Measures

Childhood Immunization Status
5%20 patients
Closing the Referral Loop: Receipt of Specialist Report
69%35 patients4/55-star benchmark: 87%
Documentation of Current Medications in the Medical Record
81%26 patients3/55-star benchmark: 100%
HIV Screening
3%80 patients1/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
46%28 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
3%159 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
0%22 patients1/55-star benchmark: 61%
Provide Patients Electronic Access to Their Health Information
94%171 patients4/55-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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6402
DME-Medical/Surgical Supplies · category DA023N
2 suppliers13 claims850 services$0.11 avg. paid by Medicare
Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium chain triglycerides) or combination, administered through an enteral feeding tube, 100 calories = 1 unit B4155
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims790 services$0.62 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
1301 BARBARA JORDAN BLVD, SUITE 300
AUSTIN, TX 78723
Physician Assistant
1301 BARBARA JORDAN BLVD, SUITE 300
AUSTIN, TX 78723
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
1301 BARBARA JORDAN BLVD, SUITE 300
AUSTIN, TX 78723
Surgery
1301 BARBARA JORDAN BLVD, SUITE 400
SAN ANTONIO, TX 78723
Pediatrics (Pediatric Gastroenterology)
1301 BARBARA JORDAN BLVD, SUITE 200
AUSTIN, TX 78723
Nurse Practitioner (Pediatrics)
1301 BARBARA JORDAN BLVD, SUITE 400
AUSTIN, TX 78723
Nurse Practitioner (Pediatrics)
1301 BARBARA JORDAN BLVD, SUITE 200
AUSTIN, TX 78723
Surgery
1301 BARBARA JORDAN BLVD, SUITE 400
AUSTIN, TX 78723

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 Erich Grethel's NPI number?

The NPI number for Erich Grethel is 1003945411. It was assigned to this individual provider in the NPPES registry on March 2, 2007.

Where is Erich Grethel located?

Erich Grethel practices at 1301 Barbara Jordan Blvd Suite 400, Austin, TX 78723. The listed phone number is (512) 708-1234.

What is Erich Grethel's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Erich Grethel enrolled in Medicare?

Yes. Erich Grethel 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 Erich Grethel accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 6 other insurers list Erich Grethel 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.

When was this NPI record last updated?

The NPPES record for Erich Grethel was last updated on February 3, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.