Toby Gropen, MD
NPI 1396707832 · Neurology Physician · Birmingham, AL
Enrolled with Medicare as Practitioner - Neurology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Toby Gropen, MD is a Neurology Physician provider in Birmingham, AL (NPI 1396707832).
Provider details
- NPI number
- 1396707832
- Entity type
- Individual
- Primary specialty
- Neurology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 34032 (AL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
203 Medicare services, 2024 (ranked within specialty)
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) |
|---|---|---|
| Ultrasound of Both Sides of Head and Neck Blood Flow93880 | 44 | $35 |
| Critical Care, First 30-74 Minutes99291 | 38 | $194 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 29 | $15 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 24 | $108 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 20 | $89 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 6 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Rosuvastatin Calcium | 41 | 13 |
| Ezetimibe | 27 | — |
| Atorvastatin Calcium | 18 | 12 |
| Cilostazol | 17 | — |
| Apixabanbrand: Eliquis | 11 | — |
| Levetiracetam | 11 | — |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means , never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Additional practice locations (2)
- 2000 6th Ave SBirmingham, AL 35233-2110Phone: (205) 975-8569
- 1514 Jefferson HwyNew Orleans, LA 70121-2429Phone: (504) 842-3980
Registry dates
- Enumerated
- 2006-04-03
- Last updated
- 2023-06-29
Frequently asked questions
- What is Toby Gropen's NPI number?
- Toby Gropen's National Provider Identifier (NPI) is 1396707832, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Toby Gropen's specialty?
- Toby Gropen is listed in the NPPES registry with a primary specialty of Neurology Physician (Allopathic & Osteopathic Physicians).
- Where is Toby Gropen located?
- Toby Gropen's practice location on file with NPPES is 619 19th St S, Birmingham, AL 35249.
- What is Toby Gropen's phone number?
- The practice phone number listed in the NPPES registry for Toby Gropen is (205) 934-4011.
- Does Toby Gropen accept Medicare?
- Toby Gropen is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Toby Gropen's NPI active?
- Yes — Toby Gropen's NPI (1396707832) is active in the NPPES registry as of the last update on 2023-06-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.