DR. DONALD A. GAJEWSKI MD
NPI 1851495535
Orthopaedic Surgery in Asheville, NC

Active since September 12, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
111 VICTORIA RD, ASHEVILLE, NC 28801(828) 252-7331 Get Directions Write a Review

NPPES record last updated: August 24, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 24, 2017, Sep 16, 2016 (2 updates tracked since 2016).

About Dr. Donald A. Gajewski Md NPPES

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

DR. DONALD A. GAJEWSKI MD (NPI 1851495535) is an individual orthopaedic surgery provider in Asheville, North Carolina, licensed in North Carolina (2015-00517) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Memorial Mission Hospital And Asheville Surgery Ce, and is a graduate of Temple University School Of Medicine (1994).

NPPES Registry Identity

NPI1851495535
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. DONALD A. GAJEWSKICredential: MD
Location Address111 VICTORIA RDAsheville, NC 28801-4811
Mailing AddressPo Box 602998Charlotte, NC 28260-2998
Sole ProprietorYes
Medical School CMSTemple University School Of MedicineGraduated 1994
Enumeration DateSeptember 12, 2006
Last NPPES UpdateAugust 24, 20172 updates tracked since enumeration
NPI 1851495535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in NC · 2015-00517
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.
111 VICTORIA RD, Asheville, NC 28801

Accepted 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. Donald A. Gajewski Md 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 ID1052623162
PECOS Enrollment IDI20150702000616
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 5

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.
90 services65 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.
38 services38 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.
36 services32 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
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.
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.

Memorial Mission Hospital And Asheville Surgery Ce

Acute Care Hospitals · Asheville, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340002
Location509 Biltmore AveAsheville, NC 28801 · Buncombe County
Emergency services Birthing friendly

Margaret R Pardee Memorial Hospital

Acute Care Hospitals · Hendersonville, NC
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340017
Location800 N Justice StHendersonville, NC 28791 · Henderson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28801 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

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

Other Providers at the Same Location NPPES 18

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

Physician Assistant
111 VICTORIA RD
ASHEVILLE, NC 28801
Physical Therapist
111 VICTORIA RD
ASHEVILLE, NC 28801
Physician Assistant
111 VICTORIA RD
ASHEVILLE, NC 28801
Orthopaedic Surgery
111 VICTORIA RD
ASHEVILLE, NC 28801
Orthopaedic Surgery
111 VICTORIA RD
ASHEVILLE, NC 28801
Physician Assistant
111 VICTORIA RD
ASHEVILLE, NC 28801
Orthopaedic Surgery
111 VICTORIA RD
ASHEVILLE, NC 28801
Orthopaedic Surgery
111 VICTORIA RD
ASHEVILLE, NC 28801

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 Donald Gajewski's NPI number?

The NPI number for Donald Gajewski is 1851495535. It was assigned to this individual provider in the NPPES registry on September 12, 2006.

Where is Donald Gajewski located?

Donald Gajewski practices at 111 Victoria Rd, Asheville, NC 28801. The listed phone number is (828) 252-7331.

What is Donald Gajewski's specialty?

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

Is Donald Gajewski enrolled in Medicare?

Yes. Donald Gajewski 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 Donald Gajewski accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, AmeriHealth Caritas Next and Blue Cross and Blue Shield of NC and 1 other insurer list Donald Gajewski 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 Donald Gajewski affiliated with any hospitals?

According to CMS data, Donald Gajewski is affiliated with Memorial Mission Hospital And Asheville Surgery Ce and Margaret R Pardee Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Donald Gajewski was last updated on August 24, 2017. 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.