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DR. EDWARD SCOTT GRONKA M.D.
NPI 1306838099
Plastic Surgery in Fayetteville, GA

Active since August 18, 2005PECOS EnrolledAccepts Medicare Assignment
874 W LANIER AVE, ONE PRESTIGE PARK SUITE 100, FAYETTEVILLE, GA 30214(770) 461-4000(770) 461-2790 Get Directions Write a Review

NPPES record last updated: August 28, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Edward Scott Gronka M.d. NPPES

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

DR. EDWARD SCOTT GRONKA M.D. (NPI 1306838099) is an individual plastic surgery provider in Fayetteville, Georgia, licensed in Georgia (035431) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Piedmont Fayette Hospital, and is a graduate of Temple University School Of Medicine (1985).

NPPES Registry Identity

NPI1306838099
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameDR. EDWARD SCOTT GRONKACredential: M.D.
Location Address874 W LANIER AVE, ONE PRESTIGE PARK SUITE 100Fayetteville, GA 30214-1511
Mailing Address874 W Lanier Ave, One Prestige Park Suite 100Fayetteville, GA 30214-1511 · (770) 461-4000 · Fax (770) 461-2790
Phone(770) 461-4000
Fax(770) 461-2790
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 1985
Enumeration DateAugust 18, 2005
Last NPPES UpdateAugust 28, 2007
✔ NPI 1306838099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in GA · 035431
Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

874 W LANIER AVE, Fayetteville, GA 30214
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Other Identifiers 3

Medicare ID-Type Unspecified24BCBLBGA
Medicare UPINF28330GA
Medicaid00502433AGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.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. Edward Scott Gronka 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 ID446260012
PECOS Enrollment IDI20120118000503
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 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.

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.
26 services20 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Piedmont Fayette Hospital

Acute Care Hospitals · Fayetteville, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110215
Location1255 Highway 54 WestFayetteville, GA 30214 · Fayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30214 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
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 4

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

DR. JOSEPH RANIERE,JR M.D.
Plastic Surgery
874 W LANIER AVE, ONE PRESTIGE PARK SUITE 100
FAYETTEVILLE, GA 30214
Fayette County (770) 461-4000
ADVANCED AESTHETICS, P.C
Plastic Surgery
874 W LANIER AVE, ONE PRESTIGE PARK SUITE 100
FAYETTEVILLE, GA 30214
Fayette County (770) 461-4000
ADVANCED AESTHETICS PC
Clinic/Center (Ambulatory Surgical)
874 W LANIER AVE, STE 110
FAYETTEVILLE, GA 30214
Fayette County (770) 461-4000
DR. PAUL DAVID FELDMAN M.D.
Plastic Surgery
874 W LANIER AVE, SUITE 100
FAYETTEVILLE, GA 30214
Fayette County (770) 461-4000

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 Edward Gronka's NPI number?

The NPI number for Edward Gronka is 1306838099. It was assigned to this individual provider in the NPPES registry on August 18, 2005.

Where is Edward Gronka located?

Edward Gronka practices at 874 W Lanier Ave One Prestige Park Suite 100, Fayetteville, GA 30214. The listed phone number is (770) 461-4000.

What is Edward Gronka's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Edward Gronka enrolled in Medicare?

Yes. Edward Gronka 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 Edward Gronka accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Edward Gronka 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 Edward Gronka affiliated with any hospitals?

According to CMS data, Edward Gronka is affiliated with Piedmont Fayette Hospital.

When was this NPI record last updated?

The NPPES record for Edward Gronka was last updated on August 28, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.