GRACE DIANA TICE PA-C
NPI 1104541937
Physician Assistant in Port Charlotte, FL

Q: What is Grace Tice's NPI number?

The NPI number for Grace Tice is 1104541937. It was assigned to this individual provider in the NPPES registry on October 4, 2022.

Q: What is Grace Tice's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Grace Tice was last updated on October 4, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 04, 2022PECOS Enrolled

86.06/100

CMS Quality Rating

1641 TAMIAMI TRL STE 1, PORT CHARLOTTE, FL 33948(941) 629-6262 Get Directions Write a Review

NPPES record last updated: October 4, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Grace Diana Tice Pa-c NPPES

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

GRACE DIANA TICE PA-C (NPI 1104541937) is an individual physician assistant in Port Charlotte, Florida, licensed in Florida (PA9116492) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS, is affiliated with Shorepoint Health Port Charlotte, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1104541937

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameGRACE DIANA TICECredential: PA-C

Location Address1641 TAMIAMI TRL STE 1Port Charlotte, FL 33948-1018

Mailing Address1235 Augusta St ELehigh Acres, FL 33974-0728

Phone(941) 629-6262

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateOctober 4, 2022

NPPES CertifiedOctober 4, 2022

✔ NPI 1104541937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in FL · PA9116492

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1641 TAMIAMI TRL STE 1, Port Charlotte, FL 33948

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Grace Diana Tice Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3274909213

PECOS Enrollment IDI20221017002761

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 15

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.

Hyaluronan or derivative, triluron, for intra-articular injection, 1 mg J7332

Triluron is a treatment involving injections of a substance called hyaluronan into your joints. It helps to lubricate and cushion the joint, which can reduce pain and improve movement, especially in conditions like osteoarthritis. Each injection contains 1 mg of hyaluronan.

1,440 services21 patients

Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg J7329

Trivisc is a treatment involving injections of a substance called hyaluronan into your joint, typically the knee. This substance is similar to a natural fluid in your joints that helps cushion and lubricate them. Trivisc can help reduce pain and improve joint movement.

1,100 services16 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

301 services172 patients

Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702

This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.

300 services97 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

280 services30 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.

136 services120 patients

Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose J7324

Orthovisc is a treatment involving injections of a substance called hyaluronan into your joints. Hyaluronan is a natural substance in your joint fluid that aids in movement and reduces pain. The Orthovisc injections help replenish this substance, relieving joint pain.

74 services17 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

42 services42 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.

35 services35 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

30 services30 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

19 services19 patients

Replacement of thigh bone and hip joint with prosthesis 27130

This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.

15 services15 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

13 services13 patients

Treatment of broken neck of thigh bone with bone implant 27245

This procedure involves repairing a fractured thigh bone by inserting a bone implant. The implant helps stabilize the bone, allowing it to heal correctly. It's performed under anesthesia and requires a hospital stay for recovery.

12 services12 patients

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.

12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Shorepoint Health Port Charlotte

Acute Care Hospitals · Port Charlotte, FL

1/5 CMS rating

OwnershipProprietary

CMS Certification Number100077

Location2500 Harbor BlvdPort Charlotte, FL 33952 · Charlotte County

Emergency services Birthing friendly

Desoto Memorial Hospital

Acute Care Hospitals · Arcadia, FL

OwnershipVoluntary non-profit - Private

CMS Certification Number100175

Location900 N Robert AveArcadia, FL 34265 · De Soto County

Emergency services

Hca Florida Fawcett Hospital

Acute Care Hospitals · Port Charlotte, FL

2/5 CMS rating

OwnershipProprietary

CMS Certification Number100236

Location21298 Olean BlvdPort Charlotte, FL 33952 · Charlotte County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33948 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

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.

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.

86.06/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

Improvement Activities

Cost

55.36

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Other Providers at the Same Location NPPES 5

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

DR. ROBERT PAUL ZUSMAN DO

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