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LE ROY GURGANIOUS M.D.
NPI 1710097290
Orthopaedic Surgery in Fayetteville, TN

Active since August 30, 2006PECOS EnrolledAccepts Medicare Assignment
108 MEDICAL CENTER BLVD, SUITE 100, FAYETTEVILLE, TN 37334(931) 433-1102(931) 433-0522 Get Directions Write a Review

NPPES record last updated: June 2, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Le Roy Gurganious M.d. NPPES

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

LE ROY GURGANIOUS M.D. (NPI 1710097290) is an individual orthopaedic surgery provider in Fayetteville, Tennessee, licensed in Tennessee (43870) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Lincoln Medical Center, and is a graduate of Boston University School Of Medicine (1990).

NPPES Registry Identity

NPI1710097290
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameLE ROY GURGANIOUSCredential: M.D.
Location Address108 MEDICAL CENTER BLVD, SUITE 100Fayetteville, TN 37334-2741
Mailing Address108 Medical Center Blvd, Suite 100Fayetteville, TN 37334-2741 · (931) 433-1102 · Fax (931) 433-0522
Phone(931) 433-1102
Fax(931) 433-0522
Sole ProprietorNo
Medical School CMSBoston University School Of MedicineGraduated 1990
Enumeration DateAugust 30, 2006
Last NPPES UpdateJune 2, 2011
✔ NPI 1710097290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in TN · 43870
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
108 MEDICAL CENTER BLVD, Fayetteville, TN 37334
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Other Identifiers 8

OtherP00084628FL · Railroad Medicare
Medicare ID-Type Unspecified31629ZFL
Medicare PIN3002290TN
Other2864255FL · Aetna Hmo
Medicare UPING13236FL
Medicaid1508795TN
Other8913135002FL · Cigna
Other5261266FL · Aetna Ppo

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Magnolia Health, Ambetter Health, Ambetter of Alabama 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

Le Roy Gurganious 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 ID3173425204
PECOS Enrollment IDI20081006000543, I20230124002894
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.

Hospital Affiliations CMS Care Compare

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

Lincoln Medical Center

Acute Care Hospitals · Fayetteville, TN
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number440102
Location106 Medical Center BlvdFayetteville, TN 37334 · Lincoln County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37334 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
98%2,234 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
12%799 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
0%847 patients1/55-star benchmark: 96%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LINCOLN MEDICAL CENTER SURGICAL CLINIC
Clinic/Center
108 MEDICAL CENTER BLVD, SUITE 175
FAYETTEVILLE, TN 37334
Lincoln County (931) 438-1100
RICHARD WILLIAM CLINE JR. D.O.
Family Medicine
108 MEDICAL CENTER BLVD, SUITE G-50
FAYETTEVILLE, TN 37334
Lincoln County (931) 438-4111
LINCOLN MEDICAL CENTER OBGYN CLINIC
Obstetrics & Gynecology
108 MEDICAL CENTER BLVD, SUITE 150
FAYETTEVILLE, TN 37334
Lincoln County (931) 433-1105
MONKS IMAGING LLC
Radiologic Technologist
108 MEDICAL CENTER BLVD, BOX 7
FAYETTEVILLE, TN 37334
Lincoln County (931) 438-9085
TENNESSEE ONCOLOGY PLLC
Internal Medicine (Hematology & Oncology)
108 MEDICAL CENTER BLVD, STE G25
FAYETTEVILLE, TN 37334
Lincoln County (931) 433-3477
TOP FLIGHT MEDICAL GROUP LLC
Specialist
108 MEDICAL CENTER BLVD, SUITE G25
FAYETTEVILLE, TN 37334
Lincoln County (615) 340-3436
PARKWAY MEDICAL GROUP, PC
Family Medicine
108 MEDICAL CENTER BLVD, SUITE G-50
FAYETTEVILLE, TN 37334
Lincoln County (931) 438-4111
WILLIAM A EDWARDS M.D.
Family Medicine
108 MEDICAL CENTER BLVD, SUITE G 50
FAYETTEVILLE, TN 37334
Lincoln County (931) 438-4111

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 Le Roy Gurganious's NPI number?

The NPI number for Le Roy Gurganious is 1710097290. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Le Roy Gurganious located?

Le Roy Gurganious practices at 108 Medical Center Blvd Suite 100, Fayetteville, TN 37334. The listed phone number is (931) 433-1102.

What is Le Roy Gurganious's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Le Roy Gurganious enrolled in Medicare?

Yes. Le Roy Gurganious 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 Le Roy Gurganious accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama and 2 other insurers list Le Roy Gurganious 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 Le Roy Gurganious affiliated with any hospitals?

According to CMS data, Le Roy Gurganious is affiliated with Lincoln Medical Center.

When was this NPI record last updated?

The NPPES record for Le Roy Gurganious was last updated on June 2, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.