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DR. STEPHEN PAUL GONDEK M.D.
NPI 1376770016
Surgery - Trauma Surgery in Nashville, TN

Active since June 21, 2009PECOS EnrolledAccepts Medicare Assignment
97.12/100
CMS Quality Rating
1211 21ST AVE S, NASHVILLE, TN 37212(615) 936-0189 Get Directions Write a Review

NPPES record last updated: March 31, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 5, 2021, Oct 26, 2020, Jun 27, 2018 and 2 more (5 updates tracked since 2018).

About Dr. Stephen Paul Gondek M.d. NPPES

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

DR. STEPHEN PAUL GONDEK M.D. (NPI 1376770016) is an individual trauma surgery provider in Nashville, Tennessee, licensed in Tennessee (52302) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, is affiliated with Vanderbilt University Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1376770016
Entity TypeIndividualMale
Primary Taxonomy2086S0127X
Provider Legal NameDR. STEPHEN PAUL GONDEKCredential: M.D.
Location Address1211 21ST AVE SNashville, TN 37212
Mailing Address3841 Green Hills Village Dr Ste 200Nashville, TN 37215-2691 · (615) 936-2000
Phone(615) 936-0189
Sole ProprietorNo
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 2009
Enumeration DateJune 21, 2009
Last NPPES UpdateMarch 31, 20225 updates tracked since enumeration
NPPES CertifiedMarch 31, 2022
✔ NPI 1376770016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Trauma SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0127X
Licenses✔ Licensed in TN · 52302✔ Licensed in DC · MD044176
Definition
Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.
1211 21ST AVE S, Nashville, TN 37212
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Secondary Practice Locations 2

Location 1110 Francis St, Suite 9BBoston, MA 02215-5501 · Phone (617) 632-9236
Location 22150 Pennsylvania Ave NW Ste 6BWashington, DC 20037-3201 · Phone (989) 708-0406

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., BlueCross BlueShield of Tennessee, Oscar Insurance Company.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. Stephen Paul Gondek 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 ID547574469
PECOS Enrollment IDI20180808000007
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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
105 services58 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
35 services14 patients
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.
26 services25 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Vanderbilt University Medical Center

Acute Care Hospitals · Nashville, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440039
Location1211 Medical Center DriveNashville, TN 37232 · Davidson County
Emergency services Birthing friendly

Vanderbilt Wilson County Hospital

Acute Care Hospitals · Lebanon, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440193
Location1411 Baddour ParkwayLebanon, TN 37087 · Wilson County
Emergency services Birthing friendly

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
Quality85.64
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.

RACHEL ANN ALCORTA ACNP
Nurse Practitioner (Acute Care)
1211 21ST AVE S, 404 MEDICAL ARTS BUILDING
NASHVILLE, TN 37212
Davidson County (615) 936-0175
KRISTIN M WERKING RN, MSN, ACNP-BC
Nurse Practitioner (Acute Care)
1211 21ST AVE S, 404 MAB
NASHVILLE, TN 37212
Davidson County (615) 936-6654
DR. SHEENA MARIE WEAVER MD
Anesthesiology (Critical Care Medicine)
1211 21ST AVE S, MAB SUITE 526
NASHVILLE, TN 37212
Davidson County (615) 343-6268
KEENA J ANDREWS MS, RD, CSP, LDN
Dietitian, Registered
1211 21ST AVE S
NASHVILLE, TN 37212
Davidson County (615) 483-7330
ALEXANDRIA SPIDALIERI M.ED, BCBA
Behavior Analyst
1211 21ST AVE S, MAB SUITE 110
NASHVILLE, TN 37212
Davidson County (615) 875-9713
CANDANCE AUTUMN ALEXANDER APN
Nurse Practitioner (Family)
1211 21ST AVE S, MEDICAL ARTS BUILDING, SUITE 114
NASHVILLE, TN 37212
Davidson County (615) 936-1966
MRS. BETHANY LAUREN EVANS RN, MSN, ACNP-BC
Nurse Practitioner (Acute Care)
1211 21ST AVE S, 404 MAB
NASHVILLE, TN 37212
Davidson County (615) 936-6654
MS. EVAN CAMPA M.ED., BCBA
Behavior Analyst
1211 21ST AVE S, SUITE 110
NASHVILLE, TN 37212
Davidson County (615) 343-4275

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 Stephen Gondek's NPI number?

The NPI number for Stephen Gondek is 1376770016. It was assigned to this individual provider in the NPPES registry on June 21, 2009.

Where is Stephen Gondek located?

Stephen Gondek practices at 1211 21st Ave S, Nashville, TN 37212. The listed phone number is (615) 936-0189.

What is Stephen Gondek's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Trauma Surgery, with taxonomy code 2086S0127X.

Is Stephen Gondek enrolled in Medicare?

Yes. Stephen Gondek 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 Stephen Gondek accept?

Health plans from Alliant Health Plans, Inc., BlueCross BlueShield of Tennessee and Oscar Insurance Company list Stephen Gondek 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 Stephen Gondek affiliated with any hospitals?

According to CMS data, Stephen Gondek is affiliated with Vanderbilt University Medical Center and Vanderbilt Wilson County Hospital.

When was this NPI record last updated?

The NPPES record for Stephen Gondek was last updated on March 31, 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.