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DR. DARLENE Y. GRUETTER MD
NPI 1205839800
Pathology - Anatomic Pathology & Clinical Pathology in Charleston, WV

Active since May 27, 2005PECOS EnrolledAccepts Medicare Assignment
90.11/100
CMS Quality Rating
3200 MACCORKLE AVENUE SE, PATHOLOGY DEPARTMENT, CHARLESTON, WV 25304(304) 388-5550(304) 388-4352 Get Directions Write a Review

NPPES record last updated: December 23, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Darlene Y. Gruetter Md NPPES

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

DR. DARLENE Y. GRUETTER MD (NPI 1205839800) is an individual anatomic pathology & clinical pathology provider in Charleston, West Virginia, licensed in West Virginia (16894) and active in the NPI registry since May 2005. She is enrolled in Medicare PECOS, is affiliated with Charleston Area Medical Center, and is a graduate of Jc Edwards School Of Medicine, Marshall University (1987).

NPPES Registry Identity

NPI1205839800
Entity TypeIndividualFemale
Primary Taxonomy207ZP0102X
Provider Legal NameDR. DARLENE Y. GRUETTERCredential: MD
Location Address3200 MACCORKLE AVENUE SE, PATHOLOGY DEPARTMENTCharleston, WV 25304
Mailing Address1400 Hospital DrHurricane, WV 25526-9202 · (304) 757-1770 · Fax (304) 757-1736
Phone(304) 388-5550
Fax(304) 388-4352
Sole ProprietorNo
Medical School CMSJc Edwards School Of Medicine, Marshall UniversityGraduated 1987
Enumeration DateMay 27, 2005
Last NPPES UpdateDecember 23, 2015
✔ NPI 1205839800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License✔ Licensed in WV · 16894
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Also ListedSpecialistTaxonomy 174400000X · License 16894 (WV)
3200 MACCORKLE AVENUE SE, Charleston, WV 25304
Open in Google Maps ↗

Other Identifiers 8

Medicare UPINF47269
Medicare ID-Type Unspecified0827791WV
Medicare PINGR6035401
Medicare ID-Type Unspecified0512801KY
Medicare PINP00844026
Medicaid64700537KY
Medicare PINGR0827794
Medicaid0102729000WV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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. Darlene Y. Gruetter 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 ID840393120
PECOS Enrollment IDI20070306000547
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 6

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
563 services256 patients
Pathology examination of tissue using a microscope, moderately low complexity 88304
A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.
105 services100 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
104 services93 patients
Preparation of tissue for examination by removing any calcium present 88311
This procedure involves treating tissue samples to remove any calcium, which can interfere with the examination. The tissue is soaked in a special solution that safely dissolves the calcium, leaving the tissue intact for accurate analysis. This helps in making precise diagnoses.
80 services71 patients
Pathology examination of tissue using a microscope, moderately high complexity 88307
A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.
22 services16 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
18 services12 patients

Hospital Affiliations CMS Care Compare

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

Charleston Area Medical Center

Acute Care Hospitals · Charleston, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510022
Location501 Morris StreetCharleston, WV 25301 · Kanawha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25304 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
$124.46 typical visit price
range $53.20 – $164.59
Typical copayment $31.11 (range $13.30 – $41.14)
Most-billed visit code 99204
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

90.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality66.96
Promoting Interoperability100
Improvement Activities40

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. OSCAR CINCO ESTALILLA MD
Pathology (Anatomic Pathology & Clinical Pathology)
3200 MACCORKLE AVENUE SE, PATHOLOGY DEPARTMENT
CHARLESTON, WV 25304
Kanawha County (304) 388-5550
WILLIAM M. OSCANYAN D.D.S.
Dentist
3200 MACCORKLE AVENUE SE, CAMC DENTAL CENTER
CHARLESTON, WV 25304
Kanawha County (304) 388-9335
DAVID A. HANSEN MD
Pathology (Anatomic Pathology & Clinical Pathology)
3200 MACCORKLE AVENUE SE, PATHOLOGY DEPARTMENT
CHARLESTON, WV 25304
Kanawha County (304) 388-5550
RAMANDEEP KAUR BOLLA MD
Student in an Organized Health Care Education/Training Program
3200 MACCORKLE AVENUE SE, 5TH FLOOR ROBERT C. BYRD CLINICAL TEACHING CENTER
CHARLESTON, WV 25304
Kanawha County (304) 388-4600
MRS. LINDA L BOOTH FNP-BC
Nurse Practitioner (Family)
3200 MACCORKLE AVENUE SE, HOSPITALIST PROGRAM
CHARLESTON, WV 25304
Kanawha County (304) 388-5848
DR. M. BASHAR SHAALAN MD
Hospitalist
3200 MACCORKLE AVENUE SE, HOSPITALIST PROGRAM
CHARLESTON, WV 25304
Kanawha County (304) 388-5848
DR. ADNAN M. NAHLA MD
Hospitalist
3200 MACCORKLE AVENUE SE, HOSPITALIST PROGRAM
CHARLESTON, WV 25304
Kanawha County (304) 388-5848
SANDRA Y ELLIOTT MD
Internal Medicine (Infectious Disease)
3200 MACCORKLE AVENUE SE, CAMC OUTPATIENT CLINICS
CHARLESTON, WV 25304
Kanawha County (304) 388-5590

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 Darlene Gruetter's NPI number?

The NPI number for Darlene Gruetter is 1205839800. It was assigned to this individual provider in the NPPES registry on May 27, 2005.

Where is Darlene Gruetter located?

Darlene Gruetter practices at 3200 Maccorkle Avenue SE Pathology Department, Charleston, WV 25304. The listed phone number is (304) 388-5550.

What is Darlene Gruetter's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Darlene Gruetter enrolled in Medicare?

Yes. Darlene Gruetter 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 Darlene Gruetter accept?

Health plans from CareSource list Darlene Gruetter 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 Darlene Gruetter affiliated with any hospitals?

According to CMS data, Darlene Gruetter is affiliated with Charleston Area Medical Center.

When was this NPI record last updated?

The NPPES record for Darlene Gruetter was last updated on December 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.