DR. GAYLE MARIE VRANIC M.D.
NPI 1255476974
Internal Medicine - Nephrology in Charlottesville, VA

Active since February 20, 2007PECOS EnrolledAccepts Medicare Assignment
76.55/100
CMS Quality Rating
5 HOSPITAL DR, CHARLOTTESVILLE, VA 22908(434) 924-5125(434) 924-5848 Get Directions Write a Review

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

About Dr. Gayle Marie Vranic M.d. NPPES

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

DR. GAYLE MARIE VRANIC M.D. (NPI 1255476974) is an individual nephrology provider in Charlottesville, Virginia, licensed in Virginia (0101251213) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (2006).

NPPES Registry Identity

NPI1255476974
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameDR. GAYLE MARIE VRANICCredential: M.D.
Location Address5 HOSPITAL DRCharlottesville, VA 22908-0001
Mailing AddressPo Box 9007Charlottesville, VA 22906-9007
Fax(434) 924-5848
Sole ProprietorNo
Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 2006
Enumeration DateFebruary 20, 2007
Last NPPES UpdateNovember 27, 2012
NPI 1255476974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in VA · 0101251213
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedInternal MedicineTaxonomy 207R00000X · License 0 (TN)
5 HOSPITAL DR, Charlottesville, VA 22908

Accepted 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. Gayle Marie Vranic 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 ID9931352028
PECOS Enrollment IDI20230907000849
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 3

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.
218 services156 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
189 services53 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
39 services37 patients

Hospital Affiliations CMS Care Compare

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

Duke University Hospital

Acute Care Hospitals · Durham, NC
5/5 CMS rating
OwnershipProprietary
CMS Certification Number340030
Location2100 Erwin RdDurham, NC 27705 · Durham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22908 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

76.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.16
Promoting Interoperability100
Improvement Activities40
Cost55.94

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Azathioprine, oral, 50 mg J7500
Treatment-Treatment - Miscellaneous · category RX029N
7 suppliers37 claims1,515 services$2.74 avg. paid by Medicare
Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg J7503
Treatment-Chemotherapy · category RH002N
2 suppliers22 claims21,960 services$1.21 avg. paid by Medicare
Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
28 suppliers178 claims39,786 services$0.30 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
8 suppliers58 claims9,525 services$0.01 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
24 suppliers175 claims20,760 services$0.17 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
36 suppliers224 claims224 services$18.18 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 12

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

Nurse Practitioner (Adult Health)
5 HOSPITAL DR
CHARLOTTESVILLE, VA 22908
Nurse Practitioner (Acute Care)
5 HOSPITAL DR
CHARLOTTESVILLE, VA 22908
Internal Medicine (Pulmonary Disease)
5 HOSPITAL DR
CHARLOTTESVILLE, VA 22908
Internal Medicine (Pulmonary Disease)
5 HOSPITAL DR
CHARLOTTESVILLE, VA 22908
Nurse Practitioner (Acute Care)
5 HOSPITAL DR
CHARLOTTESVILLE, VA 22908
Internal Medicine (Pulmonary Disease)
5 HOSPITAL DR
CHARLOTTESVILLE, VA 22908
Internal Medicine (Pulmonary Disease)
5 HOSPITAL DR
CHARLOTTESVILLE, VA 22908
Internal Medicine (Nephrology)
5 HOSPITAL DR
CHARLOTTESVILLE, VA 22908

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 Gayle Vranic's NPI number?

The NPI number for Gayle Vranic is 1255476974. It was assigned to this individual provider in the NPPES registry on February 20, 2007.

Where is Gayle Vranic located?

Gayle Vranic practices at 5 Hospital Dr, Charlottesville, VA 22908. The listed phone number is (434) 924-5125.

What is Gayle Vranic's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Gayle Vranic enrolled in Medicare?

Yes. Gayle Vranic 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 Gayle Vranic accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Gayle Vranic 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 Gayle Vranic affiliated with any hospitals?

According to CMS data, Gayle Vranic is affiliated with Duke University Hospital.

When was this NPI record last updated?

The NPPES record for Gayle Vranic 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.