ABHIJEET GUMMADAVELLI MD
NPI 1295113405
Neurological Surgery in Littleton, CO

Q: What is Abhijeet Gummadavelli's NPI number?

The NPI number for Abhijeet Gummadavelli is 1295113405. It was assigned to this individual provider in the NPPES registry on May 8, 2015.

Q: What is Abhijeet Gummadavelli's specialty?

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

Active since May 08, 2015PECOS EnrolledAccepts Medicare Assignment

97.12/100

CMS Quality Rating

7780 S BROADWAY STE 350, LITTLETON, CO 80122(720) 638-7500 Get Directions Write a Review

NPPES record last updated: June 20, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 20, 2023, Mar 15, 2023, Apr 20, 2022 (3 updates tracked since 2022).

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About Abhijeet Gummadavelli Md NPPES

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

ABHIJEET GUMMADAVELLI MD (NPI 1295113405) is an individual neurological surgery provider in Littleton, Colorado, licensed in Colorado (DR.0070365) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1295113405

Entity TypeIndividualMale

Primary Taxonomy207T00000X

Provider Legal NameABHIJEET GUMMADAVELLICredential: MD

Location Address7780 S BROADWAY STE 350Littleton, CO 80122-2641

Mailing Address3841 Green Hills Village Dr Ste 200Nashville, TN 37215-2691

Phone(720) 638-7500

Sole ProprietorYes

Medical School CMSOtherGraduated 2015

Enumeration DateMay 8, 2015

Last NPPES UpdateJune 20, 20233 updates tracked since enumeration

NPPES CertifiedJune 20, 2023

✔ NPI 1295113405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207T00000X

Licenses✔ Licensed in CO · DR.0070365✔ Licensed in TN · 64850

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.

7780 S BROADWAY STE 350, Littleton, CO 80122

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Secondary Practice Locations 2

Location 13601 The Vanderbilt ClinicNashville, TN 37232-1304 · Phone (615) 322-3000

Location 2789 Howard Ave, YNHH - NeurosurgeryNew Haven, CT 06519-1304 · Phone (203) 785-3275

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

Abhijeet Gummadavelli 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 ID3375855505

PECOS Enrollment IDI20230421002557

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 5

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.

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

47 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.

23 services20 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

19 services19 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.

17 services15 patients

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.

13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80122 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

$132.55 typical visit price

range $58.06 – $174.82

Typical copayment $33.13 (range $14.51 – $43.70)

Most-billed visit code 99204

Established Patient

$72.20 typical visit price

range $18.88 – $142.79

Typical copayment $18.05 (range $4.72 – $35.69)

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.

97.12/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

85.64

Promoting Interoperability

100

Improvement Activities

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.

GENEVIEVE HELENE ALVAREZ PA-C

Physician Assistant