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DR. DANIEL LAWRENCE GRAMINS M.D.
NPI 1164495750
Thoracic Surgery (Cardiothoracic Vascular Surgery) in San Diego, CA

Active since February 13, 2006PECOS EnrolledAccepts Medicare Assignment
VETERANS ADMINISTRATION MEDICAL CTR, 3350 LA JOLLA VILLAGE DRIVE (112J), SAN DIEGO, CA 92161(858) 552-8585(858) 552-7530 Get Directions Write a Review

NPPES record last updated: October 20, 2014. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Daniel Lawrence Gramins M.d. NPPES

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

DR. DANIEL LAWRENCE GRAMINS M.D. (NPI 1164495750) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in San Diego, California, licensed in California (G79711) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Billings Clinic, and is a graduate of Georgetown University School Of Medicine (1993).

NPPES Registry Identity

NPI1164495750
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameDR. DANIEL LAWRENCE GRAMINSCredential: M.D.
Location AddressVETERANS ADMINISTRATION MEDICAL CTR, 3350 LA JOLLA VILLAGE DRIVE (112J)San Diego, CA 92161-8892
Mailing AddressVeterans Administration Medical Ctr, 3350 La Jolla Village Drive (112j)San Diego, CA 92161-8892 · (858) 552-8585 · Fax (858) 552-7530
Phone(858) 552-8585
Fax(858) 552-7530
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 1993
Enumeration DateFebruary 13, 2006
Last NPPES UpdateOctober 20, 2014
✔ NPI 1164495750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
License✔ Licensed in CA · G79711
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
VETERANS ADMINISTRATION MEDICAL CTR, San Diego, CA 92161
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Other Identifiers 3

Medicaid00G797110CA
Medicare PINWG79711A
Other00G797110Blue Shield Of Ca

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross Blue Shield of Wyoming, Mountain Health CO-OP.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

Dr. Daniel Lawrence Gramins 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 ID840395372
PECOS Enrollment IDI20191002002965
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

2

Medicare enrollment records show Daniel Gramins reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Regents Of The University Of California
9.2 mi
Allergy & Immunology
200 W ARBOR DR
San Diego, CA 92103
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1235232778 (California)
  • 1,051 clinicians in this Medicare group
NPI 1487772380 (800) 926-8273
Billings Cinic
877 mi
Family Medicine
236 YELLOWSTONE AVE
West Yellowstone, MT 59758
  • Reassigned Medicare billing, Montana enrollment
  • Medicare enrollment name: Billings Clinic
  • 1,264 clinicians in this Medicare group
NPI 1710600119 (406) 238-2500

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.

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.
17 services17 patients
Replacement of aortic valve through the skin and femoral artery 33361
This procedure, known as Transcatheter Aortic Valve Replacement (TAVR), involves replacing a damaged aortic valve through a small incision in the leg. A catheter is inserted into the femoral artery and guided up to the heart. The new valve is then positioned and deployed, restoring normal blood flow.
14 services14 patients
Harvest of vein using an endoscope 33508
Harvesting a vein using an endoscope is a procedure where a small camera is used to help surgeons remove a vein from your body. This vein is often used to bypass a blocked artery, improving blood flow to your heart.
12 services12 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.
12 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Billings Clinic

Acute Care Hospitals · Billings, MT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number270004
Location2800 10th Ave NBillings, MT 59101 · Yellowstone County
Emergency services Birthing friendly

Sheridan Memorial Hospital

Acute Care Hospitals · Sheridan, WY
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number530006
Location1401 W 5th StSheridan, WY 82801 · Sheridan County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92161 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
$184.71 typical visit price
range $62.10 – $184.71
Typical copayment $46.17 (range $15.52 – $46.17)
Most-billed visit code 99205
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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.

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 Daniel Gramins's NPI number?

The NPI number for Daniel Gramins is 1164495750. It was assigned to this individual provider in the NPPES registry on February 13, 2006.

Where is Daniel Gramins located?

Daniel Gramins practices at Veterans Administration Medical Ctr 3350 La Jolla Village Drive (112j), San Diego, CA 92161. The listed phone number is (858) 552-8585.

What is Daniel Gramins's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Daniel Gramins enrolled in Medicare?

Yes. Daniel Gramins 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 organizations bill Medicare for Daniel Gramins's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Daniel Gramins reassigns Medicare benefits to 2 organizations: Regents Of The University Of California (San Diego, CA) and Billings Cinic (West Yellowstone, MT). 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 Daniel Gramins's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Daniel Gramins accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Montana and Mountain Health CO-OP list Daniel Gramins 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 Daniel Gramins affiliated with any hospitals?

According to CMS data, Daniel Gramins is affiliated with Billings Clinic and Sheridan Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Daniel Gramins was last updated on October 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.