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DR. GRADY PATRICK RUP OD
NPI 1063191252
Optometrist in Montgomery, TX

Active since July 14, 2023PECOS EnrolledAccepts Medicare Assignment
19792 HIGHWAY 105 W STE 300, MONTGOMERY, TX 77356(936) 220-4313(936) 220-4312 Get Directions Write a Review

NPPES record last updated: August 21, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

NPI1063191252
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. GRADY PATRICK RUPCredential: OD
Location Address19792 HIGHWAY 105 W STE 300Montgomery, TX 77356-6107
Mailing Address19792 Highway 105 W Ste 300Montgomery, TX 77356-6107 · (936) 220-4313 · Fax (936) 220-4312
Phone(936) 220-4313
Fax(936) 220-4312
Sole ProprietorYes
Medical School CMSUniversity Of Houston - College Of OptometryGraduated 2023
Enumeration DateJuly 14, 2023
Last NPPES UpdateAugust 21, 2025
NPPES CertifiedAugust 21, 2025
✔ NPI 1063191252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in TX · 10916
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
19792 HIGHWAY 105 W STE 300, Montgomery, TX 77356
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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. 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.

PECOS PAC ID6709247190
PECOS Enrollment IDI20230801004517
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.

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.

New Patient
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

JMC WORLDWIDE PLLC
Optometrist
19792 HIGHWAY 105 W STE 300
MONTGOMERY, TX 77356
Montgomery County (979) 690-0888

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.

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 8 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 11 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.