GARTH J GARRAMONE DO FACP
NPI 1821070376
Internal Medicine - Gastroenterology in New Bern, NC

Q: What is Garth Garramone's NPI number?

The NPI number for Garth Garramone is 1821070376. It was assigned to this individual provider in the NPPES registry on November 18, 2005.

Q: What is Garth Garramone's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Garth Garramone was last updated on October 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 November 18, 2005PECOS EnrolledAccepts Medicare Assignment

47.59/100

CMS Quality Rating

2604 DR MARTIN LUTHER KING JR BLVD, NEW BERN, NC 28562(252) 636-4502(252) 633-2785 Get Directions Write a Review

NPPES record last updated: October 9, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Garth J Garramone Do Facp NPPES

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

GARTH J GARRAMONE DO FACP (NPI 1821070376) is an individual gastroenterology provider in New Bern, North Carolina, licensed in North Carolina (2018-02088) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with St Mary's Healthcare, and is a graduate of University Of New England, College Of Osteo Medicine (1997).

NPPES Registry Identity

NPI1821070376

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameGARTH J GARRAMONECredential: DO FACP

Location Address2604 DR MARTIN LUTHER KING JR BLVDNew Bern, NC 28562-4238

Mailing AddressPo Box 68Pollocksville, NC 28573-0068 · (252) 635-3906 · Fax (252) 224-0378

Phone(252) 636-4502

Fax(252) 633-2785

Sole ProprietorNo

Medical School CMSUniversity Of New England, College Of Osteo MedicineGraduated 1997

Enumeration DateNovember 18, 2005

Last NPPES UpdateOctober 9, 2018

✔ NPI 1821070376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

Licenses✔ Licensed in NC · 2018-02088✔ Licensed in NY · 217231-1

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

2604 DR MARTIN LUTHER KING JR BLVD, New Bern, NC 28562

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Other Identifiers 1

Medicaid02383700NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare.Insurance ›

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

Garth J Garramone Do Facp 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 ID9032261110

PECOS Enrollment IDI20101029000740

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

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

Carolinaeast Physicians

Same address

Pediatrics

2636 DR MARTIN LUTHER KING JR BLVD
New Bern, NC 28562

Reassigned Medicare billing, North Carolina enrollment
320 clinicians in this Medicare group

NPI 1235430976 (252) 636-1919

St Marys Healthcare

564 mi

General Acute Care Hospital

427 GUY PARK AVE, ST MARYS HEALTHCARE PRIMARY CARE DEPT
Amsterdam, NY 12010

Reassigned Medicare billing, New York enrollment
Medicare enrollment name: St. Mary's Healthcare
144 clinicians in this Medicare group

NPI 1518926401 (518) 841-7407

Saratoga Schenectady Gastroenterology Associates, PC

567 mi

Gastroenterology

848 ROUTE 50
Burnt Hills, NY 12027

Reassigned Medicare billing, New York enrollment
32 clinicians in this Medicare group

NPI 1093724767 (518) 831-1500

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

Areas of Expertise CMS Part B claims 18

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.

54 services47 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

47 services47 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

43 services43 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.

35 services32 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

29 services27 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

29 services29 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025

A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.

26 services23 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

25 services24 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

25 services25 patients

Blood test, comprehensive group of blood chemicals 80053

A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.

20 services18 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.

20 services20 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.

16 services16 patients

Blood test, clotting time 85610

A clotting time blood test helps determine how quickly your blood forms clots, a process crucial to stop bleeding. During the test, a small blood sample is taken from your arm. The sample is then analyzed in a lab to see how long it takes for a clot to form.

14 services12 patients

Biopsy of large bowel using a flexible endoscope 45380

13 services13 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

12 services12 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

12 services12 patients

Red blood cell sedimentation rate, to detect inflammation, automated 85652

The Red Blood Cell Sedimentation Rate is a test that helps detect inflammation in the body. It's automated, meaning a machine does the work. This test measures how fast red blood cells settle at the bottom of a tube in an hour. A faster rate may indicate inflammation.

11 services11 patients

Measurement c-reactive protein for detection of infection or inflammation 86140

C-reactive protein (CRP) test is a blood test that checks for signs of inflammation or infection in the body. High levels of CRP often suggest that there's inflammation or a bacterial infection. This test helps in monitoring and managing conditions like arthritis and heart disease.

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.

St Mary's Healthcare

Acute Care Hospitals · Amsterdam, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330047

Location427 Guy Park AvenueAmsterdam, NY 12010 · Montgomery County

Emergency services Birthing friendly

Nathan Littauer Hospital

Acute Care Hospitals · Gloversville, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330276

Location99 East State StreetGloversville, NY 12078 · Fulton County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28562 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

$125.01 typical visit price

range $54.12 – $165.09

Typical copayment $31.25 (range $13.53 – $41.27)

Most-billed visit code 99204

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

47.59/100

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

Scored as part of a group practice

Quality

43.48

Promoting Interoperability

Improvement Activities

Cost

65.16

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

31%466 patients2/55-star benchmark: 100%

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

94%308 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…

93%414 patients4/55-star benchmark: 100%

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 20

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

JENNY HYPPOLITE MD

Internal Medicine