KELLY G. GWATHMEY M.D.
NPI 1073716775
Psychiatry & Neurology - Neurology in New York, NY
About Kelly G. Gwathmey M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY G. GWATHMEY M.D. (NPI 1073716775) is an individual neurology provider in New York, New York, licensed in New York (341720) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS, is affiliated with New York-presbyterian Hospital, and is a graduate of Eastern Virginia Medical School (2007).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kelly G. Gwathmey 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.
Medicare Billing Reassignments
3Medicare enrollment records show Kelly Gwathmey reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New York, NY 10032
- Reassigned Medicare billing, New York enrollment
- 3,922 clinicians in this Medicare group
Richmond, VA 23298
- Reassigned Medicare billing, Virginia enrollment
- 2,481 clinicians in this Medicare group
Charlottesville, VA 22911
- Reassigned Medicare billing, Virginia enrollment
- 2,820 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 11
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
New York-Presbyterian Hospital
Acute Care Hospitals · New York, NYMedical College Of Virginia Hospitals
Acute Care Hospitals · Richmond, VAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10032 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 14
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
NEW YORK, NY 10032
NEW YORK, NY 10032
NEW YORK, NY 10032
NEW YORK, NY 10032
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 Kelly Gwathmey's NPI number?
The NPI number for Kelly Gwathmey is 1073716775. It was assigned to this individual provider in the NPPES registry on June 8, 2007.
Where is Kelly Gwathmey located?
Kelly Gwathmey practices at 710 W 168th St, New York, NY 10032. The listed phone number is (212) 305-6788.
What is Kelly Gwathmey's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.
Is Kelly Gwathmey enrolled in Medicare?
Yes. Kelly Gwathmey 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.
Which organizations bill Medicare for Kelly Gwathmey's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Gwathmey reassigns Medicare benefits to 3 organizations: Trustees Of Columbia University In The City Of New York (New York, NY), Mcv Associated Physicians (Richmond, VA) and University Of Virginia Physicians Group (Charlottesville, VA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelly Gwathmey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelly Gwathmey accept?
Health plans from Oscar Health list Kelly Gwathmey 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 Kelly Gwathmey affiliated with any hospitals?
According to CMS data, Kelly Gwathmey is affiliated with New York-Presbyterian Hospital and Medical College Of Virginia Hospitals.
When was this NPI record last updated?
The NPPES record for Kelly Gwathmey was last updated on April 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.
# Kelly G. Gwathmey, M.D. · NPI 1073716775
Neurology physician in New York, New York. Individual provider, active in the CMS NPPES registry since June 8, 2007.
## Identity
- **NPI:** 1073716775 (Entity type: Individual)
- **Enumerated:** June 8, 2007
- **Primary specialty:** Psychiatry & Neurology - Neurology · taxonomy 2084N0400X
- **State license:** 341720 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 710 W 168TH ST, New York, NY 10032-3726
- **Phone:** (212) 305-6788 · **Fax:** (212) 305-1504
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Trustees Of Columbia University In The City Of New York (NPI 1508266347, New York, NY); Mcv Associated Physicians (NPI 1710959457, Richmond, VA); University Of Virginia Physicians Group (NPI 1033138250, Charlottesville, VA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Eastern Virginia Medical School, class of 2007
## Record status
- **NPPES last updated:** April 7, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1073716775) · Data from the CMS NPPES public registry.