Dr. David P. Gruber , MD
Neurological Surgery โข Spokane, WA
105 W 8th Ave, Suite 200
Spokane, WA 992042302
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Dr. David Gruber is listed in NPPES under Neurological Surgery.
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NPI assigned on June 3, 2006; this date does not establish years in practice.
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Published CMS data list 364 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99204 โ New patient outpatient office visit: 66 service units.
- 99214 โ Established patient outpatient office visit: 44 service units.
- 99232 โ Subsequent hospital care with moderate levelof medical decision making: 42 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 14 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 25 Medicare Part D prescriptions, including refills, in 2013.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2013. Published rows only; this is not a quality measure.
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Published Part D records, 2013:
- Methocarbamol โ 13 prescription fills, including refills.
- Gabapentin โ 12 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2013. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See the full table ยท Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 70% of clinicians listed under Neurological Surgery in Spokane, WA (2024, 12 clinicians with data). Median for this group: 231. Middle half: 121 to 378.
More Medicare Part B services than 75% of clinicians listed under Neurological Surgery in Washington (2024, 101 clinicians with data). Median for this group: 216. Middle half: 105 to 328.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 404 in 2020 to 364 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2024.
Practice Location & Contact Primary Location
105 W 8th Ave
Suite 200
Spokane, WA 992042302
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 1 group name: Providence Health And Services Washington. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
Oregon Health Sciences University School Of Medicine
1992
What Public CMS Data Show
Neurological Surgery: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
163 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $113,033 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
Paid by Medicare
About $87,967 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
30-day fills
26 standardized 30-day fills in 2013
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$225 in 2013
The total cost of these prescriptions in 2013, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2013.
Industry payments (Open Payments)
Fewer than 11 payment records totaling $316.80 in 2023
Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.
It shows reported financial ties between this clinician and companies. You can ask your clinician about them.
These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.
General: payments not tied to research, such as meals, travel, consulting or speaking fees.
A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.
Source: CMS Open Payments, program year 2023.
Years since graduation
34 years (graduated 1992)
CMS Doctors and Clinicians data list 1992 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2006
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Gruber has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Gruber as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Spokane and Washington
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 70% of clinicians listed under Neurological Surgery in Spokane, WA (2024, 12 clinicians with data). Median for this group: 231. Middle half: 121 to 378.
More Medicare Part B services than 75% of clinicians listed under Neurological Surgery in Washington (2024, 101 clinicians with data). Median for this group: 216. Middle half: 105 to 328.
Medicare-allowed amount
A higher Medicare-allowed amount than 70% of clinicians listed under Neurological Surgery in Spokane, WA (2024, 12 clinicians with data). Median for this group: $45,617. Middle half: $16,407 to $117,517.
A higher Medicare-allowed amount than 85% of clinicians listed under Neurological Surgery in Washington (2024, 101 clinicians with data). Median for this group: $46,322. Middle half: $14,691 to $83,750.
Paid by Medicare
A higher Medicare payment amount than 70% of clinicians listed under Neurological Surgery in Spokane, WA (2024, 12 clinicians with data). Median for this group: $34,959. Middle half: $12,660 to $91,309.
A higher Medicare payment amount than 85% of clinicians listed under Neurological Surgery in Washington (2024, 101 clinicians with data). Median for this group: $35,269. Middle half: $10,947 to $65,100.
Medicare Part D
Comparisons use 2024 data. The latest CMS data for Dr. Gruber are from 2013.
17 active clinicians are listed under Neurological Surgery with a practice address in Spokane, WA (232 in Washington).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Spokane
23.5% of these 17 clinicians have the CMS telehealth indicator.
64.7% of these 17 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services decreased 10% from 404 in 2020 to 364 in 2024.
- 2020: 404
- 2021: 432
- 2022: 351
- 2023: 393
- 2024: 364
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Medicare-allowed amount
Medicare-allowed amount decreased 10% from $125,372 in 2020 to $113,033 in 2024.
- 2020: $125,372
- 2021: $124,501
- 2022: $106,929
- 2023: $107,272
- 2024: $113,033
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Paid by Medicare
Paid by Medicare decreased 11% from $99,239 in 2020 to $87,967 in 2024.
- 2020: $99,239
- 2021: $97,374
- 2022: $83,875
- 2023: $84,189
- 2024: $87,967
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Medicare Part D prescriptions
CMS data for Part D prescriptions are available for 2013 only.
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30-day fills
CMS data for 30-day fills are available for 2013 only.
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Part D drug cost
CMS data for Part D drug cost are available for 2013 only.
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $70.88 in 2020 to $316.80 in 2023.
- 2020: $70.88
- 2021: $365.02
- 2022: $2,839.86
- 2023: $316.80
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2013), CMS Open Payments (2023), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2023 (payments made January 1 โ December 31, 2023): fewer than 11 records totaling $316.80.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Globus Medical, Inc. |
Travel and Lodging
In-kind items and services
|
MARS Anterior Retractor | General | $316.80 |
Source: CMS Open Payments, program year 2023, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2017โ2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
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66 | 66 | $508.00 | $163.99 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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44 | 37 | $391.00 | $126.56 |
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99232
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
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42 | 22 | $241.00 | $77.09 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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31 | 30 | $276.00 | $90.68 |
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63047
Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment
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28 | 28 | $3462.71 | $814.77 |
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22853
Insertion of cage or mesh device to spine bone and disc space during spine fusion
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24 | 17 | $790.00 | $246.80 |
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63048
Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment
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23 | 14 | $644.00 | $201.52 |
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99222
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
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23 | 23 | $396.00 | $127.53 |
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61783
Computer-assisted spinal procedure
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18 | 18 | $711.00 | $220.74 |
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22612
Fusion of spine in lower back
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17 | 17 | $4886.00 | $1498.66 |
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22558
Fusion of lower spine bone through abdomen with partial removal of disc
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13 | 13 | $2941.25 | $501.17 |
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99215
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
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13 | 12 | $546.00 | $179.59 |
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22840
Placement of stabilizing device to back of 1 spine bone in neck
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11 | 11 | $2318.00 | $723.22 |
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22842
Placement of stabilizing device to back, 3-6 spine bone segments
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11 | 11 | $2336.00 | $730.15 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2013.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Methocarbamol | Methocarbamol | 13 | 180 | $104.97 | 11 |
| Gabapentin | Gabapentin | 12 | 400 | $119.67 | โ |
Source: CMS Part D by Provider and Drug, 2013; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 207T00000X
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - NEUROSURGERY
I20041229000847
WA
5597666776
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Providence Health And Services Washington
1200 E Columbia Ave, Colville, WA 991143354
Phone: 5096843701
Providence Health And Services Washington
101 W 8th Ave, Spokane, WA 992042307
Providence Health And Services Washington
105 W 8th Ave, Spokane, WA 992042318
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Nurse Practitioner
Registered Nurse
Physical Medicine & Rehabilitation
Doctor of Medicine (M.D.)
Nurse Practitioner
Advanced Registered Nurse Practitioner
Physician Assistant
Physician Assistant (Certified)
Neurological Surgery
Doctor of Medicine (M.D.)
Neurological Surgery
Career & Practice History
NPI enumerated June 03, 2006.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.
NPI Administrative Meta
Other Neurological Surgery Specialists in Spokane
- Dr. Kunal Shah, MD
- Dr. Alexander Mackay, MD
- Dr. Benjamin Ling, MD
- Dr. Yiping Li, MD
- Dr. Allan Heller, MD
- Dr. Amitoz Manhas, MD
Mailing Address
105 W 8th Ave, Suite 200
Spokane, WA 992042302
Phone: 5096249112