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KELLY G. GWATHMEY M.D.
NPI 1073716775
Psychiatry & Neurology - Neurology in New York, NY

Active since June 08, 2007PECOS EnrolledAccepts Medicare Assignment
76.23/100
CMS Quality Rating
710 W 168TH ST, NEW YORK, NY 10032(212) 305-6788(212) 305-1504 Get Directions Write a Review

NPPES record last updated: April 7, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 7, 2026, Jan 22, 2026, May 6, 2019 and 1 more (4 updates tracked since 2018).

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 Medical College Of Virginia Hospitals, and is a graduate of Eastern Virginia Medical School (2007).

NPPES Registry Identity

NPI1073716775
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameKELLY G. GWATHMEYCredential: M.D.
Location Address710 W 168TH STNew York, NY 10032-3726
Mailing Address710 W 168th StNew York, NY 10032-3726 · (212) 305-6788 · Fax (212) 305-1504
Phone(212) 305-6788
Fax(212) 305-1504
Sole ProprietorNo
Medical School CMSEastern Virginia Medical SchoolGraduated 2007
Enumeration DateJune 8, 2007
Last NPPES UpdateApril 7, 20264 updates tracked since enumeration
NPPES CertifiedApril 7, 2026
✔ NPI 1073716775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in NY · 341720
Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

710 W 168TH ST, New York, NY 10032
Open in Google Maps ↗

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

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.

PECOS PAC ID9739324740
PECOS Enrollment IDI20130808000434, I20260131000807
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 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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
160 services88 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.
100 services83 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.
59 services59 patients
Needle measurement of electrical activity in arm or leg muscles, limited study 95885
This procedure, known as an electromyography (EMG), involves placing tiny needles into your arm or leg muscles to measure their electrical activity. It's a limited study, meaning only specific muscles are tested. This helps identify any muscle or nerve dysfunction.
49 services36 patients
Needle measurement of electrical activity in arm or leg muscles, complete study 95886
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.
44 services37 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
33 services13 patients

Hospital Affiliations CMS Care Compare

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

Medical College Of Virginia Hospitals

Acute Care Hospitals · Richmond, VA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number490032
LocationPost Office Box 980510 1250 East Marshall StreetRichmond, VA 23298 · Richmond City County
Emergency services Birthing friendly

Physician 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.

New Patient
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

76.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.58
Promoting Interoperability100
Improvement Activities40
Cost56.18

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.

Oropharyngeal suction catheter, each A4628
DME-Other DME · category DE000N
2 suppliers14 claims66 services$3.62 avg. paid by Medicare
Canister, disposable, used with suction pump, each A7000
DME-Other DME · category DE000N
2 suppliers14 claims27 services$7.02 avg. paid by Medicare
Tubing, used with suction pump, each A7002
DME-Other DME · category DE000N
2 suppliers14 claims44 services$3.71 avg. paid by Medicare
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
2 suppliers22 claims666 services$4.62 avg. paid by Medicare
Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4036
Other-Enteral and Parenteral · category OB006N
1 supplier30 claims892 services$3.39 avg. paid by Medicare
Gastrostomy/jejunostomy tube, low-profile, any material, any type, each B4088
Other-Enteral and Parenteral · category OB006N
1 supplier13 claims13 services$27.98 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.

DR. JAHANNAZ DASTGIR DO
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
710 W 168TH ST
NEW YORK, NY 10032
New York County (646) 426-3876
DR. JOSE DTM GUTIERREZ MD, MPH
Psychiatry & Neurology (Neurology)
710 W 168TH ST, 6TH FLOOR
NEW YORK, NY 10032
New York County (212) 305-8389
DR. SYLVIE GOLDMAN PHD
Clinical Neuropsychologist
710 W 168TH ST, COLUMBIA UNIVERSITY MEDICAL CENTER
NEW YORK, NY 10032
New York County (646) 239-4535
DR. JAMES MCCALLUM NOBLE M.D.
Psychiatry & Neurology (Neurology)
710 W 168TH ST
NEW YORK, NY 10032
New York County (212) 305-6939
RUSLANA SHARGORODSKAYA NP
Nurse Practitioner (Adult Health)
710 W 168TH ST
NEW YORK, NY 10032
New York County (212) 305-0376
EMMA HANDWERKER
Student in an Organized Health Care Education/Training Program
710 W 168TH ST
NEW YORK, NY 10032
New York County (718) 330-1234
KIMBERLY MANGLA MD
Psychiatry & Neurology (Psychiatry)
710 W 168TH ST, 12TH FLOOR
NEW YORK, NY 10032
New York County (212) 305-9758
CHRISTINE Y. KIM M.D.
Psychiatry & Neurology (Neurology)
710 W 168TH ST
NEW YORK, NY 10032
New York County (646) 426-3876

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.

Is Kelly Gwathmey affiliated with any hospitals?

According to CMS data, Kelly Gwathmey is affiliated with 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 with the weekly NPPES data releases published by CMS.