DR. BRIAN GRONERT MD
NPI 1457354045
Anesthesiology - Pediatric Anesthesiology in Albuquerque, NM

Active since May 27, 2005PECOS EnrolledAccepts Medicare Assignment
83.84/100
CMS Quality Rating
1100 CENTRAL AVE SE, ALBUQUERQUE, NM 87106(505) 841-1234 Get Directions Write a Review

NPPES record last updated: March 13, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 13, 2025, Apr 14, 2022, Feb 9, 2021 (3 updates tracked since 2021).

About Dr. Brian Gronert Md NPPES

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

DR. BRIAN GRONERT MD (NPI 1457354045) is an individual pediatric anesthesiology provider in Albuquerque, New Mexico, licensed in New Mexico (2001-200) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1986).

NPPES Registry Identity

NPI1457354045
Entity TypeIndividualMale
Primary Taxonomy207LP3000X
Provider Legal NameDR. BRIAN GRONERTCredential: MD
Location Address1100 CENTRAL AVE SEAlbuquerque, NM 87106-4930
Mailing AddressPo Box 26666, Provider EnrollmentAlbuquerque, NM 87125-6666 · (505) 923-6770 · Fax (505) 923-5354
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateMay 27, 2005
Last NPPES UpdateMarch 13, 20253 updates tracked since enumeration
NPPES CertifiedMarch 13, 2025
✔ NPI 1457354045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyAnesthesiology · Pediatric AnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207LP3000X
Licenses✔ Licensed in NM · 2001-200✔ Licensed in FL · ME69110
Definition
An anesthesiologist who has had additional skill and experience in and is primarily concerned with the anesthesia, sedation, and pain management needs of infants and children. A pediatric anesthesiologist generally provides services including the evaluation of complex medical problems in infants and children when surgery is necessary, planning and care for children before and after surgery, pain control, anesthesia and sedation for any procedures out of the operating room such as MRI, CT scan, and radiation therapy.
Also ListedAnesthesiologyTaxonomy 207L00000X · License 2001-200 (NM)
Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X · License 2001-200 (NM)
1100 CENTRAL AVE SE, Albuquerque, NM 87106

Other Identifiers 9

Medicaid1643587TX
Medicaid64907NM
Medicaid579617AZ
Medicaid104477100FL
Other264798MD · Maryland Dept. Of Labor
OtherNM009G13NM · Blue Cross Blue Sheild
Other201029035NM · Php, Salud, Etc...
Medicaid80729541CO
MedicaidB0966NM

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Brian Gronert 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 ID9638238637
PECOS Enrollment IDI20101220000840
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Brian Gronert reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
1100 CENTRAL SE
Albuquerque, NM 87106
  • Reassigned Medicare billing, New Mexico enrollment
  • 2,331 clinicians in this Medicare group
Specialist
1100 CENTRAL AVE SE
Albuquerque, NM 87106
  • Reassigned Medicare billing, New Mexico enrollment
  • 151 clinicians in this Medicare group
Multi-Specialty
2211 LOMAS NE
Albuquerque, NM 87106
  • Reassigned Medicare billing, New Mexico enrollment
  • 2,105 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87106 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
$126.21 typical visit price
range $54.26 – $166.80
Typical copayment $31.55 (range $13.56 – $41.70)
Most-billed visit code 99204
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
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.

83.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.59
Promoting Interoperability100
Improvement Activities40
Cost58.63

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.

Physician Assistant
1100 CENTRAL AVE SE
ALBUQUERQUE, NM 87106
Pharmacist (Pharmacotherapy)
1100 CENTRAL AVE SE
ALBUQUERQUE, NM 87106
Pediatrics
1100 CENTRAL AVE SE, PMG PEDIATRIC URGENT CARE
ALBUQUERQUE, NM 87106
Emergency Medicine
1100 CENTRAL AVE SE, EMERGENCY MEDICINE
ALBUQUERQUE, NM 87106
Physician Assistant
1100 CENTRAL AVE SE
ALBUQUERQUE, NM 87106
Nurse Anesthetist, Certified Registered
1100 CENTRAL AVE SE
ALBUQUERQUE, NM 87106
Community Health Worker
1100 CENTRAL AVE SE
ALBUQUERQUE, NM 87106
Nurse Practitioner (Gerontology)
1100 CENTRAL AVE SE, PALLIATIVE CARE
ALBUQUERQUE, NM 87106

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 Gronert's NPI number?

The NPI number for Brian Gronert is 1457354045. It was assigned to this individual provider in the NPPES registry on May 27, 2005.

Where is Brian Gronert located?

Brian Gronert practices at 1100 Central Ave SE, Albuquerque, NM 87106. The listed phone number is (505) 841-1234.

What is Brian Gronert's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pediatric Anesthesiology, with taxonomy code 207LP3000X.

Is Brian Gronert enrolled in Medicare?

Yes. Brian Gronert 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.

Which organizations bill Medicare for Brian Gronert's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brian Gronert reassigns Medicare benefits to 3 organizations: Presbyterian Healthcare Services (Albuquerque, NM), Anesthesia Associates Of New Mexico P C (Albuquerque, NM) and Unm Medical Group Inc (Albuquerque, NM). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brian Gronert's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Brian Gronert was last updated on March 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.