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GARY ROBERT GROPPER MD
NPI 1164531844
Neurological Surgery in Atlanta, GA

Active since August 29, 2006PECOS EnrolledAccepts Medicare Assignment
98.5/100
CMS Quality Rating
2001 PEACHTREE RD NE, SUITE 575, ATLANTA, GA 30309(404) 350-0106(404) 350-0176 Get Directions Write a Review

NPPES record last updated: November 27, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gary Robert Gropper Md NPPES

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

GARY ROBERT GROPPER MD (NPI 1164531844) is an individual neurological surgery provider in Atlanta, Georgia, licensed in Georgia (28273) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Piedmont Hospital, and is a graduate of Vanderbilt University School Of Medicine (1974).

NPPES Registry Identity

NPI1164531844
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameGARY ROBERT GROPPERCredential: MD
Location Address2001 PEACHTREE RD NE, SUITE 575Atlanta, GA 30309-1476
Mailing Address2001 Peachtree Rd Ne, Suite 575Atlanta, GA 30309-1476 · (404) 350-0106 · Fax (404) 350-0176
Phone(404) 350-0106
Fax(404) 350-0176
Sole ProprietorNo
Medical School CMSVanderbilt University School Of MedicineGraduated 1974
Enumeration DateAugust 29, 2006
Last NPPES UpdateNovember 27, 2012
✔ NPI 1164531844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License✔ Licensed in GA · 28273
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
2001 PEACHTREE RD NE, Atlanta, GA 30309
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Other Identifiers 3

OtherP01092425GA · Railroad Medicare
Other202I145321GA · Medicare
Other293508Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.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

Gary Robert Gropper 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 ID9537239538
PECOS Enrollment IDI20101020000720
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 5

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 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.
253 services145 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.
58 services58 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.
45 services37 patients
Reprogramming of cerebrospinal fluid shunt 62252
Reprogramming of a cerebrospinal fluid shunt is a process to adjust the device that helps regulate the flow of fluid around your brain. This adjustment ensures the shunt is working correctly, reducing symptoms and improving your comfort.
20 services12 patients
Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment 63047
This procedure involves removing part of a spine bone to alleviate pressure on the lower spinal cord and/or nerves. It targets a single segment of the spine, improving mobility and reducing pain. It's a common treatment for conditions like herniated discs or spinal stenosis.
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.

Piedmont Hospital

Acute Care Hospitals · Atlanta, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110083
Location1968 Peachtree Rd NWAtlanta, GA 30309 · Fulton County
Emergency services Birthing friendly

Piedmont Fayette Hospital

Acute Care Hospitals · Fayetteville, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110215
Location1255 Highway 54 WestFayetteville, GA 30214 · Fayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30309 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
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.

98.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability98
Improvement Activities40

Reported Quality Measures

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…
100%46 patients5/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
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.

ATLANTA WOMEN'S OB GYN PC 2 LLC
Obstetrics & Gynecology
2001 PEACHTREE RD NE, SUITE 640
ATLANTA, GA 30309
Fulton County (404) 943-0205
EDWIN LADD JONES III MD
Orthopaedic Surgery
2001 PEACHTREE RD NE, STE 705
ATLANTA, GA 30309
Fulton County (404) 355-0745
BRUCE ALAN CASSIDY M.D.
Internal Medicine (Pulmonary Disease)
2001 PEACHTREE RD NE, SUITE 435
ATLANTA, GA 30309
Fulton County (404) 352-1994
BARBARA EVANS CST
2001 PEACHTREE RD NE, SUITE 705
ATLANTA, GA 30309
Fulton County (404) 355-0743
FREDA ELLEN WALL PA-C
Physician Assistant (Surgical)
2001 PEACHTREE RD NE, STE 645
ATLANTA, GA 30309
Fulton County (404) 350-0106
PEACHTREE PULMONARY CONSULTANTS, PC
Internal Medicine (Critical Care Medicine)
2001 PEACHTREE RD NE, SUITE 435
ATLANTA, GA 30309
Fulton County (404) 352-1994
DR. HOWARD C CHANDLER JR. M.D.
Neurological Surgery
2001 PEACHTREE RD NE, SUITE 645
ATLANTA, GA 30309
Fulton County (404) 605-2050
MR. JOSEPH A. LAMB PA-C
Physician Assistant (Surgical)
2001 PEACHTREE RD NE, SUITE 575
ATLANTA, GA 30309
Fulton County (404) 350-0106

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 Gary Gropper's NPI number?

The NPI number for Gary Gropper is 1164531844. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Where is Gary Gropper located?

Gary Gropper practices at 2001 Peachtree Rd NE Suite 575, Atlanta, GA 30309. The listed phone number is (404) 350-0106.

What is Gary Gropper's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Gary Gropper enrolled in Medicare?

Yes. Gary Gropper 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 Gary Gropper accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Gary Gropper 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 Gary Gropper affiliated with any hospitals?

According to CMS data, Gary Gropper is affiliated with Piedmont Hospital and Piedmont Fayette Hospital.

When was this NPI record last updated?

The NPPES record for Gary Gropper was last updated on November 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.