DR. NICHON L GRUPKA MD
NPI 1912973926
Pathology - Anatomic Pathology & Clinical Pathology in Winston Salem, NC

Q: What is Nichon Grupka's NPI number?

The NPI number for Nichon Grupka is 1912973926. It was assigned to this individual provider in the NPPES registry on February 28, 2006.

Q: What is Nichon Grupka's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Q: When was this NPI record last updated?

The NPPES record for Nichon Grupka was last updated on March 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 February 28, 2006PECOS EnrolledAccepts Medicare Assignment

94.7/100

CMS Quality Rating

3333 SILAS CREEK PKWY, FMC, DEPT OF PATHOLOGY, WINSTON SALEM, NC 27103(336) 718-5856(336) 718-9259 Get Directions Write a Review

NPPES record last updated: March 28, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 10, 2016, Sep 2, 2016 (2 updates tracked since 2016).

On this page

About Dr. Nichon L Grupka Md NPPES

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

DR. NICHON L GRUPKA MD (NPI 1912973926) is an individual anatomic pathology & clinical pathology provider in Winston Salem, North Carolina, licensed in Tennessee (55245) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS, is affiliated with Memorial Healthcare System, Inc, and maintains a secondary practice location in Chattanooga.

NPPES Registry Identity

NPI1912973926

Entity TypeIndividualFemale

Primary Taxonomy207ZP0102X

Provider Legal NameDR. NICHON L GRUPKACredential: MD

Location Address3333 SILAS CREEK PKWY, FMC, DEPT OF PATHOLOGYWinston Salem, NC 27103-3013

Mailing Address3333 Silas Creek Pkwy, Fmc, Dept Of PathologyWinston Salem, NC 27103-3013 · (336) 718-5856 · Fax (336) 718-9259

Phone(336) 718-5856

Fax(336) 718-9259

Sole ProprietorNo

Medical School CMSOtherGraduated 2000

Enumeration DateFebruary 28, 2006

Last NPPES UpdateMarch 28, 20242 updates tracked since enumeration

NPPES CertifiedMarch 28, 2024

✔ NPI 1912973926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0102X

Licenses✔ Licensed in TN · 55245✔ Licensed in CA · A81931

Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

3333 SILAS CREEK PKWY, Winston Salem, NC 27103

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Secondary Practice Location 1

Location 11651 Gunbarrel Rd Ste 102AChattanooga, TN 37421-3289 · Phone (423) 468-1543 · Fax (423) 308-0393

Other Identifiers 1

Medicaid5903698NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia 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. Nichon L Grupka 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 ID7810992450

PECOS Enrollment IDI20170515001133

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 35

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.

Immunologic analysis technique on serum 86320

An immunologic analysis technique on serum is a lab test that checks your blood for certain substances. These substances, mostly proteins, can tell doctors a lot about your health, including whether you have certain diseases or conditions.

2,351 services1,512 patients

Immunologic analysis technique on serum (immunofixation) 86334

Immunofixation is a lab test that helps identify proteins called immunoglobulins in your blood serum. These proteins are part of your immune system. Changes in their levels can indicate certain diseases. The test is simple and only requires a blood sample.

2,069 services1,323 patients

Pathology examination of tissue using a microscope, intermediate complexity 88305

A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.

683 services303 patients

Special stained specimen slides to examine tissue including interpretation and report 88313

Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.

528 services123 patients

Special stained specimen slides to examine tissue, each additional procedure 88341

Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.

479 services101 patients

Pathology examination of tissue using a microscope, intermediate complexity 88305

286 services161 patients

Special stained specimen slides to examine tissue, each additional procedure 88341

202 services74 patients

Microscopic genetic analysis of tumor, manual 88360

Microscopic genetic analysis of a tumor involves examining your tumor's genes under a microscope. This helps identify specific genetic changes in the tumor cells. This information can aid in diagnosing, predicting disease progression, and determining the most effective treatment options.

162 services125 patients

Special stained specimen slides to examine tissue, initial procedure 88342

This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.

158 services143 patients

Special stained specimen slides to examine tissue including interpretation and report 88313

140 services54 patients

Evaluation of fine needle aspirate with interpretation and report 88173

This procedure involves using a thin needle to collect a small sample from an abnormal area or lump. The sample is then examined under a microscope to identify any potential issues. A report of the findings is provided for further analysis.

137 services52 patients

Preparation of tissue for examination by removing any calcium present 88311

This procedure involves treating tissue samples to remove any calcium, which can interfere with the examination. The tissue is soaked in a special solution that safely dissolves the calcium, leaving the tissue intact for accurate analysis. This helps in making precise diagnoses.

124 services121 patients

Bone marrow, smear interpretation 85097

Bone marrow smear interpretation is a procedure where a small sample of your bone marrow is taken and examined under a microscope. This helps doctors identify any abnormal cells or signs of diseases such as anemia, leukemia, or infections. It's a crucial step in diagnosing various blood disorders.

120 services118 patients

Microscopic genetic analysis of tumor, manual 88360

104 services62 patients

Pathology examination of tissue using a microscope, moderately high complexity 88307

A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.

101 services75 patients

Preparation of tissue for examination by removing any calcium present 88311

98 services93 patients

Cell examination of specimen, selective cellular enhancement technique 88112

Cell examination of a specimen using selective cellular enhancement technique is a lab process that improves the visibility of certain cells in a sample. It helps in identifying abnormalities or diseases. The process is non-invasive, safe, and aids in accurate diagnosis.

97 services65 patients

Special stained specimen slides to examine tissue, initial procedure 88342

89 services85 patients

Evaluation of fine needle aspirate 88172

Evaluation of fine needle aspirate is a diagnostic procedure where a thin needle is used to collect cells from a lump or mass. This sample is then examined under a microscope to determine the nature of the lump, whether it's benign (non-cancerous) or malignant (cancerous).

68 services27 patients

Pathology examination of tissue using a microscope, moderately low complexity 88304

A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.

54 services50 patients

Cell examination of specimen, selective cellular enhancement technique 88112

47 services43 patients

Pathology cytologic examination of specimen during surgery, initial site 88333

A pathology cytologic examination during surgery involves taking a small sample of cells from the initial site of concern. This sample is then examined under a microscope by a pathologist to check for any abnormal or disease-causing cells. This helps guide the ongoing surgical procedure.

47 services26 patients

Pathology examination of specimen during surgery, first tissue block 88331

A pathology examination during surgery involves the immediate analysis of a removed tissue sample. This helps the surgeon make decisions during your operation. The "first tissue block" refers to the initial sample examined. It's a vital step to ensure your health.

41 services21 patients

Flow cytometry technique for dna or cell analysis, 16 or more markers 88189

Flow cytometry is a method used to measure and analyze cells. It uses a beam of light to detect up to 16 or more markers on cells, helping to identify their type, function, or abnormalities. This technique aids in diagnosing various health conditions.

39 services37 patients

Special stained specimen slides to identify organisms including interpretation and report 88312

This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.

35 services18 patients

Pathology cytologic examination of specimen during surgery, each additional site 88334

A Pathology Cytologic Examination is a test performed during surgery to examine cells from an additional site in your body. This helps identify any abnormal or diseased cells. It's an important tool in diagnosing and managing various conditions.

35 services20 patients

Evaluation of fine needle aspirate with interpretation and report 88173

28 services22 patients

Bone marrow, smear interpretation 85097

26 services26 patients

Special stained specimen slides to examine tissue, each multiplex procedure 88344

Special stained specimen slides are used to study tissue in detail. This multiplex procedure involves applying different dyes to the tissue sample on a slide to highlight specific elements. These colors help identify any abnormalities in the tissue, aiding in accurate diagnosis and treatment planning.

21 services11 patients

Pathology examination of tissue using a microscope, high complexity 88309

A high complexity pathology examination involves studying body tissue under a microscope to identify any abnormalities. This intricate process helps in diagnosing various conditions and deciding on the best treatment plan.

18 services16 patients

Genetic sequencing localization, initial procedure 88365

Genetic sequencing localization is a process to identify where specific genes are located in your DNA. During the initial procedure, a sample of your cells is collected, usually through a simple swab or blood test. This data is then analyzed to pinpoint the location of certain genes. This can help understand your genetic makeup and potential health risks.

18 services16 patients

Cell examination of specimen, concentration technique 88108

Cell examination of a specimen using a concentration technique is a lab process that enhances the detection of cells in a sample. This method helps to focus on key areas of the sample, making it easier to spot abnormalities or changes. It's a crucial part of diagnosing and monitoring certain health conditions.

16 services12 patients

Protein measurement, serum 84165

A serum protein measurement is a blood test that determines the levels of proteins in your blood. It is used to evaluate your overall health, and diagnose nutritional problems, kidney disease, liver disease, or immune disorders.

13 services13 patients

Blood smear interpretation by physician with written report 85060

Blood smear interpretation is a lab test where your doctor examines a sample of your blood under a microscope. They look for abnormalities in your blood cells which can help diagnose various conditions. You'll receive a written report of the findings.

13 services13 patients

Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method G0416

This procedure involves taking a small tissue sample from your gland located beneath your bladder. The sample is then examined under a microscope by a pathologist to check for any abnormalities or diseases. This is a standard method to ensure your well-being.

13 services13 patients

Hospital Affiliations CMS Care Compare

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

Memorial Healthcare System, Inc

Acute Care Hospitals · Chattanooga, TN

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number440091

Location2525 Desales AveChattanooga, TN 37404 · Hamilton County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27103 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.

94.7/100

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

Scored through an Alternative Payment Model

Quality

89.41

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.

BROOKE WILLIAMS DO

Hospitalist

3333 SILAS CREEK PKWY
WINSTON SALEM, NC 27103

Forsyth County (336) 718-8383

BONNIE LYNN GAUDIN PA

Physician Assistant (Medical)

3333 SILAS CREEK PKWY, EMERGENCY DEPARTMENT
WINSTON SALEM, NC 27103

Forsyth County (336) 275-3325

RALPH DENTON UPDYKE JR. PA

Physician Assistant

3333 SILAS CREEK PKWY
WINSTON SALEM, NC 27103

Forsyth County (336) 718-7041

DR. DENNIS WARREN ROSS MD

Pathology (Hematology)

3333 SILAS CREEK PKWY
WINSTON-SALEM, NC 27103

Forsyth County (336) 718-3737

MR. KYLE TIMOTHY ROBERTS PA

Physician Assistant

3333 SILAS CREEK PKWY
WINSTON SALEM, NC 27103

Forsyth County (336) 718-7080

JUAN CARLOS VARELA M.D., PHD

Internal Medicine (Hematology)

3333 SILAS CREEK PKWY
WINSTON SALEM, NC 27103

Forsyth County (336) 718-5570

DR. MARIE HUFFMASTER THOMAS FNP-C

Nurse Practitioner (Family)

3333 SILAS CREEK PKWY
WINSTON SALEM, NC 27103

Forsyth County (336) 718-5000

DEBORAH KRIST POTTICARY

Nurse Practitioner

3333 SILAS CREEK PKWY
WINSTON SALEM, NC 27103

Forsyth County (336) 718-7041

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 Nichon Grupka's NPI number?

The NPI number for Nichon Grupka is 1912973926. It was assigned to this individual provider in the NPPES registry on February 28, 2006.

Where is Nichon Grupka located?

Nichon Grupka practices at 3333 Silas Creek Pkwy FMC, Dept Of Pathology, Winston Salem, NC 27103. The listed phone number is (336) 718-5856.

What is Nichon Grupka's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Nichon Grupka enrolled in Medicare?

Yes. Nichon Grupka 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 Nichon Grupka accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Nichon Grupka 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 Nichon Grupka affiliated with any hospitals?

According to CMS data, Nichon Grupka is affiliated with Memorial Healthcare System, Inc.

When was this NPI record last updated?

The NPPES record for Nichon Grupka was last updated on March 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.