Doctor profile · Federal record
Dr. Frank Gwathmey, M.D.
Sports Medicine (Orthopaedic Surgery) Physician (CMS: Orthopedic Surgery) · Orthopaedic Surgery Physician · Charlottesville, VA
- NPI 1528261229
- Accepts Medicare
- MIPS 79.4 / 100 · 2023
- 19 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
2800 Ivy RD
Charlottesville, VA 22903
(434) 243-3600
fax (434) 244-4454 - Additional location
-
1215 Lee St
Charlottesville, VA 229080816
(434) 924-0211 - Mailing address
-
Po Box 9007
Charlottesville, VA 229069007
Credentials & registration
- NPI registered
- June 2007 — 19 yrs on file
- Profile last updated
- August 9, 2023
- Year of graduation
- 2007 — 19 yrs since
- Specialty taxonomy
- 207XX0005X — NUCC code
- State licenses (2)
- Virginia #0101254551 · Virginia #0101027381
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1528261229. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
160
Distinct HCPCS
5
Medicare allowed
$12,136
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 55 | 49 | $65 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 42 | 40 | $97 | |
20610 |
Aspiration and/or injection of fluid from large joint | 33 | 30 | $44 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 18 | 18 | $82 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 12 | 12 | $132 |
In context: peer comparison
Among 4 peers in this city , average services per provider: 106. This provider delivers 1.5× the peer median.Open Payments
Industry payments received
All-time total
$5,677
Transactions
22
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Stryker Corporation | 21 | $5,640.00 | |
| Fortis Surgical, LLC | 1 | $37.33 |
By nature of payment
Hospital affiliations
Frequently asked questions
What is Dr. Frank Gwathmey's medical specialty?
Dr. Frank Gwathmey practices Sports Medicine (Orthopaedic Surgery) Physician in Charlottesville, VA.
Where does Dr. Frank Gwathmey practice?
Dr. Frank Gwathmey practices at 2800 Ivy RD, Charlottesville, VA 22903. Office phone: 4342433600.
What is Dr. Frank Gwathmey's NPI?
Dr. Frank Gwathmey's National Provider Identifier (NPI) is 1528261229, issued by NPPES.
Does Dr. Frank Gwathmey accept Medicare assignment?
Yes. Dr. Frank Gwathmey accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Frank Gwathmey commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213); Established patient office or other outpatient visit (HCPCS 99214); Aspiration and/or injection of fluid from large joint (HCPCS 20610). Source: CMS Medicare Physician & Other Practitioners file.