Peter J Gruca, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

001015 Issued in CT

Practice address

71 Haynes St
Suite 1209
Manchester, CT 06040-4131

Phone

(860) 533-6595

NPI assigned

Mar 20, 2006

Last updated

Oct 30, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orthovirginia IncGroup PAC ID 0547157224, 570 clinicians

Columbia Healthcare of Central Virginia IncGroup PAC ID 9234118340, 34 clinicians

Chippenham and Johnston-Willis Sports Medicine, LLCGroup PAC ID 5698711356, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• CJW Medical Center Hospital, Richmond, VA, CCN 490112

Merit-based Incentive Payment System (MIPS)

Final score

90.85 of 100Reported as group

Quality

90.74

Promoting interoperability

100

Improvement activities

40

Cost

78.74

Merit-based Incentive Payment System (MIPS)

Final score

86.71 of 100Reported as group

Quality

73.52

Promoting interoperability

99

Improvement activities

40

Cost

75.29

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Chippenham and Johnston-Willis Sports Medicine, LLC

  • Sports Medicine (Family Medicine) Physician
  • North Chesterfield, VA
  • NPI 1740229608
  Medicare reassignment Care Compare group
• Columbia Healthcare of Central Virginia Inc

  dba dba Richmond Specialty Group

  • Plastic Surgery Physician
  • Richmond, VA
  • NPI 1417946450
  Medicare reassignment Care Compare group
• Orthovirginia Inc

  • Multi-Specialty Clinic/Center
  • Mechanicsville, VA
  • NPI 1487671822
  Medicare reassignment Care Compare group
• Orthovirginia, Inc

  dba West End Orthopaedic Clinic

  • Multi-Specialty Clinic/Center
  • North Chesterfield, VA
  • NPI 1154422939
  NPD
• Orthovirginia, Inc

  • Physical Medicine & Rehabilitation Physician
  • Arlington, VA
  • NPI 1376411413
  NPD
• Sports Medicine and Orthopedic Surgery

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Tolland, CT
  • NPI 1467745679
  NPD (past)
• Orthovirginia, Inc.

  dba West End Orthopaedic Clinic, Inc

  • Multi-Specialty Clinic/Center
  • North Chesterfield, VA
  • NPI 1265470645
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Chippenham & Johnston-Willis Hospitals Inc

  dba CJW Medical Center

  • General Acute Care Hospital
  • Richmond, VA
  • NPI 1598708513
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604016000000",
    "number": "1659330595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 HAYNES ST",
            "address_2": "SUITE 1209",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060404131",
            "telephone_number": "860-533-6595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 HAYNES ST",
            "address_2": "SUITE 1209",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060404131",
            "telephone_number": "860-533-6595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15564 Westchester Commons Way",
            "address_purpose": "LOCATION",
            "city": "Midlothian",
            "state": "VA",
            "postal_code": "231137321",
            "country_code": "US",
            "telephone_number": "804-440-4878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRUCA",
        "first_name": "PETER",
        "middle_name": "J",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-20",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CT",
            "license": "001015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pgruca27660@direct.orthovirginia.com",
            "affiliation": "N",
            "endpointDescription": "Dr. Gruca direct address",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "secure messaging",
            "address_1": "15564 Westchester Commons Way",
            "city": "Midlothian",
            "state": "VA",
            "country_code": "US",
            "postal_code": "231137321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lisa Nicola Griffiths, LMFT
• Cynthia M Grindle, APRN
• Benjamin J Grippo
• Kate Grochmal
• Growing Success Child & Family Therapy, LLC
• Ladylanis Del Carmen Grullon Cepeda, LPC
• Joseph J Guardino II, MD
• Kaitlyn Marie Guardino, M.D.
• Michael Guibord, LPCC
• Karyn Ann Guilmain, APRN

• Surgical Physician Assistant in Manchester, CT
• Providers in Manchester, CT by specialty
• Surgical Physician Assistant in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.