DR. BETSY H GRUNCH MD
NPI 1265606644
Neurological Surgery in Gainesville, GA

Active since April 17, 2008PECOS EnrolledAccepts Medicare Assignment
76.58/100
CMS Quality Rating
601 BROAD ST SE STE A, GAINESVILLE, GA 30501(470) 293-9800(844) 689-4542 Get Directions Write a Review

NPPES record last updated: March 6, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 6, 2026, Aug 27, 2021, Nov 25, 2020 and 1 more (4 updates tracked since 2018).

About Dr. Betsy H Grunch Md NPPES

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

DR. BETSY H GRUNCH MD (NPI 1265606644) is an individual neurological surgery provider in Gainesville, Georgia, licensed in Georgia (069414) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS, is affiliated with Northside Hospital Forsyth, and is a graduate of Medical College Of Georgia School Of Medicine (2007).

NPPES Registry Identity

NPI1265606644
Entity TypeIndividualFemale
Primary Taxonomy207T00000X
Provider Legal NameDR. BETSY H GRUNCHCredential: MD
Location Address601 BROAD ST SE STE AGainesville, GA 30501-3718
Mailing AddressPo Box 42755Belfast, ME 04915-1279 · (470) 293-9800 · Fax (844) 689-4542
Fax(844) 689-4542
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2007
Enumeration DateApril 17, 2008
Last NPPES UpdateMarch 6, 20264 updates tracked since enumeration
NPPES CertifiedMarch 6, 2026
NPI 1265606644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
Licenses Licensed in GA · 069414 Licensed in NC · 141424
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.
601 BROAD ST SE STE A, Gainesville, GA 30501

Other Names 1

Former Name (1)Betsy Deanina Hughes Md

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. Betsy H Grunch 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 ID4587803671
PECOS Enrollment IDI20130621000109
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 25

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.

X-ray of lower and sacral spine, minimum of 4 views 72110
An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.
260 services248 patients
X-ray of lower and sacral spine, 2-3 views 72100
An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
163 services89 patients
X-ray of upper spine, 4-5 views 72050
An X-ray of the upper spine with 4-5 views is a non-invasive imaging test. It uses radiation to capture detailed images of the bones and structures in your neck and upper back. This procedure helps identify issues like fractures, infections, or deformities.
101 services99 patients
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.
96 services87 patients
X-ray of upper spine, 2-3 views 72040
An X-ray of the upper spine, with 2-3 views, is a painless procedure that employs a small amount of radiation to capture images of your neck and upper back. It assists in diagnosing conditions like arthritis, fractures, or spinal deformities.
88 services48 patients
Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853
Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.
74 services42 patients

Hospital Affiliations CMS Care Compare 5

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

Northside Hospital Forsyth

Acute Care Hospitals · Cumming, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110005
Location1200 Northside Forsyth DriveCumming, GA 30041 · Forsyth County
Birthing friendly

Northeast Georgia Medical Center, Inc

Acute Care Hospitals · Gainesville, GA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number110029
Location743 Spring StreetGainesville, GA 30501 · Hall County
Emergency services Birthing friendly

Northeast Georgia Medical Center Habersham

Acute Care Hospitals · Demorest, GA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110041
Location541 Historic Highway 441-NorthDemorest, GA 30535 · Habersham County
Emergency services Birthing friendly

Union General Hospital

Acute Care Hospitals · Blairsville, GA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110051
Location35 Hospital RoadBlairsville, GA 30512 · Union County
Emergency services Birthing friendly

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30501 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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.

76.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.63
Promoting Interoperability87
Improvement Activities20
Cost72.14

Referred Medical Equipment & Supplies CMS DME claims

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

Osteogenesis stimulator, electrical, non-invasive, spinal applications E0748
DME-Other DME · category DE000N
1 supplier12 claims12 services$3,776.29 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 3

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

Durable Medical Equipment & Medical Supplies
601 BROAD ST SE STE A
GAINESVILLE, GA 30501
Pain Medicine (Pain Medicine)
601 BROAD ST SE STE A
GAINESVILLE, GA 30501
Neurological Surgery
601 BROAD ST SE STE A
GAINESVILLE, GA 30501

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 Betsy Grunch's NPI number?

The NPI number for Betsy Grunch is 1265606644. It was assigned to this individual provider in the NPPES registry on April 17, 2008. The provider is also known as Betsy Deanina Hughes MD.

Where is Betsy Grunch located?

Betsy Grunch practices at 601 Broad St SE Ste A, Gainesville, GA 30501. The listed phone number is (470) 293-9800.

What is Betsy Grunch's specialty?

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

Is Betsy Grunch enrolled in Medicare?

Yes. Betsy Grunch 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 Betsy Grunch accept?

Health plans from Alliant Health Plans, Inc. list Betsy Grunch 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 Betsy Grunch affiliated with any hospitals?

According to CMS data, Betsy Grunch is affiliated with Northside Hospital Forsyth, Northeast Georgia Medical Center, Inc, Northeast Georgia Medical Center Habersham, Union General Hospital and Northside Hospital.

When was this NPI record last updated?

The NPPES record for Betsy Grunch was last updated on March 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.