DR. WILLIAM P. GRABENSTEIN M.D. NPI 1003013160
Family Medicine in Clarksville, TN
About DR. WILLIAM P. GRABENSTEIN M.D.
William Grabenstein is a primary care provider established in Clarksville, Tennessee and his medical specialization is Family Medicine with more than 38 years of experience. He graduated from University Of Tennessee, Hsc, College Of Medicine in 1985. The NPI number of this provider is 1003013160 and was assigned on June 2007. The practitioner's primary taxonomy code is 207Q00000X with license number MD017935 (TN). The provider is registered as an individual and his NPI record was last updated 8 years ago.
| NPI | 1003013160 |
| Provider Name | DR. WILLIAM P. GRABENSTEIN M.D. |
| Location Address | 1822 MEMORIAL DR CLARKSVILLE, TN 37043 |
| Location Phone | (931) 552-8012 |
| Mailing Address | 1822 MEMORIAL DR CLARKSVILLE, TN 37043 |
| Gender | Male |
| NPI Entity Type | Individual |
| Medical School Name | UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE |
| Graduation Year | 1985 |
| Is Sole Proprietor? | Yes |
| Enumeration Date | 06-29-2007 |
| Last Update Date | 07-29-2015 |
A primary care provider (PCP) like William Grabenstein sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc William Grabenstein is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
William Grabenstein is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services. According to Medicare claims data he has hospital affiliations with Tennova Healthcare-clarksville and Saint Thomas West Hospital.
Primary Taxonomy
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
| Taxonomy Code | 207Q00000X |
| Classification | Family Medicine |
| Type | Allopathic & Osteopathic Physicians |
| License No. | MD017935 |
| License State | TN |
| Taxonomy Description | Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Accepted Insurance
The NPI profile data indicates this provider might be enrolled and accepting health plans from the following insurance companies or healthcare programs:
- Blue Cross Blue Shield
- Medicaid
- Medicare
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Business Address
1822 MEMORIAL DR
CLARKSVILLE, TN
ZIP 37043
Phone: (931) 552-8012
Fax: (931) 551-3118
Mailing Address
1822 MEMORIAL DR
CLARKSVILLE, TN
ZIP 37043
Phone: (931) 552-8012
Fax: (931) 551-3118
Location Map
PECOS Enrollment and Medicare Participation Status
What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
| Registered in PECOS? | Yes |
| PECOS PAC ID | 6103863931 |
| PECOS Enrollment ID | I20050419001400 |
| Accepts Medicare Assignment? | Maybe "What does it mean "accepts medicare assignment"? When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts. A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer. |
| Eligible order / refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible order / refer Durable Medical Equipment | Yes |
| Eligible order / refer Home Health Agency (HHA) | Yes |
| Eligible order / refer Power Mobility Devices | Yes |
Clinician Utilization
The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.
- 118Administration of influenza virus vaccine (HCPCS:G0008)
- 85Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)
- 29Destruction of skin growth (HCPCS:17000)
- 26Urinalysis, manual test (HCPCS:81002)
- 18Destruction of 2-14 skin growths (HCPCS:17003)
- 17Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4102307 | OTHER (01) | TN | BLUE CROSS BLUE SHIELD |
| 3728817 | MEDICAID (05) | TN | |
| 0003031899 | MEDICARE NSC (07) | TN | |
| 3728817 | OTHER (01) | TN | MEDICARE PTAN |
| A99546 | MEDICARE UPIN (02) | TN |
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 0 | 3 | 0 | 1 | 3 | 1 | 6 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 0 | 3 | 0 | 1 | 6 | 1 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 0 + 3 + 0 + 1 + 6 + 1 + 1 + 2 + 24 = 40 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1003013160 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1457558512 | MRS. TONYA C. KRANTZ PA-C Individual | Physician Assistant | 1822 MEMORIAL DR CLARKSVILLE, TN 37043 (931) 552-8012 |
Frequently Asked Questions
What is Dr. William Grabenstein M.D. NPI number?
The NPI number assigned to this healthcare provider is 1003013160, registered as an "individual" on June 29, 2007
Where is Dr. William Grabenstein M.D. located?
The provider is located at 1822 Memorial Dr Clarksville, Tn 37043 and the phone number is (931) 552-8012
Which is Dr. William Grabenstein M.D. specialty?
The provider's speciality is Family Medicine
How many years of experience does Dr. William Grabenstein M.D. have?
The provider has more than 38 years of experience. He graduated from University Of Tennessee, Hsc, College Of Medicine in 1985.
What insurance does Dr. William Grabenstein M.D. accept?
The provider might be accepting Blue Cross Blue Shield, Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Is Dr. William Grabenstein M.D. registered in PECOS?
Yes, as of January 10, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
How much is a visit to Dr. William Grabenstein M.D.?
Medicare beneficiaries should expect a typical cost of $84.32 with an average copayment of $21.08 for new patient appointments. Established patients should expect a typical charge of $97.84 and an average copayment of 24.46. Please review your insurance plan or contact the provider directly to determine your specific costs.
What are some of the services provided by Dr. William Grabenstein M.D.?
The most common procedures or services performed by this practitioner are: Administration of influenza virus vaccine, Injection beneath the skin or into muscle for therapy, diagnosis, or prevention, Destruction of skin growth, Urinalysis, manual test, Destruction of 2-14 skin growths and Aspiration and/or injection of large joint or joint capsule.
How do I update my NPI information?
The NPI record of Dr. William Grabenstein M.D. was last updated on June 29, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
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