Active NPI 1053392597 Individual Practitioner Male Practitioner

Dr. Gary Joseph Gretch , MD

Internal Medicine • Bremerton, WA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Gary Gretch, MD is a certified Internal Medicine practicing in Bremerton, WA. With approximately 39 years of clinical experience since graduating from Washington University School Of Medicine in 1987, Dr. Gretch delivers high-quality medical care to the local community at 2601 CHERRY AVE STE 215.

Dr. Gretch maintains professional affiliations with Olympic Internal Medicine, Inc., P.S., Franciscan Medical Group and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2601 Cherry Ave Ste 215

Bremerton, WA 983104203

Telephone 3603773923

Fax 3603734988

Associated Practice Facility / Clinic

🏢 Olympic Internal Medicine, Inc., P.s. Facility NPI 1861624876

Medicare Profile & Education

Medical School

Washington University School Of Medicine

Graduation Year

1987

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Bremerton, WA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

39 Yrs +10.5 yrs vs City Avg

City Avg: 28.5 Yrs

State Avg: 23.4 Yrs

Regional Practice Density

33 Specialists

Practicing in Bremerton, WA (3169 Statewide)

Telehealth Adoption Rate

18.2% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

8.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gretch (39 Years) 39 Yrs

Bremerton Specialty Average (28.5 Years) 28.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,503	784	$136.01	$126.75
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	672	476	$23.72	$7.89
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	667	667	$134.25	$129.03
99454 Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days	228	21	$64.00	$48.19
99213 Established patient office or other outpatient visit, typically 15 minutes	225	189	$95.88	$89.08
G2211 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's	224	207	$17.20	$16.01
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	120	12	$64.00	$62.30
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes	118	18	$52.00	$48.95
69210 Removal of impacted ear wax	60	56	$54.43	$46.90
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	51	43	$186.82	$179.83
99458 Remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver; each additional 20 minute	50	11	$43.00	$39.13
93000 Routine ekg using at least 12 leads including interpretation and report	42	39	$21.00	$14.29
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	41	37	$55.00	$53.81
99496 Transitional care management services for problem of high complexity	34	31	$284.59	$272.70
99497 Advance care planning, first 30 minutes	34	32	$88.21	$80.83
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	27	17	$43.00	$42.18
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	26	25	$24.69	$22.50
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	20	$58.00	$56.61
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	18	17	$23.39	$7.66
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	18	18	$223.00	$218.65
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	16	16	$181.13	$163.50
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	15	15	$170.00	$164.31
93242 Heart rhythm recording continous external ekg over more than 48 hours up to 7 days	11	11	$20.00	$12.20
93244 Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days	11	11	$30.00	$22.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,623	891	$135.66	$126.67
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	828	611	$23.47	$7.97
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	747	747	$134.17	$128.43
99454 Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days	390	47	$64.00	$50.67
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes	323	41	$52.00	$48.54
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	164	18	$64.00	$62.02
99213 Established patient office or other outpatient visit, typically 15 minutes	127	113	$95.48	$88.67
99497 Advance care planning, first 30 minutes	79	77	$87.00	$81.66
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	74	17	$49.00	$47.05
69210 Removal of impacted ear wax	67	60	$55.16	$46.09
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	65	60	$187.86	$176.30
99458 Remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver; each additional 20 minute	56	12	$43.00	$39.25
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	52	18	$27.00	$14.32
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	50	18	$5.00	$2.03
93000 Routine ekg using at least 12 leads including interpretation and report	48	48	$21.00	$14.44
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	44	40	$55.00	$52.33
99496 Transitional care management services for problem of high complexity	44	43	$282.00	$276.20
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	32	32	$176.00	$163.87
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	27	27	$226.67	$211.79
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	26	16	$43.73	$41.50
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	21	21	$23.43	$7.79
81003 Automated urinalysis test	18	16	$5.17	$2.20
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	18	18	$170.00	$155.09
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	12	12	$24.00	$23.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	2,041	27	$21.26	$21.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,710	941	$135.88	$127.58
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	980	724	$24.00	$8.16
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	796	796	$134.37	$130.97
99454 Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days	619	57	$64.05	$55.85
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes	448	47	$52.06	$49.71
93793 Anticoagulant management of patient taking warfarin	396	52	$13.02	$11.31
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	289	46	$61.65	$60.93
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	267	49	$27.00	$14.43
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	228	23	$5.00	$1.71
85610 Blood test, clotting time	216	47	$7.02	$4.25
99213 Established patient office or other outpatient visit, typically 15 minutes	140	128	$95.01	$90.08
99497 Advance care planning, first 30 minutes	93	88	$87.44	$83.70
69210 Removal of impacted ear wax	91	85	$54.29	$46.94
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	63	50	$24.14	$23.20
99458 Remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver; each additional 20 minute	57	16	$43.00	$40.41
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	54	45	$55.00	$53.09
93000 Routine ekg using at least 12 leads including interpretation and report	53	50	$21.23	$14.18
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	51	48	$188.65	$173.93
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	47	47	$181.23	$166.98
G0009 Administration of pneumococcal vaccine	45	45	$29.82	$29.00
99496 Transitional care management services for problem of high complexity	43	36	$281.44	$278.15
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	43	43	$223.00	$221.11
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	39	13	$48.31	$47.10
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	35	35	$24.00	$8.16
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	30	20	$42.00	$41.00
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	27	27	$169.67	$167.05
93242 Heart rhythm recording continous external ekg over more than 48 hours up to 7 days	21	19	$20.00	$14.55
93244 Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days	21	19	$30.00	$24.33
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	19	19	$135.79	$130.47
36415 Insertion of needle into vein for collection of blood sample	19	18	$4.00	$2.97
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	18	18	$270.00	$265.65
99443 Telephone medical discussion with physician, 21-30 minutes	13	12	$128.77	$127.34
99495 Transitional care management services for problem of at least moderate complexity	13	13	$213.31	$188.93
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$58.00	$56.80
81003 Automated urinalysis test	11	11	$5.00	$2.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	2,400	27	$20.50	$20.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,447	871	$131.91	$129.09
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	754	591	$24.00	$8.28
99454 Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days	725	121	$64.04	$63.95
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	702	125	$45.03	$41.08
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	672	672	$125.29	$124.29
93793 Anticoagulant management of patient taking warfarin	554	72	$13.00	$11.49
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes	505	81	$52.05	$50.98
85610 Blood test, clotting time	349	69	$7.00	$4.29
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	316	56	$27.35	$14.33
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	276	30	$5.00	$1.97
81003 Automated urinalysis test	145	101	$5.08	$2.22
99213 Established patient office or other outpatient visit, typically 15 minutes	141	127	$94.40	$90.26
99453 Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment	91	89	$20.00	$19.37
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	72	67	$24.50	$22.93
69210 Removal of impacted ear wax	67	64	$54.39	$48.03
99458 Remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver; each additional 20 minute	67	25	$43.00	$41.08
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	64	63	$186.45	$182.41
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	54	54	$179.04	$168.92
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	48	24	$40.00	$37.57
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	47	44	$55.00	$53.45
93000 Routine ekg using at least 12 leads including interpretation and report	44	44	$21.27	$14.94
99496 Transitional care management services for problem of high complexity	42	40	$249.00	$249.00
G0009 Administration of pneumococcal vaccine	41	40	$27.24	$17.19
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	39	39	$24.00	$8.31
36415 Insertion of needle into vein for collection of blood sample	38	37	$4.11	$2.93
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	28	28	$130.00	$124.85
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	27	27	$211.44	$211.44
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	24	15	$42.00	$41.53
99442 Telephone medical discussion with physician, 11-20 minutes	21	19	$80.81	$80.68
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	21	21	$169.57	$160.99
99495 Transitional care management services for problem of at least moderate complexity	20	20	$189.00	$189.00
99497 Advance care planning, first 30 minutes	18	17	$87.00	$85.36
93244 Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days	16	14	$30.00	$24.69
93242 Heart rhythm recording continous external ekg over more than 48 hours up to 7 days	16	14	$20.00	$15.47
0012A Adm sarscov2 100mcg/0.5ml2nd	16	16	$40.00	$40.00
0011A Adm sarscov2 100mcg/0.5ml1st	16	16	$40.00	$40.00
90670 Pneumococcal vaccine for injection into muscle	14	14	$240.00	$237.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	2,220	21	$19.51	$18.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,592	886	$111.93	$109.16
80053 Blood test, comprehensive group of blood chemicals	1,230	784	$14.11	$10.41
80061 Blood test, lipids (cholesterol and triglycerides)	1,020	669	$20.19	$13.18
36415 Insertion of needle into vein for collection of blood sample	885	673	$4.03	$2.97
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	723	581	$24.00	$8.55
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	714	714	$120.24	$116.59
93793 Anticoagulant management of patient taking warfarin	574	71	$13.00	$11.87
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	554	467	$12.12	$7.64
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	424	60	$27.17	$14.29
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	395	342	$9.08	$6.36
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	384	41	$4.14	$1.99
83036 Hemoglobin A1C level	371	210	$15.17	$9.47
85610 Blood test, clotting time	368	65	$7.00	$4.26
81003 Automated urinalysis test	195	152	$5.03	$2.22
99213 Established patient office or other outpatient visit, typically 15 minutes	177	156	$77.66	$75.66
84443 Blood test, thyroid stimulating hormone (TSH)	168	143	$25.08	$16.70
84153 Psa (prostate specific antigen) measurement, total	101	90	$27.00	$18.30
G0009 Administration of pneumococcal vaccine	76	75	$27.26	$16.48
69210 Removal of impacted ear wax	74	69	$54.35	$48.61
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	72	72	$45.00	$42.13
82607 Cyanocobalamin (vitamin B-12) level	70	62	$23.31	$14.83
84439 Thyroxine (thyroid chemical), free	59	52	$14.00	$8.96
82306 Vitamin d-3 level	56	51	$41.43	$29.40
82728 Ferritin (blood protein) level	55	44	$21.00	$13.53
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	53	53	$177.55	$169.02
82044 Urine microalbumin (protein) analysis	52	45	$8.08	$6.19
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	52	50	$153.50	$144.89
93000 Routine ekg using at least 12 leads including interpretation and report	50	49	$21.24	$17.30
G0103 Prostate cancer screening; prostate specific antigen test (psa)	50	50	$27.28	$19.20
90670 Pneumococcal vaccine for injection into muscle	43	43	$215.95	$199.10
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	41	41	$213.71	$205.56
99442 Telephone medical discussion with physician, 11-20 minutes	40	38	$77.85	$76.07
99496 Transitional care management services for problem of high complexity	39	34	$255.21	$236.24
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	37	37	$169.92	$158.59
80048 Blood test, basic group of blood chemicals (calcium, total)	37	32	$11.11	$8.03
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	33	33	$122.76	$115.12
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	30	27	$24.30	$22.92
99497 Advance care planning, first 30 minutes	27	25	$88.52	$86.36
84154 Psa (prostate specific antigen) measurement, free	24	20	$27.00	$18.28
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	22	21	$55.00	$54.07
83550 Iron binding capacity	19	18	$14.00	$8.67
83540 Iron level	19	18	$11.00	$6.42
99495 Transitional care management services for problem of at least moderate complexity	19	18	$192.89	$187.22
0298T Review and interpretation of external EKG recording for more than 48 hours up to 21 days	18	16	$30.00	$26.99
0296T External EKG recording for more than 48 hours up to 21 days	18	16	$30.00	$26.51
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic	15	14	$15.00	$14.60
99443 Telephone medical discussion with physician, 21-30 minutes	14	13	$111.00	$110.23
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	14	14	$24.00	$8.61
82746 Folic acid level	13	12	$22.00	$14.54
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$48.92	$44.65
82565 Blood creatinine level	11	11	$9.00	$5.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	1,920	20	$19.00	$17.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,732	940	$112.02	$109.58
80053 Blood test, comprehensive group of blood chemicals	1,360	846	$14.10	$11.42
80061 Blood test, lipids (cholesterol and triglycerides)	1,124	730	$20.17	$14.47
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	1,112	841	$24.00	$8.51
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	749	749	$120.22	$118.33
93793 Anticoagulant management of patient taking warfarin	712	97	$13.00	$12.26
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	697	572	$12.09	$8.41
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	468	63	$27.06	$16.93
85610 Blood test, clotting time	449	92	$7.00	$4.28
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	437	43	$3.00	$1.80
83036 Hemoglobin A1C level	372	218	$15.19	$10.47
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	310	290	$9.11	$6.98
84443 Blood test, thyroid stimulating hormone (TSH)	217	177	$25.36	$18.16
81003 Automated urinalysis test	202	157	$5.03	$2.44
99213 Established patient office or other outpatient visit, typically 15 minutes	155	140	$76.83	$75.07
84153 Psa (prostate specific antigen) measurement, total	93	89	$27.30	$19.60
69210 Removal of impacted ear wax	90	83	$54.29	$47.87
84439 Thyroxine (thyroid chemical), free	86	76	$14.33	$9.72
G0009 Administration of pneumococcal vaccine	85	85	$27.00	$16.68
82607 Cyanocobalamin (vitamin B-12) level	84	76	$23.13	$16.41
82306 Vitamin d-3 level	82	71	$41.59	$31.60
82728 Ferritin (blood protein) level	81	62	$21.00	$14.85
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	77	77	$176.00	$172.22
82044 Urine microalbumin (protein) analysis	70	59	$8.11	$6.11
G0103 Prostate cancer screening; prostate specific antigen test (psa)	68	68	$27.00	$20.03
90670 Pneumococcal vaccine for injection into muscle	60	60	$190.00	$186.20
99496 Transitional care management services for problem of high complexity	57	49	$237.63	$235.26
80048 Blood test, basic group of blood chemicals (calcium, total)	49	42	$11.08	$9.06
93000 Routine ekg using at least 12 leads including interpretation and report	48	47	$21.25	$17.06
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	47	47	$215.72	$202.11
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	41	40	$24.00	$8.56
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	41	37	$55.68	$53.16
83540 Iron level	34	26	$11.00	$7.05
83550 Iron binding capacity	34	26	$14.00	$9.52
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	33	26	$24.00	$23.18
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	32	32	$170.00	$169.06
99495 Transitional care management services for problem of at least moderate complexity	32	32	$168.00	$166.79
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	29	27	$148.03	$147.83
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	28	28	$102.00	$99.96
82746 Folic acid level	21	20	$22.52	$15.37
0298T Review and interpretation of external EKG recording for more than 48 hours up to 21 days	17	17	$30.00	$27.02
0296T External EKG recording for more than 48 hours up to 21 days	17	17	$30.00	$26.54
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	16	16	$7.00	$4.18
84154 Psa (prostate specific antigen) measurement, free	13	12	$27.00	$20.03
82565 Blood creatinine level	11	11	$9.36	$5.14
99497 Advance care planning, first 30 minutes	11	11	$87.00	$86.35
82274 Stool analysis for blood, by fecal hemoglobin determination by immunoassay	11	11	$24.00	$17.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,836	953	$111.63	$107.07
80053 Blood test, comprehensive group of blood chemicals	1,439	873	$14.12	$12.67
80061 Blood test, lipids (cholesterol and triglycerides)	1,176	750	$20.24	$16.06
J0897 Injection, denosumab, 1 mg	1,080	12	$18.00	$15.98
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	946	727	$24.00	$8.47
93793 Anticoagulant management of patient taking warfarin	772	90	$13.00	$11.49
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	664	568	$12.18	$9.28
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	661	661	$120.34	$117.09
85610 Blood test, clotting time	623	107	$7.00	$4.75
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	515	56	$27.05	$20.63
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	497	44	$3.00	$1.96
83036 Hemoglobin A1C level	369	197	$15.23	$11.53
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	301	283	$9.08	$7.78
84443 Blood test, thyroid stimulating hormone (TSH)	239	188	$25.22	$20.33
81003 Automated urinalysis test	230	172	$5.07	$2.68
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	135	73	$23.01	$21.81
99213 Established patient office or other outpatient visit, typically 15 minutes	126	118	$76.01	$73.04
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	115	115	$176.00	$172.15
84153 Psa (prostate specific antigen) measurement, total	115	101	$27.61	$21.87
G0009 Administration of pneumococcal vaccine	97	96	$27.10	$20.37
82044 Urine microalbumin (protein) analysis	93	71	$8.00	$6.11
82728 Ferritin (blood protein) level	89	69	$21.56	$16.00
82306 Vitamin d-3 level	87	77	$41.83	$34.74
69210 Removal of impacted ear wax	87	77	$54.30	$49.08
G0103 Prostate cancer screening; prostate specific antigen test (psa)	84	84	$27.00	$22.26
82607 Cyanocobalamin (vitamin B-12) level	76	69	$23.43	$18.03
84439 Thyroxine (thyroid chemical), free	75	66	$14.09	$10.91
90670 Pneumococcal vaccine for injection into muscle	55	55	$190.95	$179.70
99496 Transitional care management services for problem of high complexity	48	45	$236.83	$233.21
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	46	46	$211.00	$208.06
93000 Routine ekg using at least 12 leads including interpretation and report	46	43	$21.00	$17.10
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	46	46	$98.28	$89.35
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	43	39	$148.00	$145.87
77080 Dxa bone density measurement of hip, pelvis, spine	42	42	$52.36	$41.49
80048 Blood test, basic group of blood chemicals (calcium, total)	41	36	$11.20	$10.01
83540 Iron level	36	30	$11.22	$7.64
83550 Iron binding capacity	36	30	$14.33	$10.31
99495 Transitional care management services for problem of at least moderate complexity	32	29	$167.94	$164.88
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	32	29	$24.00	$8.29
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	27	27	$170.00	$166.60
84154 Psa (prostate specific antigen) measurement, free	26	23	$27.54	$21.40
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	25	23	$55.00	$54.06
99497 Advance care planning, first 30 minutes	17	17	$85.00	$83.59
82565 Blood creatinine level	16	16	$9.50	$5.92
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	16	16	$7.50	$4.29
84520 Urea nitrogen level to assess kidney function	11	11	$7.27	$4.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,730	879	$110.06	$106.20
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	1,618	1,222	$24.00	$8.14
80053 Blood test, comprehensive group of blood chemicals	1,450	861	$14.10	$9.63
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	1,188	821	$12.11	$10.35
80061 Blood test, lipids (cholesterol and triglycerides)	1,130	704	$20.20	$13.19
85610 Blood test, clotting time	745	128	$7.00	$5.28
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	495	56	$27.06	$25.51
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	479	46	$3.00	$2.59
83036 Hemoglobin A1C level	371	181	$15.13	$12.92
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	297	297	$173.54	$169.38
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	267	267	$118.29	$114.79
84443 Blood test, thyroid stimulating hormone (TSH)	260	212	$25.20	$22.50
81003 Automated urinalysis test	234	180	$5.06	$2.97
99213 Established patient office or other outpatient visit, typically 15 minutes	179	165	$75.95	$70.72
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	122	79	$21.20	$20.24
84153 Psa (prostate specific antigen) measurement, total	115	108	$27.73	$23.87
82044 Urine microalbumin (protein) analysis	109	82	$8.07	$6.10
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	99	90	$148.59	$141.10
G0103 Prostate cancer screening; prostate specific antigen test (psa)	96	96	$27.00	$24.73
69210 Removal of impacted ear wax	93	83	$54.84	$48.39
G0009 Administration of pneumococcal vaccine	91	91	$27.00	$25.18
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	81	80	$24.00	$8.17
82306 Vitamin d-3 level	80	67	$41.30	$39.40
82607 Cyanocobalamin (vitamin B-12) level	65	62	$23.00	$20.27
82728 Ferritin (blood protein) level	60	50	$21.33	$18.33
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	56	56	$216.21	$201.42
80048 Blood test, basic group of blood chemicals (calcium, total)	50	39	$11.00	$8.39
90670 Pneumococcal vaccine for injection into muscle	49	49	$190.00	$176.45
84439 Thyroxine (thyroid chemical), free	48	42	$14.15	$11.75
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	46	46	$90.00	$82.43
77080 Dxa bone density measurement of hip, pelvis, spine	42	42	$54.71	$39.93
93000 Routine ekg using at least 12 leads including interpretation and report	42	41	$21.29	$16.59
99496 Transitional care management services for problem of high complexity	41	39	$235.00	$229.67
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	40	37	$55.70	$53.56
83550 Iron binding capacity	34	29	$14.18	$11.75
83540 Iron level	34	29	$11.12	$8.70
99495 Transitional care management services for problem of at least moderate complexity	24	24	$165.96	$162.57
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	23	23	$168.30	$157.35
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	22	18	$7.00	$4.77
93224 Electrocardiogram (ecg) 2-day continuous with review and report by health care professional	22	22	$101.55	$85.10
84154 Psa (prostate specific antigen) measurement, free	22	21	$28.27	$24.73
82746 Folic acid level	18	18	$22.00	$19.77
82274 Stool analysis for blood, by fecal hemoglobin determination by immunoassay	16	15	$24.00	$21.38

Medical Specialties & State Licenses

CMS Verified: 2026-05-28

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License WA MD00028724

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1067537 (WA)

Hospital & Practice Group Affiliations

Olympic Internal Medicine, Inc., P.s.

2620 Wheaton Way, Bremerton, WA 983103335

Phone: 3603773923

Franciscan Medical Group

1800 Nw Myhre Rd, Silverdale, WA 983837663

Phone: 5642401000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners

Mary Hutton Eyer , ARNP

Nurse Practitioner - Adult Health

NPI 1134488323

Advanced Registered Nurse Practitioner

Dr. Michael Steele , MD

Internal Medicine

NPI 1144283722

Doctor of Medicine (M.D.)

Dr. Major Gross , MD

Internal Medicine

NPI 1326035387

Doctor of Medicine (M.D.)

Dr. Charles Woodman , MD

Internal Medicine

NPI 1386631356

Doctor of Medicine (M.D.)

Dr. Joseph Herman , MD

Internal Medicine - Infectious Disease

NPI 1558358531

Doctor of Medicine (M.D.)

Dr. Ward Colignon , MD

Internal Medicine - Rheumatology

NPI 1568459527

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events

📍

Updated Practice Location May 28, 2026

Registered at 2601 CHERRY AVE STE 215, BREMERTON, WA 983104203 (Tel: 3603773923)

📍

Updated Business Mailing Address May 28, 2026

Registered at 2601 CHERRY AVE STE 215, BREMERTON, WA 983104203 (Tel: 3603773923)

📍

Updated Business Mailing Address April 21, 2021

Registered at 2620 WHEATON WAY, BREMERTON, WA 983103319 (Tel: 3603773923)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 21, 2021

Internal Medicine (License #MD00028724 in WA)

✅

NPI Profile Active November 12, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location November 12, 2009

Registered at 2620 WHEATON WAY, STE 1, BREMERTON, WA 983103335 (Tel: 3603773923)

📍

Updated Business Mailing Address November 12, 2009

Registered at 2620 WHEATON WAY, STE 1, BREMERTON, WA 983103335 (Tel: 3603773923)

👤

Provider Name / Credentials Updated November 12, 2009

Recorded as GARY GRETCH, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 12, 2009

Internal Medicine (License #28724 in WA)

🟢

Initial NPI Registration & Enumeration November 10, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1053392597

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 10, 2005

Last Update: May 28, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2601 Cherry Ave Ste 215

Bremerton, WA 983104203

Phone: 3603773923

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.