ADAM G. GRUPKA RPA
NPI 1477892552
Physician Assistant - Medical in Buffalo, NY

Active since February 08, 2013PECOS EnrolledAccepts Medicare Assignment
87.14/100
CMS Quality Rating

NPPES record last updated: December 18, 2018. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Adam G. Grupka Rpa NPPES

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

ADAM G. GRUPKA RPA (NPI 1477892552) is an individual medical provider in Buffalo, New York, licensed in New York (016388) and active in the NPI registry since February 2013. He is enrolled in Medicare PECOS, is affiliated with Sisters Of Charity Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1477892552
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameADAM G. GRUPKACredential: RPA
Location Address85 HIGH STBuffalo, NY 14203
Mailing Address425 Essjay Rd Ste 170Williamsville, NY 14221-5782 · (716) 630-1219 · Fax (716) 817-1726
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateFebruary 8, 2013
Last NPPES UpdateDecember 18, 2018
NPI 1477892552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in NY · 016388
85 HIGH ST, Buffalo, NY 14203

Secondary Practice Locations 3

Location 13345 Southwestern BlvdOrchard Park, NY 14127-1506 · Phone (716) 995-1021 · Fax (716) 250-5961
Location 23900 N Buffalo StOrchard Park, NY 14127-1842 · Phone (716) 630-1000
Location 3295 Essjay RdWilliamsville, NY 14221-8216 · Phone (716) 630-1000

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

Adam G. Grupka Rpa 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 ID244475028
PECOS Enrollment IDI20130327000221, I20260331002512
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.

Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
3,090 services1,777 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.
60 services57 patients
Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
38 services37 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
27 services27 patients

Hospital Affiliations CMS Care Compare

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

Sisters Of Charity Hospital

Acute Care Hospitals · Buffalo, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330078
Location2157 Main StreetBuffalo, NY 14214 · Erie 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.

87.14/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.29
Promoting Interoperability100
Improvement Activities40
Cost74.86

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
85 HIGH ST
BUFFALO, NY 14203
Internal Medicine
85 HIGH ST
BUFFALO, NY 14203
Internal Medicine
85 HIGH ST
BUFFALO, NY 14203
Physician Assistant (Medical)
85 HIGH ST
BUFFALO, NY 14203
Physician Assistant
85 HIGH ST
BUFFALO, NY 14203
Internal Medicine
85 HIGH ST
BUFFALO, NY 14203
Hospitalist
85 HIGH ST
BUFFALO, NY 14203
Hospitalist
85 HIGH ST
BUFFALO, NY 14203

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 Adam Grupka's NPI number?

The NPI number for Adam Grupka is 1477892552. It was assigned to this individual provider in the NPPES registry on February 8, 2013.

Where is Adam Grupka located?

Adam Grupka practices at 85 High St, Buffalo, NY 14203. The listed phone number is (716) 630-1000.

What is Adam Grupka's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Adam Grupka enrolled in Medicare?

Yes. Adam Grupka 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.

Is Adam Grupka affiliated with any hospitals?

According to CMS data, Adam Grupka is affiliated with Sisters Of Charity Hospital.

When was this NPI record last updated?

The NPPES record for Adam Grupka was last updated on December 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.