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GRACE MARIE MOOKEN M.D.
NPI 1144580325
Obstetrics & Gynecology in Plano, TX

Active since May 22, 2012PECOS EnrolledAccepts Medicare Assignment
3801 W 15TH ST STE 200, PLANO, TX 75075(972) 379-2416(972) 867-1018 Get Directions Write a Review

NPPES record last updated: May 23, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 2, 2020, May 16, 2016 (2 updates tracked since 2016).

About Grace Marie Mooken M.d. NPPES

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

GRACE MARIE MOOKEN M.D. (NPI 1144580325) is an individual obstetrics & gynecology provider in Plano, Texas, licensed in Texas (Q7431) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS, is affiliated with Medical City Plano, and is a graduate of Medical College Of Georgia School Of Medicine (2012).

NPPES Registry Identity

NPI1144580325
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameGRACE MARIE MOOKENCredential: M.D.
Location Address3801 W 15TH ST STE 200Plano, TX 75075-7736
Mailing Address3801 W 15th St Ste 200Plano, TX 75075-7736 · (972) 379-2416 · Fax (972) 867-1018
Phone(972) 379-2416
Fax(972) 867-1018
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2012
Enumeration DateMay 22, 2012
Last NPPES UpdateMay 23, 20242 updates tracked since enumeration
NPPES CertifiedMay 23, 2024
✔ NPI 1144580325 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in TX · Q7431
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
3801 W 15TH ST STE 200, Plano, TX 75075
Open in Google Maps ↗

Other Identifiers 1

Other8HF612TX · Blue Cross

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Grace Marie Mooken M.d. 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 ID8426347097
PECOS Enrollment IDI20160520001377
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 Reassignment

Medicare enrollment records show Grace Mooken reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Medical City Ob-Gyn, PLLC
16 mi
Obstetrics & Gynecology
3600 GASTON AVE STE 300
Dallas, TX 75246
  • Reassigned Medicare billing, Texas enrollment
  • 84 clinicians in this Medicare group
NPI 1295275071 (214) 824-3200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
22 services22 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.
18 services15 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
16 services13 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Medical City Plano

Acute Care Hospitals · Plano, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450651
Location3901 W 15th StPlano, TX 75075 · Collin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75075 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 5

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

D'ANGELIQUE DENISE HAAS APRN, WHNP-BC
Nurse Practitioner (Women's Health)
3801 W 15TH ST STE 200
PLANO, TX 75075
Collin County (972) 379-2416
DIANE GILBERTSON
Obstetrics & Gynecology
3801 W 15TH ST STE 200
PLANO, TX 75075
Collin County (972) 379-2416
MICHELLE L RASMUSSEN MD
Obstetrics & Gynecology
3801 W 15TH ST STE 200
PLANO, TX 75075
Collin County (309) 532-0914
WOMEN'S SPECIALISTS OF PLANO, L.L.P.
Specialist
3801 W 15TH ST STE 200
PLANO, TX 75075
Collin County (972) 379-2416
DR. AUDREY MARIE SAMPSON MD
Obstetrics & Gynecology
3801 W 15TH ST STE 200
PLANO, TX 75075
Collin County (972) 379-2416

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 Grace Mooken's NPI number?

The NPI number for Grace Mooken is 1144580325. It was assigned to this individual provider in the NPPES registry on May 22, 2012.

Where is Grace Mooken located?

Grace Mooken practices at 3801 W 15th St Ste 200, Plano, TX 75075. The listed phone number is (972) 379-2416.

What is Grace Mooken's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Grace Mooken enrolled in Medicare?

Yes. Grace Mooken 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 organization bills Medicare for Grace Mooken's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Grace Mooken reassigns Medicare benefits to Medical City Ob-Gyn, PLLC (Dallas, TX). The 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 Grace Mooken's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Grace Mooken 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 6 other insurers list Grace Mooken 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.

Is Grace Mooken affiliated with any hospitals?

According to CMS data, Grace Mooken is affiliated with Medical City Plano.

When was this NPI record last updated?

The NPPES record for Grace Mooken was last updated on May 23, 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.