DR. MARY GRACE PURISIMA M.D.
NPI 1003916479
Internal Medicine in Willoughby, OH

Q: What is Mary Grace Purisima's NPI number?

The NPI number for Mary Grace Purisima is 1003916479. It was assigned to this individual provider in the NPPES registry on September 25, 2006.

Q: What is Mary Grace Purisima's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since September 25, 2006PECOS EnrolledAccepts Medicare Assignment

5105 SOM CENTER RD, WILLOUGHBY, OH 44094(216) 524-7377(440) 975-4617 Get Directions Write a Review

NPPES record last updated: October 9, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Mary Grace Purisima M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARY GRACE PURISIMA M.D. (NPI 1003916479) is an individual internal medicine provider in Willoughby, Ohio, licensed in Ohio (35-069057) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Akron General Medical Center, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1003916479

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameDR. MARY GRACE PURISIMACredential: M.D.

Location Address5105 SOM CENTER RDWilloughby, OH 44094-4203

Mailing Address1001 Lakeside Ave E, #1200Cleveland, OH 44114-1158

Phone(216) 524-7377

Fax(440) 975-4617

Sole ProprietorNo

Medical School CMSOtherGraduated 1989

Enumeration DateSeptember 25, 2006

Last NPPES UpdateOctober 9, 2013

✔ NPI 1003916479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in OH · 35-069057

Definition

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.

5105 SOM CENTER RD, Willoughby, OH 44094

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Other Identifiers 3

Medicare ID-Type UnspecifiedPU0805544

Medicare UPING29311

Medicaid0207038OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Corporation of Ohio.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Mary Grace Purisima M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6608857750

PECOS Enrollment IDI20040526000086

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

146 services114 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

112 services90 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

32 services32 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

28 services28 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

17 services17 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

17 services17 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Akron General Medical Center

Acute Care Hospitals · Akron, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360027

Location1 Akron General AvenueAkron, OH 44307 · Summit County

Emergency services Birthing friendly

South Pointe Hospital

Acute Care Hospitals · Warrensville Heights, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number360144

Location20000 Harvard RoadWarrensville Heights, OH 44122 · Cuyahoga County

Cleveland Clinic

Acute Care Hospitals · Cleveland, OH

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360180

Location9500 Euclid AvenueCleveland, OH 44195 · Cuyahoga County

Emergency services Birthing friendly

Hillcrest Hospital

Acute Care Hospitals · Mayfield Heights, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360230

Location6780 Mayfield RoadMayfield Heights, OH 44124 · Cuyahoga County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44094 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

8 suppliers12 claims33 services$5.80 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JAMES SCOTT LANE M.D.

Ophthalmology

5105 SOM CENTER RD
WILLOUGHBY, OH 44094

Lake County (216) 524-7377

JULIA LYNN THOMAS

Pharmacist

5105 SOM CENTER RD
WILLOUGHBY, OH 44094

Lake County (440) 953-5711

HEALTHSPAN PHYSICIANS, LLC

Durable Medical Equipment & Medical Supplies

5105 SOM CENTER RD
WILLOUGHBY, OH 44094

Lake County (440) 953-5774

KIMBERLY ANN SVEC FNP-C

Nurse Practitioner (Family)

5105 SOM CENTER RD, # 106
WILLOUGHBY, OH 44094

Lake County (440) 953-5740

LORI A PROVENZANO

Case Manager/Care Coordinator

5105 SOM CENTER RD
WILLOUGHBY, OH 44094

Lake County (440) 975-4646

TAM PHAM MCLEAN

Family Medicine

5105 SOM CENTER RD, #106
WILLOUGHBY, OH 44094

Lake County (440) 953-5740

MRS. LAURIE L DEMETER RPH

Pharmacist

5105 SOM CENTER RD, PHARMACY
WILLOUGHBY, OH 44094

Lake County (440) 667-1077

AMY D LOWER C.N.P.

Nurse Practitioner

5105 SOM CENTER RD
WILLOUGHBY, OH 44094

Lake County (440) 255-5571

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Grace Purisima's NPI number?

The NPI number for Mary Grace Purisima is 1003916479. It was assigned to this individual provider in the NPPES registry on September 25, 2006.

Where is Mary Grace Purisima located?

Mary Grace Purisima practices at 5105 Som Center Rd, Willoughby, OH 44094. The listed phone number is (216) 524-7377.

What is Mary Grace Purisima's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Mary Grace Purisima enrolled in Medicare?

Yes. Mary Grace Purisima is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mary Grace Purisima accept?

Health plans from Oscar Insurance Corporation of Ohio list Mary Grace Purisima as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Mary Grace Purisima affiliated with any hospitals?

According to CMS data, Mary Grace Purisima is affiliated with Akron General Medical Center, South Pointe Hospital, Cleveland Clinic and Hillcrest Hospital.

When was this NPI record last updated?

The NPPES record for Mary Grace Purisima was last updated on October 9, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.