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MARY THERESA GRADY MD
NPI 1063824092
Pediatrics in Charlotte, NC

Active since May 26, 2014PECOS Enrolled
95.35/100
CMS Quality Rating
1000 BLYTHE BLVD, CHARLOTTE, NC 28203(704) 355-2171 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 15, 2024, May 4, 2023, Mar 9, 2023 and 50 more (53 updates tracked since 2018).

About Mary Theresa Grady Md NPPES

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

MARY THERESA GRADY MD (NPI 1063824092) is an individual pediatrics provider in Charlotte, North Carolina, licensed in North Carolina (2017-01564) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063824092
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameMARY THERESA GRADYCredential: MD
Location Address1000 BLYTHE BLVDCharlotte, NC 28203-5812
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Phone(704) 355-2171
Sole ProprietorNo
Enumeration DateMay 26, 2014
Last NPPES UpdateJuly 15, 202453 updates tracked since enumeration
✔ NPI 1063824092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NC · 2017-01564
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 2017-01564 (NC)
Also ListedPediatrics · Pediatric Emergency MedicineTaxonomy 2080P0204X · License 2017-01564 (NC)
1000 BLYTHE BLVD, Charlotte, NC 28203
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Theresa Grady Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Mary Grady reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Carolinas Medical Center
Same address
General Acute Care Hospital
1000 BLYTHE BLVD
Charlotte, NC 28203
  • Reassigned Medicare billing, North Carolina enrollment
  • 2,223 clinicians in this Medicare group
NPI 1295789907 (704) 355-2000
Duke Health Integrated Practice, Inc.
24 mi
Family Medicine
131 MEDICAL PARK RD STE 302
Mooresville, NC 28117
  • Reassigned Medicare billing, North Carolina enrollment
  • 3,671 clinicians in this Medicare group
NPI 1760288633 (704) 660-4750
Wake Emergency Physicians PA
117 mi
Emergency Medicine
120 HEALTHPLEX WAY
Apex, NC 27502
  • Reassigned Medicare billing, North Carolina enrollment
  • 182 clinicians in this Medicare group
NPI 1043492853 (843) 237-3378

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 28203 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

JENNIFER EGAN M.D.
Pathology (Clinical Pathology/Laboratory Medicine)
1000 BLYTHE BLVD
CHARLOTTE, NC 28203
Mecklenburg County (704) 973-5500
CHELSEA KOLSHAK
Emergency Medicine
1000 BLYTHE BLVD
CHARLOTTE, NC 28203
Mecklenburg County (704) 355-3658
NEHA RAY MD
Emergency Medicine
1000 BLYTHE BLVD
CHARLOTTE, NC 28203
Mecklenburg County (704) 355-3181
DR. HANNAH ELIZABETH CORRAL MD
Emergency Medicine
1000 BLYTHE BLVD
CHARLOTTE, NC 28203
Mecklenburg County (704) 355-3658
PRECIOUS IRIAGHOMO WOODWARD
Nurse Anesthetist, Certified Registered
1000 BLYTHE BLVD
CHARLOTTE, NC 28203
Mecklenburg County (704) 355-2000
ALEXANDRU DANIEL VLASIN CRNA
Nurse Anesthetist, Certified Registered
1000 BLYTHE BLVD
CHARLOTTE, NC 28203
Mecklenburg County (704) 355-2000
BROOKE STEPHANIK
Pharmacist (Pediatrics)
1000 BLYTHE BLVD
CHARLOTTE, NC 28203
Mecklenburg County (704) 381-2000
DR. BERNARD VELARDO MD
Anesthesiology
1000 BLYTHE BLVD
CHARLOTTE, NC 28203
Mecklenburg County (704) 355-2000

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 Grady's NPI number?

The NPI number for Mary Grady is 1063824092. It was assigned to this individual provider in the NPPES registry on May 26, 2014.

Where is Mary Grady located?

Mary Grady practices at 1000 Blythe Blvd, Charlotte, NC 28203. The listed phone number is (704) 355-2171.

What is Mary Grady's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Mary Grady enrolled in Medicare?

Yes. Mary Grady is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mary Grady's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Grady reassigns Medicare benefits to 3 organizations: Carolinas Medical Center (Charlotte, NC), Duke Health Integrated Practice, Inc. (Mooresville, NC) and Wake Emergency Physicians PA (Apex, NC). 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 Mary Grady's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mary Grady was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.