Physician Profile
Based in Birmingham, AL, Toby Gropen, MD is listed in the NPI registry under neurology. Toby graduated from University of Texas Medical School at San Antonio in 1987. According to Medicare claims data, Toby cared for 164 Medicare patients across 203 services. The services billed most often include ultrasound of both sides of head and neck blood flow, critical care, first 30-74 minutes, and 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'.
Summarised automatically from public NPI registry and CMS Medicare data. Not written or reviewed by this provider. Claim this profile to replace it.
License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.
Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.
619 19TH ST S
Birmingham, AL 35249
1514 Jefferson Hwy
New Orleans, LA 70121
2000 6th Ave S
Birmingham, AL 35233
Within Neurology generally. Availability varies by clinician, training and location — this profile has not been claimed, so nothing here is a personal claim by the provider.
Most searched conditions
Headache and facial pain
Memory and cognition
Movement disorders
Neuromuscular and peripheral nerve
Seizures and epilepsy
Stroke and vascular
Brain & Spine
Brain tumors
Head & Facial Pain
Memory & Cognitive
Movement Disorders
Nerve Compression
Sleep & Movement
Spine and nerve
Spine, brain injury, and functional
Most searched procedures
Consultation and testing
Consultations & Exams
Consultations and exams
Device management
Diagnostic Testing
Infusion and medical therapies
Infusions & Therapies
Injections & Pain Relief
Medication Management
Neuromodulation
Office procedures
Trauma & Injury
203 services · 164 patients · 8 distinct codes
| Procedure | Type | Code | Services | Compared with peers |
|---|---|---|---|---|
| Ultrasound of both sides of head and neck blood flow | Treatment | 93880 |
44 | As often as other peers in Neurology |
| Critical care, first 30-74 minutes | Office visit | 99291 |
38 | As often as other peers in Neurology |
| 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' | Billing code | G2211 |
29 | |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | Office visit | 99233 |
24 | |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | Office visit | 99232 |
20 | |
| Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | Office visit | 99214 |
20 | |
| Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | Office visit | 99223 |
15 | |
| Hospital discharge day management, 30 minutes or less | Office visit | 99238 |
13 |
Source: CMS Medicare public data. Shows how often procedures were billed — not quality of care or patient satisfaction.
Dr. Gropen is a neurologist in Birmingham, AL. That is the designation recorded for this NPI in the federal registry, where it is listed as “Neurology”.
NPI registry
Dr. Gropen is listed at 619 19Th St S, Birmingham, AL 35249. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
The number on file is (205) 934-4011. Guide.md cannot book appointments or pass on messages — please call the office directly.
NPI registry
Dr. Gropen's National Provider Identifier is 1396707832. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
Dr. Gropen attended University of Texas Medical School at San Antonio, graduating in 1987. This comes from the CMS National Downloadable File.
CMS public data
Dr. Gropen has 39 years experience. Calculated from a graduation year of 1987, reported in the CMS National Downloadable File.
CMS public data
According to Medicare billing data, Dr. Gropen provides treatments such as ultrasound of both sides of head and neck blood flow, alongside routine visits and testing. This reflects Medicare patients only and is billing volume, not a measure of quality.
Medicare claims
Not yet. This profile is built from public federal data and has not been confirmed by Dr. Gropen. If this is you, claiming it is free.
Guide.md
Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.