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ANDREW GEORGE GUNTHER M.D.
NPI 1245267913
Orthopaedic Surgery in Troy, NY

Active since June 27, 2006PECOS Enrolled
315 2ND AVE, TROY, NY 12182(518) 237-7033(518) 237-4314 Get Directions Write a Review

NPPES record last updated: May 21, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Andrew George Gunther M.d. NPPES

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

ANDREW GEORGE GUNTHER M.D. (NPI 1245267913) is an individual orthopaedic surgery provider in Troy, New York, licensed in New York (169393) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1245267913
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameANDREW GEORGE GUNTHERCredential: M.D.
Location Address315 2ND AVETroy, NY 12182-3237
Mailing AddressPo Box 14890Albany, NY 12212-4890 · (518) 525-5634 · Fax (518) 649-4094
Phone(518) 237-7033
Fax(518) 237-4314
Sole ProprietorNo
Enumeration DateJune 27, 2006
Last NPPES UpdateMay 21, 2021
NPPES CertifiedMay 21, 2021
✔ NPI 1245267913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in NY · 169393
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedNeuromusculoskeletal Medicine, Sports MedicineTaxonomy 204C00000X · License 169393 (NY)
Also ListedOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryTaxonomy 207XS0114X · License 169393 (NY)
Also ListedOrthopaedic Surgery · Foot and Ankle SurgeryTaxonomy 207XX0004X · License 169393 (NY)
Also ListedOrthopaedic Surgery · Sports MedicineTaxonomy 207XX0005X · License 169393 (NY)
Also ListedOrthopaedic Surgery · Orthopaedic TraumaTaxonomy 207XX0801X · License 169393 (NY)
315 2ND AVE, Troy, NY 12182
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Secondary Practice Locations 2

Location 135 Lower Hudson AveGreen Island, NY 12183-1014 · Phone (518) 237-7033 · Fax (518) 237-4314
Location 2279 Troy RdRensselaer, NY 12144-9518 · Phone (518) 237-7033 · Fax (518) 237-4314

Other Identifiers 2

Other10000823NY · Cdphp
OtherOS 169393NY · Worker's Compensation #

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrew George Gunther M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Andrew Gunther reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Samaritan Hospital Of Troy, New York
2.2 mi
General Acute Care Hospital
2215 BURDETT AVE
Troy, NY 12180
  • Reassigned Medicare billing, New York enrollment
  • 725 clinicians in this Medicare group
NPI 1043267727 (518) 271-3300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12182 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
57%2,962 patients1/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
99%1,186 patients5/55-star benchmark: 99%
Functional Status Assessment for Total Knee Replacement
Percentage of patients 18 years of age and older who received an elective primary total knee arthroplasty (TKA) who completed baseline and follow-up patient-reported and completed a functional status assessment within 90 days prior to the surgery and in the…
79%28 patients4/55-star benchmark: 84%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
69%438 patients4/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
66%1,055 patients1/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
73%1,633 patients4/55-star benchmark: 97%
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…
93%1,523 patients4/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 98% · 1,091 patients
Patients tobacco: 38% · 298 patients
76%1,091 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
59%1,632 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
14%1,632 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
22%1,632 patients
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 5

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

MRS. LESHAUN ANGMOR F.N.P
Nurse Practitioner (Family)
315 2ND AVE, SUITE 2
TROY, NY 12182
Rensselaer County (518) 235-8034
MS. RACHAEL PEARL SOUTHWORTH LMSW
Social Worker
315 2ND AVE
TROY, NY 12182
Rensselaer County (518) 948-0001
RIVERVIEW PEDIATRICS
Pediatrics
315 2ND AVE
TROY, NY 12182
Rensselaer County (518) 235-6181
MRS. MELISSA A MURGOLO LCSW
Social Worker (Clinical)
315 2ND AVE
TROY, NY 12182
Rensselaer County (518) 441-3282
LORI ANNE CARUSO MD
Pediatrics
315 2ND AVE
TROY, NY 12182
Rensselaer County (518) 235-6181

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 Andrew Gunther's NPI number?

The NPI number for Andrew Gunther is 1245267913. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Where is Andrew Gunther located?

Andrew Gunther practices at 315 2nd Ave, Troy, NY 12182. The listed phone number is (518) 237-7033.

What is Andrew Gunther's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Andrew Gunther enrolled in Medicare?

Yes. Andrew Gunther is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Andrew Gunther's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Gunther reassigns Medicare benefits to Samaritan Hospital Of Troy, New York (Troy, NY). The 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 Andrew Gunther's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Andrew Gunther was last updated on May 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.