DR. GRADY PATRICK RUP OD
NPI 1063191252
Optometrist in Montgomery, TX
About Dr. Grady Patrick Rup Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. GRADY PATRICK RUP OD (NPI 1063191252) is an individual optometrist in Montgomery, Texas, licensed in Texas (10916) and active in the NPI registry since July 2023. He is enrolled in Medicare PECOS and is a graduate of University Of Houston - College Of Optometry (2023).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Grady Patrick Rup Od 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.
Medicare Billing Reassignments
4Medicare enrollment records show Grady Rup reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Montgomery, TX 77356
- Reassigned Medicare billing, Texas enrollment
- 6 clinicians in this Medicare group
Conroe, TX 77304
- Reassigned Medicare billing, Texas enrollment
- 34 clinicians in this Medicare group
The Woodlands, TX 77380
- Reassigned Medicare billing, Texas enrollment
- 20 clinicians in this Medicare group
College Station, TX 77845
- Reassigned Medicare billing, Texas enrollment
- 4 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 77356 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Grady Rup's NPI number?
The NPI number for Grady Rup is 1063191252. It was assigned to this individual provider in the NPPES registry on July 14, 2023.
Where is Grady Rup located?
Grady Rup practices at 19792 Highway 105 W Ste 300, Montgomery, TX 77356. The listed phone number is (936) 220-4313.
What is Grady Rup's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Grady Rup enrolled in Medicare?
Yes. Grady Rup 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.
Which organizations bill Medicare for Grady Rup's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Grady Rup reassigns Medicare benefits to 4 organizations: Clara Vista Eyecare (Montgomery, TX), First Texas Optometric PC (Conroe, TX), Second Texas Optometric PC (The Woodlands, TX) and Urban Optics, PLLC (College Station, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Grady Rup's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Grady Rup accept?
Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 15 other insurers list Grady Rup 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.
When was this NPI record last updated?
The NPPES record for Grady Rup was last updated on August 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.
# Dr. Grady Patrick Rup, OD · NPI 1063191252
Optometrist provider in Montgomery, Texas. Individual provider, active in the CMS NPPES registry since July 14, 2023.
## Identity
- **NPI:** 1063191252 (Entity type: Individual)
- **Enumerated:** July 14, 2023
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 10916 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 19792 HIGHWAY 105 W STE 300, Montgomery, TX 77356-6107
- **Phone:** (936) 220-4313 · **Fax:** (936) 220-4312
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Clara Vista Eyecare (NPI 1235830431, Montgomery, TX); First Texas Optometric PC (NPI 1235854746, Conroe, TX); Second Texas Optometric PC (NPI 1043935562, The Woodlands, TX); Urban Optics, PLLC (NPI 1548512429, College Station, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Houston - College Of Optometry, class of 2023
## Record status
- **NPPES last updated:** August 21, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1063191252) · Data from the CMS NPPES public registry.