DR. THOMAS JAMES GRUBER M.D.
NPI 1487924353
Neurological Surgery in Paducah, KY

Q: What is Thomas Gruber's NPI number?

The NPI number for Thomas Gruber is 1487924353. It was assigned to this individual provider in the NPPES registry on January 9, 2012.

Q: What is Thomas Gruber's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Thomas Gruber was last updated on December 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since January 09, 2012PECOS EnrolledAccepts Medicare Assignment

95.5/100

CMS Quality Rating

2603 KENTUCKY AVE, SUITE 404, PADUCAH, KY 42003(270) 443-6472(270) 442-1649 Get Directions Write a Review

NPPES record last updated: December 3, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Thomas James Gruber M.d. NPPES

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

DR. THOMAS JAMES GRUBER M.D. (NPI 1487924353) is an individual neurological surgery provider in Paducah, Kentucky, licensed in Kentucky (45110) and active in the NPI registry since January 2012. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Paducah, and is a graduate of State University Of New York At Buffalo School Of Medicine (2005).

NPPES Registry Identity

NPI1487924353

Entity TypeIndividualMale

Primary Taxonomy207T00000X

Provider Legal NameDR. THOMAS JAMES GRUBERCredential: M.D.

Location Address2603 KENTUCKY AVE, SUITE 404Paducah, KY 42003-3814

Mailing AddressPo Box 7909Paducah, KY 42002-7909 · (270) 744-9600 · Fax (270) 744-0834

Phone(270) 443-6472

Fax(270) 442-1649

Sole ProprietorNo

Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 2005

Enumeration DateJanuary 9, 2012

Last NPPES UpdateDecember 3, 2020

NPPES CertifiedDecember 3, 2020

✔ NPI 1487924353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207T00000X

License✔ Licensed in KY · 45110

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.

2603 KENTUCKY AVE, Paducah, KY 42003

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Other Identifiers 1

Medicaid7100202710KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, 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. Thomas James Gruber 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 ID6709049596

PECOS Enrollment IDI20120514000673

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 14

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.

212 services188 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.

114 services103 patients

Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853

Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.

62 services31 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

27 services17 patients

Computer-assisted spinal procedure 61783

A computer-assisted spinal procedure is a surgical technique that uses computer technology for improved precision. It involves creating a 3D image of your spine to guide the surgeon during the operation. This method enhances accuracy, reduces risk, and promotes quicker recovery.

25 services25 patients

Treatment of broken middle spine bone with placement of stabilizing device using imaging guidance 22513

This procedure treats a broken bone in the middle of your spine. A stabilizing device is placed to support the damaged area. Imaging guidance, like X-rays, is used to ensure precise placement of the device. This aids in your recovery and helps maintain spine stability.

19 services18 patients

Fusion of lower spine bone and partial removal of spine bone or disc through back, 1 disc 22630

This procedure involves the fusion of a lower spine bone and the partial removal of a spine bone or disc from the back. It's done to relieve pain or correct a deformity. One disc is involved in this procedure. Recovery time varies based on individual health.

19 services19 patients

Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back 63052

This procedure involves the partial removal of a bone segment in your lower back to relieve pressure on your spinal cord or nerves. It's usually done during a spinal fusion in the lower back, which helps to stabilize your spine by joining two or more vertebrae together.

19 services19 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

19 services19 patients

Treatment of broken lower spine bone with placement of stabilizing device 22514

This procedure involves fixing a broken bone in the lower spine. A stabilizing device is inserted to support the bone, promoting healing and reducing pain. The device helps to maintain proper spinal alignment and stability during your recovery period.

16 services16 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.

16 services16 patients

Placement of stabilizing device to back of 1 spine bone in neck 22840

This procedure involves positioning a stabilizing device onto a single spinal bone in the neck. The goal is to provide support and prevent movement that could cause discomfort or further injury. It's performed by trained specialists under anesthesia.

12 services12 patients

Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc 22551

This procedure involves fusing together the bones in the upper spine to stabilize it. A disc is removed to ease pressure on the spinal cord or nerve. This helps reduce pain and improve mobility. This is a common treatment for certain spinal conditions.

11 services11 patients

Placement of stabilizing device to back, 3-6 spine bone segments 22842

This procedure involves placing a device on your back to stabilize 3-6 spine bone segments. It aids in maintaining spine alignment and reducing pain. The device is secured to the bones, providing support and promoting healing.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Baptist Health Paducah

Acute Care Hospitals · Paducah, KY

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number180104

Location2501 Kentucky AvenuePaducah, KY 42003 · Mc Cracken County

Emergency services Birthing friendly

Jackson Purchase Medical Center

Acute Care Hospitals · Mayfield, KY

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number180116

Location1099 Medical Center CircleMayfield, KY 42066 · Graves County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42003 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

$122.77 typical visit price

range $52.76 – $162.27

Typical copayment $30.69 (range $13.19 – $40.56)

Most-billed visit code 99204

Established Patient

$66.24 typical visit price

range $16.53 – $131.99

Typical copayment $16.56 (range $4.13 – $32.99)

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.

95.5/100

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

Scored through an Alternative Payment Model

Quality

89.59

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.

DR. WILLIAM LEE TITSWORTH M.D., PH.D.

Neurological Surgery

2603 KENTUCKY AVE, SUITE 402
PADUCAH, KY 42003

McCracken County (270) 443-6472

WINSTON CHUA MD

Internal Medicine (Hematology & Oncology)

2603 KENTUCKY AVE, SUITE 403
PADUCAH, KY 42003

McCracken County (270) 444-3930

DR. BRADLEY WAYNE HOUSMAN MD

Obstetrics & Gynecology

2603 KENTUCKY AVE, SUITE 302
PADUCAH, KY 42003

McCracken County (270) 575-4551

CHRISTOPHER RAY HODGES PAC

Physician Assistant

2603 KENTUCKY AVE, SUITE 304
PADUCAH, KY 42003

McCracken County (270) 415-4800

DR. LUIS A CONCEPCION M.D.

Internal Medicine (Hematology & Oncology)

2603 KENTUCKY AVE, SUITE 403
PADUCAH, KY 42003

McCracken County (270) 444-3930

DR. JOSEPH CHARLES ASHBURN M.D.

Psychiatry & Neurology (Neurology)

2603 KENTUCKY AVE, SUITE 304
PADUCAH, KY 42003

McCracken County (270) 415-4800

CHARLES W RANSLER III M.D.

Urology

2603 KENTUCKY AVE, STE 102
PADUCAH, KY 42003

McCracken County (270) 442-3554

UROLOGY GROUP OF PADUCAH, P.S.C.

Urology

2603 KENTUCKY AVE, SUITE 102
PADUCAH, KY 42003

McCracken County (270) 442-3539

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 Thomas Gruber's NPI number?

The NPI number for Thomas Gruber is 1487924353. It was assigned to this individual provider in the NPPES registry on January 9, 2012.

Where is Thomas Gruber located?

Thomas Gruber practices at 2603 Kentucky Ave Suite 404, Paducah, KY 42003. The listed phone number is (270) 443-6472.

What is Thomas Gruber's specialty?

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

Is Thomas Gruber enrolled in Medicare?

Yes. Thomas Gruber 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 Thomas Gruber accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Thomas Gruber 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 Thomas Gruber affiliated with any hospitals?

According to CMS data, Thomas Gruber is affiliated with Baptist Health Paducah and Jackson Purchase Medical Center.

When was this NPI record last updated?

The NPPES record for Thomas Gruber was last updated on December 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.