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CLIFFORD J GUNTHEL M.D.
NPI 1609961184
Internal Medicine - Infectious Disease in Atlanta, GA

Active since October 03, 2006PECOS EnrolledAccepts Medicare Assignment
94.56/100
CMS Quality Rating
1365 CLIFTON RD, BLDG A, ATLANTA, GA 30322(404) 778-7777 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Clifford J Gunthel M.d. NPPES

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

CLIFFORD J GUNTHEL M.D. (NPI 1609961184) is an individual infectious disease provider in Atlanta, Georgia, licensed in Georgia (031011) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Grady Memorial Hospital, and is a graduate of Emory University School Of Medicine (1985).

NPPES Registry Identity

NPI1609961184
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameCLIFFORD J GUNTHELCredential: M.D.
Location Address1365 CLIFTON RD, BLDG AAtlanta, GA 30322
Mailing Address1365 Clifton Rd, Bldg AAtlanta, GA 30322 · (404) 778-7777
Phone(404) 778-7777
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 1985
Enumeration DateOctober 3, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1609961184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in GA · 031011
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
1365 CLIFTON RD, Atlanta, GA 30322
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Other Identifiers 1

Medicare UPINF92005GA

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

Clifford J Gunthel 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 ID5890811236
PECOS Enrollment IDI20100923000328
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 3

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 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.
50 services41 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
31 services26 patients
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.
24 services21 patients

Hospital Affiliations CMS Care Compare

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

Grady Memorial Hospital

Acute Care Hospitals · Atlanta, GA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110079
Location80 Jesse Hill, Jr Drive SEAtlanta, GA 30303 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30322 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
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.

94.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.49
Promoting Interoperability100
Improvement Activities40
Cost75.54

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.

NIMAY KULKARNI MD
Student in an Organized Health Care Education/Training Program
1365 CLIFTON RD, BLDG B STE B6200
ATLANTA, GA 30322
Dekalb County (404) 778-3444
DR. CARL DAVID HACKER MD, PHD
Neurological Surgery
1365 CLIFTON RD, BLDG B, STE B6200
ATLANTA, GA 30322
Dekalb County (314) 362-5000
COLIN VALE MD
Internal Medicine
1365 CLIFTON RD, BUILDING B, STE. B4000
ATLANTA, GA 30322
Dekalb County (404) 712-1722
DRAKE WESTON CONNER DDS
Student in an Organized Health Care Education/Training Program
1365 CLIFTON RD, NE, BUILDING B, SUITE 2300
ATLANTA, GA 30322
Dekalb County (404) 778-4555

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 Clifford Gunthel's NPI number?

The NPI number for Clifford Gunthel is 1609961184. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Clifford Gunthel located?

Clifford Gunthel practices at 1365 Clifton Rd Bldg A, Atlanta, GA 30322. The listed phone number is (404) 778-7777.

What is Clifford Gunthel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Clifford Gunthel enrolled in Medicare?

Yes. Clifford Gunthel 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 Clifford Gunthel affiliated with any hospitals?

According to CMS data, Clifford Gunthel is affiliated with Grady Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Clifford Gunthel was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.