Edward Gronka, M.D.
NPI 1306838099 · Plastic Surgery Physician · Fayetteville, GA
Enrolled with Medicare as Practitioner - Plastic and Reconstructive Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Edward Gronka, M.D. is a Plastic Surgery Physician provider in Fayetteville, GA (NPI 1306838099).
Provider details
- NPI number
- 1306838099
- Entity type
- Individual
- Primary specialty
- Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 035431 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
42 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 26 | $89 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 16 | $108 |
Typical Medicare-allowed amounts for these services range $89–$108 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 10 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Cephalexin | 55 | 46 |
| Ondansetron Hcl | 45 | 38 |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 40 | 28 |
| Oxycodone Hcl/Acetaminophenbrand: Oxycodone-Acetaminophen | 27 | 23 |
| Ketorolac Tromethamine | 26 | 24 |
| Metoclopramide Hcl | 19 | 18 |
| Famotidine | 17 | 16 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$3,224 across 40 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-08-18
- Last updated
- 2007-08-28
Frequently asked questions
- What is Edward Gronka's NPI number?
- Edward Gronka's National Provider Identifier (NPI) is 1306838099, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Edward Gronka's specialty?
- Edward Gronka is listed in the NPPES registry with a primary specialty of Plastic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Edward Gronka located?
- Edward Gronka's practice location on file with NPPES is 874 W Lanier Ave, Fayetteville, GA 30214-1511.
- What is Edward Gronka's phone number?
- The practice phone number listed in the NPPES registry for Edward Gronka is (770) 461-4000.
- Does Edward Gronka accept Medicare?
- Edward Gronka is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Edward Gronka's NPI active?
- Yes — Edward Gronka's NPI (1306838099) is active in the NPPES registry as of the last update on 2007-08-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.