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.

IndividualActiveAccepts Medicare

Edward Gronka, M.D.

NPI 1306838099 · Plastic Surgery Physician · Fayetteville, GA

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)

Practice location

874 W Lanier Ave

One Prestige Park Suite 100

Fayetteville, GA 30214-1511

Phone: (770) 461-4000

Fax: (770) 461-2790

Street-level locationGet directions

More GA providers

Mailing address

874 W Lanier Ave

Fayetteville, GA 30214-1511

Specialties & taxonomies

Plastic Surgery PhysicianPrimary208200000XLicense 035431 (GA)
Allopathic & Osteopathic Physicians

Enrolled with Medicare as Practitioner - Plastic and Reconstructive Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)

Profile Score

Established profile(70/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure25% of score
21 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 methodology.

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.

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.

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

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)

Provider details

Practice location

Mailing address

Specialties & taxonomies

Profile Score

What this provider does (Medicare)

What this provider prescribes (Medicare Part D)

Transparency — industry payments

Registry dates

Frequently asked questions

Specialties & taxonomies

Frequently asked questions

Profile Score

What this provider does (Medicare)

What this provider prescribes (Medicare Part D)

Transparency — industry payments