Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CRISTIAN GRAGNANIELLO MD
NPI 1255875803
Neurological Surgery in San Antonio, TX

Q: What is Cristian Gragnaniello's NPI number?

The NPI number for Cristian Gragnaniello is 1255875803. It was assigned to this individual provider in the NPPES registry on December 15, 2016.

Q: What is Cristian Gragnaniello's specialty?

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

Active since December 15, 2016PECOS Enrolled

4502 MEDICAL DR, SAN ANTONIO, TX 78229(210) 358-8555(210) 358-8576 Get Directions Write a Review

NPPES record last updated: November 5, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 5, 2026, Nov 22, 2022, Jun 10, 2022 and 1 more (4 updates tracked since 2016).

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About Cristian Gragnaniello Md NPPES

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

CRISTIAN GRAGNANIELLO MD (NPI 1255875803) is an individual neurological surgery provider in San Antonio, Texas, licensed in Texas (V4115) and active in the NPI registry since December 2016. He is enrolled in Medicare PECOS, is affiliated with University Health System, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1255875803

Entity TypeIndividualMale

Primary Taxonomy207T00000X

Provider Legal NameCRISTIAN GRAGNANIELLOCredential: MD

Location Address4502 MEDICAL DRSan Antonio, TX 78229-4402

Mailing Address4502 Medical DrSan Antonio, TX 78229-4402 · (210) 358-8555 · Fax (210) 358-8576

Phone(210) 358-8555

Fax(210) 358-8576

Sole ProprietorNo

Medical School CMSOtherGraduated 1999

Enumeration DateDecember 15, 2016

Last NPPES UpdateNovember 5, 20264 updates tracked since enumeration

NPPES CertifiedNovember 5, 2026

✔ NPI 1255875803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207T00000X

License✔ Licensed in TX · V4115

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.

4502 MEDICAL DR, San Antonio, TX 78229

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health of TX, Blue Cross and Blue Shield of Texas, Community First and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Cristian Gragnaniello 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 ID9638422983

PECOS Enrollment IDI20210929002122

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 Reassignments

Medicare enrollment records show Cristian Gragnaniello reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Uthscsa Dental School

0.1 mi

Oral and Maxillofacial Surgery

7703 FLOYD CURL DR
San Antonio, TX 78229

Reassigned Medicare billing, Texas enrollment
Medicare enrollment name: University Of Texas Health Science Center At San Antonio
2,397 clinicians in this Medicare group

NPI 1750403887 (210) 567-3274

Board Of Trustees Of The University Of Illinois

923 mi

Pediatrics

1 ILLINI DR
Peoria, IL 61605

Reassigned Medicare billing, Illinois enrollment
2,127 clinicians in this Medicare group

NPI 1467425322 (309) 680-8649

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

Areas of Expertise CMS Part B claims 2

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

27 services27 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.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

University Health System

Acute Care Hospitals · San Antonio, TX

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number450213

Location4502 Medical DrSan Antonio, TX 78229 · Bexar County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78229 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

$126.40 typical visit price

range $54.84 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

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.

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.

EDUARDO N. POLLONO MD

Internal Medicine (Cardiovascular Disease)