DR. DEREK WILLIAM GRADY M.D.
NPI 1174940027
Radiology - Diagnostic Radiology in Salt Lake City, UT

Active since March 27, 2014PECOS EnrolledAccepts Medicare Assignment
89.1/100
CMS Quality Rating
30 N MARIO CAPECCHI RM 2S100, SALT LAKE CITY, UT 84112(801) 581-2121 Get Directions Write a Review

NPPES record last updated: March 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 6, 2026, Mar 26, 2025, Jun 10, 2022 (3 updates tracked since 2022).

About Dr. Derek William Grady M.d. NPPES

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

DR. DEREK WILLIAM GRADY M.D. (NPI 1174940027) is an individual diagnostic radiology provider in Salt Lake City, Utah, licensed in Utah (14212374-1205) and active in the NPI registry since March 2014. He is enrolled in Medicare PECOS, maintains a secondary practice location in Agana Heights, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1174940027
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. DEREK WILLIAM GRADYCredential: M.D.
Location Address30 N MARIO CAPECCHI RM 2S100Salt Lake City, UT 84112
Mailing Address30 N Mario Capecchi Rm 2s100Salt Lake City, UT 84112 · (801) 581-2121
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMarch 27, 2014
Last NPPES UpdateMarch 6, 20263 updates tracked since enumeration
NPPES CertifiedMarch 6, 2026
NPI 1174940027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses Licensed in UT · 14212374-1205 Licensed in VA · 0101258688
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedRadiology · NeuroradiologyTaxonomy 2085N0700X · License 14212374-1205 (UT)
Also ListedGeneral PracticeTaxonomy 208D00000X · License 0116027479 (VA)
30 N MARIO CAPECCHI RM 2S100, Salt Lake City, UT 84112

Secondary Practice Location 1

Location 1USNH Guam, Bldg #50 Farenholt AveAgana Heights, GU 96910 · Phone (671) 344-9340

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Derek William Grady 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 ID941689103
PECOS Enrollment IDI20221122001634, I20230613000070
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 19

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
187 services181 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
151 services148 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
117 services115 patients
Ct scan of abdomen and pelvis without contrast 74176
A CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.
76 services74 patients
Ct scan of blood vessels of chest with contrast 71275
A CT scan of the chest with contrast is a non-invasive imaging test. It uses X-rays and a special dye to get detailed images of your blood vessels in the chest. This helps in diagnosing conditions related to heart and lungs.
49 services49 patients
Limited ultrasound scan of abdomen 76705
A limited ultrasound scan of the abdomen is a non-invasive imaging test. It uses sound waves to produce images of the abdominal organs such as the liver, gallbladder, spleen, pancreas, and kidneys. This helps to identify any abnormalities or issues.
37 services37 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84112 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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.

89.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality92.84
Improvement Activities40
Cost76.82

Other Providers at the Same Location NPPES 11

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

Radiology (Diagnostic Radiology)
30 N MARIO CAPECCHI RM 2S100
SALT LAKE CITY, UT 84112
Radiology (Vascular & Interventional Radiology)
30 N MARIO CAPECCHI RM 2S100
SALT LAKE CITY, UT 84112
Radiology (Neuroradiology)
30 N MARIO CAPECCHI RM 2S100, 400 W PUEBLO STREET
SALT LAKE CITY, UT 84112
Radiology (Neuroradiology)
30 N MARIO CAPECCHI RM 2S100
SALT LAKE CITY, UT 84112
Radiology (Neuroradiology)
30 N MARIO CAPECCHI RM 2S100
SALT LAKE CITY, UT 84112
Radiology (Neuroradiology)
30 N MARIO CAPECCHI RM 2S100
SALT LAKE CITY, UT 84112
Radiology (Neuroradiology)
30 N MARIO CAPECCHI RM 2S100
SALT LAKE CITY, UT 84112
Radiology (Diagnostic Radiology)
30 N MARIO CAPECCHI RM 2S100
SALT LAKE CITY, UT 84112

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 Derek Grady's NPI number?

The NPI number for Derek Grady is 1174940027. It was assigned to this individual provider in the NPPES registry on March 27, 2014.

Where is Derek Grady located?

Derek Grady practices at 30 N Mario Capecchi Rm 2s100, Salt Lake City, UT 84112. The listed phone number is (801) 581-2121.

What is Derek Grady's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Derek Grady enrolled in Medicare?

Yes. Derek Grady 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.

When was this NPI record last updated?

The NPPES record for Derek Grady was last updated on March 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.