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RUBY ANN GRIMM M.D.
NPI 1154312841
Internal Medicine - Hematology & Oncology in Statesville, NC

Active since November 02, 2005PECOS Enrolled
738 BRYANT ST, STATESVILLE, NC 28677(704) 873-2219(704) 873-1379 Get Directions Write a Review

NPPES record last updated: February 8, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ruby Ann Grimm M.d. NPPES

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

RUBY ANN GRIMM M.D. (NPI 1154312841) is an individual hematology & oncology provider in Statesville, North Carolina, licensed in North Carolina (21472) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154312841
Entity TypeIndividualFemale
Primary Taxonomy207RH0003X
Provider Legal NameRUBY ANN GRIMMCredential: M.D.
Location Address738 BRYANT STStatesville, NC 28677-4189
Mailing AddressPo Box 896199Charlotte, NC 28289-6199 · (704) 873-2219 · Fax (704) 873-1379
Phone(704) 873-2219
Fax(704) 873-1379
Sole ProprietorYes
Enumeration DateNovember 2, 2005
Last NPPES UpdateFebruary 8, 2022
NPPES CertifiedFebruary 8, 2022
✔ NPI 1154312841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in NC · 21472
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedLegal MedicineTaxonomy 173000000X · License 21472 (NC)
738 BRYANT ST, Statesville, NC 28677
Open in Google Maps ↗

Other Identifiers 1

Medicaid8937657NC

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ruby Ann Grimm M.d. 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 28677 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
$165.09 typical visit price
range $54.12 – $165.09
Typical copayment $41.27 (range $13.53 – $41.27)
Most-billed visit code 99205
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type L8000
DME-Orthotic Devices · category DF000N
5 suppliers12 claims34 services$33.18 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

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

DR. JAMES HEDRICK BRADFORD M.D.
Internal Medicine (Cardiovascular Disease)
738 BRYANT ST, SUITE A
STATESVILLE, NC 28677
Iredell County (704) 873-1180
IREDELL PHYSICIAN NETWORK, LLC
Internal Medicine
738 BRYANT ST
STATESVILLE, NC 28677
Iredell County (704) 230-4382
IREDELL PHYSICIAN NETWORK, LLC
Internal Medicine (Hematology & Oncology)
738 BRYANT ST
STATESVILLE, NC 28677
Iredell County (704) 873-2219
JOHN NICHOLSON MD
Internal Medicine
738 BRYANT ST
STATESVILLE, NC 28677
Iredell County (704) 230-4382
STATESVILLE CARDIOVASCULAR CLINIC PA
Internal Medicine (Cardiovascular Disease)
738 BRYANT ST, SUITE A
STATESVILLE, NC 28677
Iredell County (704) 873-1180
CHARLES A DEBERARDINIS DO
Internal Medicine (Cardiovascular Disease)
738 BRYANT ST, SUITE A
STATESVILLE, NC 28677
Iredell County (704) 873-1189
DR. NAIM EZZAT BOUHUSSEIN M.D.
Internal Medicine (Cardiovascular Disease)
738 BRYANT ST, SUITE A
STATESVILLE, NC 28677
Iredell County (704) 873-1180

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 Ruby Grimm's NPI number?

The NPI number for Ruby Grimm is 1154312841. It was assigned to this individual provider in the NPPES registry on November 2, 2005.

Where is Ruby Grimm located?

Ruby Grimm practices at 738 Bryant St, Statesville, NC 28677. The listed phone number is (704) 873-2219.

What is Ruby Grimm's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Ruby Grimm enrolled in Medicare?

Yes. Ruby Grimm is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ruby Grimm was last updated on February 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.