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DIAN PATRICIA GRANDISON FNP
NPI 1083137970
Family Medicine in Baltimore, MD

Active since July 21, 2017PECOS Enrolled
74.39/100
CMS Quality Rating
4940 EASTERN AVE, BALTIMORE, MD 21224(410) 550-5452(410) 550-0539 Get Directions Write a Review

NPPES record last updated: May 6, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 6, 2021, Jul 21, 2017 (2 updates tracked since 2017).

About Dian Patricia Grandison Fnp NPPES

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

DIAN PATRICIA GRANDISON FNP (NPI 1083137970) is an individual family medicine provider in Baltimore, Maryland, licensed in Maryland (R238234) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Staten Island.

NPPES Registry Identity

NPI1083137970
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDIAN PATRICIA GRANDISONCredential: FNP
Location Address4940 EASTERN AVEBaltimore, MD 21224-2735
Mailing Address6201 Greenleigh AveBaltimore, MD 21220-2004 · (410) 933-6423
Phone(410) 550-5452
Fax(410) 550-0539
Sole ProprietorNo
Enumeration DateJuly 21, 2017
Last NPPES UpdateMay 6, 20212 updates tracked since enumeration
NPPES CertifiedMay 6, 2021
✔ NPI 1083137970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in MD · R238234✔ Licensed in NY · F341403-1
Definition
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.
4940 EASTERN AVE, Baltimore, MD 21224
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Secondary Practice Location 1

Location 125 Beekman StStaten Island, NY 10302-2006 · Phone (917) 731-9519

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dian Patricia Grandison Fnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21224 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

74.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.71
Promoting Interoperability97
Improvement Activities40
Cost52.43

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.

DR. SUSRUTHA KOTWAL MD
Internal Medicine
4940 EASTERN AVE, MFL BLDG, WEST TOWER, 6TH FLOOR
BALTIMORE, MD 21224
Baltimore City (410) 550-5018
DR. SAMANTHA A WOLFE MD
Otolaryngology
4940 EASTERN AVE
BALTIMORE, MD 21224
Baltimore City (410) 550-2370
MARK MILEY PA-C
Physician Assistant
4940 EASTERN AVE
BALTIMORE, MD 21224
Baltimore City (410) 550-9227
REID C. WILKINS MD
Pathology (Anatomic Pathology & Clinical Pathology)
4940 EASTERN AVE
BALTIMORE, MD 21224
Baltimore City (410) 550-5568
DEREK MASON MD, MPH
Student in an Organized Health Care Education/Training Program
4940 EASTERN AVE
BALTIMORE, MD 21224
Baltimore City (410) 550-0100
RUCHITA SUDHIR PENDSE MD
Obstetrics & Gynecology
4940 EASTERN AVE
BALTIMORE, MD 21224
Baltimore City (410) 550-5568
VIVIANA KATHERINE PEARSON NEONATAL NURSE PRACT
Registered Nurse (Neonatal Intensive Care)
4940 EASTERN AVE
BALTIMORE, MD 21224
Baltimore City (443) 297-7701
BRUCE ROBERT GIBSON M.D.
Surgery
4940 EASTERN AVE
BALTIMORE, MD 21224
Baltimore City (410) 550-0100

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 Dian Grandison's NPI number?

The NPI number for Dian Grandison is 1083137970. It was assigned to this individual provider in the NPPES registry on July 21, 2017.

Where is Dian Grandison located?

Dian Grandison practices at 4940 Eastern Ave, Baltimore, MD 21224. The listed phone number is (410) 550-5452.

What is Dian Grandison's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Dian Grandison enrolled in Medicare?

Yes. Dian Grandison is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Dian Grandison was last updated on May 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.