MR. BRIAN MICHAEL GRONEWOLD M.ED.,ATC, LAT, CSCS
NPI 1265665178
Physician Assistant in Mobile, AL

Active since August 25, 2009PECOS EnrolledAccepts Medicare Assignment
96.56/100
CMS Quality Rating
1601 CENTER ST, MOBILE, AL 36604(251) 665-8200(251) 665-8210 Get Directions Write a Review

NPPES record last updated: January 27, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Brian Michael Gronewold M.ed.,atc, Lat, Cscs NPPES

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

MR. BRIAN MICHAEL GRONEWOLD M.ED.,ATC, LAT, CSCS (NPI 1265665178) is an individual physician assistant in Mobile, Alabama, licensed in Alabama (PA.1896) and active in the NPI registry since August 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1265665178
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. BRIAN MICHAEL GRONEWOLDCredential: M.ED.,ATC, LAT, CSCS
Location Address1601 CENTER STMobile, AL 36604-1541
Mailing AddressPo Box 746450Atlanta, GA 30374-6450 · (251) 434-3626 · Fax (251) 445-2464
Fax(251) 665-8210
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 25, 2009
Last NPPES UpdateJanuary 27, 2022
NPPES CertifiedJanuary 27, 2022
NPI 1265665178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in AL · PA.1896
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X · License 994 (AL)
1601 CENTER ST, Mobile, AL 36604

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

Mr. Brian Michael Gronewold M.ed.,atc, Lat, Cscs 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 ID8224424932
PECOS Enrollment IDI20220406000556
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

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
48 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36604 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
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.

96.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality89.76
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.

Nurse Practitioner (Pediatrics)
1601 CENTER ST, STE 1S
MOBILE, AL 36604
Pediatrics
1601 CENTER ST, STE 1N
MOBILE, AL 36604
Obstetrics & Gynecology
1601 CENTER ST
MOBILE, AL 36604
Pediatrics (Pediatric Nephrology)
1601 CENTER ST
MOBILE, AL 36604
Psychologist (Clinical)
1601 CENTER ST
MOBILE, AL 36604
Nurse Practitioner (Family)
1601 CENTER ST
MOBILE, AL 36604
Orthopaedic Surgery
1601 CENTER ST
MOBILE, AL 36604
Physician Assistant
1601 CENTER ST
MOBILE, AL 36604

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 Brian Gronewold's NPI number?

The NPI number for Brian Gronewold is 1265665178. It was assigned to this individual provider in the NPPES registry on August 25, 2009.

Where is Brian Gronewold located?

Brian Gronewold practices at 1601 Center St, Mobile, AL 36604. The listed phone number is (251) 665-8200.

What is Brian Gronewold's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Brian Gronewold enrolled in Medicare?

Yes. Brian Gronewold 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 Brian Gronewold accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 3 other insurers list Brian Gronewold 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.

When was this NPI record last updated?

The NPPES record for Brian Gronewold was last updated on January 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.