DR. EARLE WALCOTT GUNN III M.D.
NPI 1043398605
Surgery in Athens, GA

Q: What is Earle Gunn's NPI number?

The NPI number for Earle Gunn is 1043398605. It was assigned to this individual provider in the NPPES registry on November 1, 2006. The provider is also known as Dr. Cody Gunn M.D..

Q: What is Earle Gunn's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Earle Gunn was last updated on July 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 01, 2006PECOS EnrolledAccepts Medicare Assignment

91.65/100

CMS Quality Rating

245 FLOYD DR, ATHENS, GA 30607(762) 356-4780 Get Directions Write a Review

NPPES record last updated: July 17, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 17, 2024, Oct 19, 2022 (2 updates tracked since 2022).

On this page

About Dr. Earle Walcott Gunn Iii M.d. NPPES

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

DR. EARLE WALCOTT GUNN III M.D. (NPI 1043398605) is an individual surgery provider in Athens, Georgia, licensed in Georgia (026538) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with St Mary's Hospital, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1043398605

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameDR. EARLE WALCOTT GUNN IIICredential: M.D.

Location Address245 FLOYD DRAthens, GA 30607-1469

Mailing Address3320 Old Jefferson Rd Bldg 800Athens, GA 30607-1400 · (706) 353-2990 · Fax (706) 353-2992

Phone(762) 356-4780

Sole ProprietorNo

Medical School CMSMedical College Of Georgia School Of MedicineGraduated 1983

Enumeration DateNovember 1, 2006

Last NPPES UpdateJuly 17, 20242 updates tracked since enumeration

NPPES CertifiedJuly 17, 2024

✔ NPI 1043398605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in GA · 026538

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 026538 (GA)

245 FLOYD DR, Athens, GA 30607

Open in Google Maps ↗

Other Names 1

Other Name (5)Dr. Cody Gunn M.d.

Secondary Practice Locations 4

Location 1658 N. Chase Street, Ste 201Athens, GA 30606 · Phone (706) 353-2990 · Fax (706) 353-2992

Location 23320 Old Jefferson Rd Bldg 300Athens, GA 30607-1400 · Phone (706) 410-1734 · Fax (706) 410-2483

Location 31460 Resurgence DrWatkinsville, GA 30677-7320 · Phone (706) 715-2410 · Fax (706) 353-2992

Location 43320 Old Jefferson Rd Bldg 800Athens, GA 30607-1400 · Phone (706) 353-2990 · Fax (706) 353-2992

Other Identifiers 2

Medicaid000365527OGA

Medicaid00365527CGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..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

Dr. Earle Walcott Gunn Iii M.d. 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 ID7113957457

PECOS Enrollment IDI20050817000124

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 20

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.

Screening 3d breast mammography 77063

Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.

270 services270 patients

Screening mammography 77067

Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.

268 services268 patients

Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) G0279

Diagnostic digital breast tomosynthesis is a 3D imaging test that allows doctors to examine your breast tissue layer by layer. It's performed on one or both sides. It helps in detecting abnormalities more accurately. It's often done in addition to other tests.

174 services155 patients

Diagnostic mammography of both breasts 77066

Diagnostic mammography involves using special imaging technology to capture detailed images of both breasts. This procedure helps in identifying any unusual changes or abnormalities. It's a crucial step in ensuring breast health and early detection of potential issues.

108 services106 patients

Limited ultrasound scan of 1 breast 76642

A limited ultrasound scan of one breast is a non-invasive imaging test. It uses sound waves to create pictures of the inside of your breast. It helps identify any unusual growths or changes. It's safe, quick, and typically painless.

89 services83 patients

Diagnostic mammography of 1 breast 77065

Diagnostic mammography of 1 breast is a detailed imaging test that allows doctors to closely examine a specific area in the breast. It's often used when a routine screening reveals an abnormality. This test can help identify any unusual changes or issues.

69 services65 patients

Measurement of lymphedema extracellular fluid 93702

The measurement of lymphedema extracellular fluid is a non-invasive procedure used to assess fluid buildup in tissues, often due to lymphatic system issues. It helps to monitor and manage conditions like lymphedema effectively.

47 services40 patients

Limited ultrasound scan of abdomen 76705

A limited ultrasound scan of the abdomen is a non-invasive imaging test. It uses sound waves to produce images of the abdominal organs such as the liver, gallbladder, spleen, pancreas, and kidneys. This helps to identify any abnormalities or issues.

45 services41 patients

Ultrasound scan of organ tissue for measuring elasticity 76981

An ultrasound scan of organ tissue measures elasticity, or flexibility. This non-invasive procedure uses sound waves to create images of the inside of your body. It helps in assessing the health of various organs by detecting changes in their stiffness or softness.

41 services41 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

36 services30 patients

Complete ultrasound scan of abdomen 76700

A complete ultrasound scan of the abdomen is a non-invasive imaging procedure. It uses sound waves to produce images of the organs in your abdomen, such as the liver, gallbladder, spleen, pancreas, and kidneys. It helps in diagnosing, monitoring, and planning treatments.

35 services33 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

29 services29 patients

Imaging of lymph nodes during surgery 38900

Imaging of lymph nodes during surgery involves taking detailed pictures of your lymph nodes to help surgeons see and assess them in real-time. This procedure can aid in detecting disease, guiding treatment, and improving surgical precision.

27 services27 patients

Biopsy or removal of deep lymph nodes of underarm 38525

A biopsy or removal of deep underarm lymph nodes is a procedure where a small sample of lymph node tissue is taken for testing. This helps in diagnosing or ruling out conditions like infections or cancers. It involves a small incision and is typically done under local or general anesthesia.

25 services25 patients

Partial removal of breast 19301

A partial removal of the breast, also known as a lumpectomy, involves taking out a portion of the breast tissue to eliminate concerning cells. It's typically performed when the problem area is limited in size. This procedure helps to preserve most of the breast's appearance while aiming to remove all the unhealthy cells.

24 services24 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

17 services16 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

14 services14 patients

Simple complete removal of breast 19303

This procedure involves the total removal of breast tissue. It's typically done to treat or prevent conditions like cancer. The operation involves an incision on the skin, removal of the tissue, and closure of the wound. Post-surgery, care and recovery plans are provided.

12 services12 patients

Ultrasound scan of head and neck soft tissue 76536

An ultrasound scan of the head and neck soft tissue is a non-invasive procedure that uses sound waves to create images of the soft tissues in these areas. It helps identify any abnormalities or issues, such as tumors, cysts, or infections. It's painless and doesn't involve radiation.

12 services11 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

St Mary's Hospital

Acute Care Hospitals · Athens, GA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110006

Location1230 Baxter StreetAthens, GA 30606 · Clarke County

Emergency services Birthing friendly

Piedmont Athens Regional Medical Center

Acute Care Hospitals · Athens, GA

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number110074

Location1199 Prince AvenueAthens, GA 30606 · Clarke County

Birthing friendly

St. Mary's Good Samaritan Hospital

Critical Access Hospitals · Greensboro, GA

4/5 CMS rating

OwnershipProprietary

CMS Certification Number111329

Location5401 Lake Oconee ParkwayGreensboro, GA 30642 · Greene County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30607 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

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$66.89 typical visit price

range $16.68 – $133.24

Typical copayment $16.72 (range $4.17 – $33.31)

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.

91.65/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

Improvement Activities

Reported Quality Measures

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

10%31 patients1/55-star benchmark: 100%

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

11%45 patients1/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

33%52 patients2/55-star benchmark: 100%

Screening for Osteoporosis for Women Aged 65-85 Years of Age

Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis

18%38 patients1/55-star benchmark: 98%

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.

Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type L8000

DME-Orthotic Devices · category DF000N

2 suppliers33 claims72 services$36.42 avg. paid by Medicare

Breast prosthesis, silicone or equal, without integral adhesive L8030

DME-Orthotic Devices · category DF000N

2 suppliers12 claims14 services$259.39 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 3

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

DR. TAYLOR RAY OAKLEY MD

Radiology (Diagnostic Radiology)

245 FLOYD DR
ATHENS, GA 30607

Clarke County (762) 356-4780

MRS. CIARA JADE VAUGHN CSFA

Specialist/Technologist, Other (Surgical Assistant)

245 FLOYD DR
ATHENS, GA 30607

Clarke County (762) 356-4780

ATHENS RADIOLOGY ASSOCIATES PC

Radiology (Diagnostic Radiology)

245 FLOYD DR
ATHENS, GA 30607

Clarke County (762) 356-4780

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 Earle Gunn's NPI number?

The NPI number for Earle Gunn is 1043398605. It was assigned to this individual provider in the NPPES registry on November 1, 2006. The provider is also known as Dr. Cody Gunn M.D..

Where is Earle Gunn located?

Earle Gunn practices at 245 Floyd Dr, Athens, GA 30607. The listed phone number is (762) 356-4780.

What is Earle Gunn's specialty?

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

Is Earle Gunn enrolled in Medicare?

Yes. Earle Gunn 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 Earle Gunn accept?

Health plans from Alliant Health Plans, Inc. list Earle Gunn 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 Earle Gunn affiliated with any hospitals?

According to CMS data, Earle Gunn is affiliated with St Mary's Hospital, Piedmont Athens Regional Medical Center and St. Mary's Good Samaritan Hospital.

When was this NPI record last updated?

The NPPES record for Earle Gunn was last updated on July 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.