DR. ZACHARY GRIMES DO
NPI 1194173823
Pathology - Anatomic Pathology & Clinical Pathology in Charleston, WV

Active since June 03, 2016PECOS EnrolledAccepts Medicare Assignment
90.11/100
CMS Quality Rating
3200 MACCORKLE AVE SE, CHARLESTON, WV 25304(304) 388-5550 Get Directions Write a Review

NPPES record last updated: December 28, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 9, 2022, Apr 13, 2021 (2 updates tracked since 2021).

About Dr. Zachary Grimes Do NPPES

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

DR. ZACHARY GRIMES DO (NPI 1194173823) is an individual anatomic pathology & clinical pathology provider in Charleston, West Virginia, licensed in West Virginia (3853) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with Charleston Area Medical Center, and maintains a secondary practice location in Spencer.

NPPES Registry Identity

NPI1194173823
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameDR. ZACHARY GRIMESCredential: DO
Location Address3200 MACCORKLE AVE SECharleston, WV 25304-1227
Mailing Address400 Association Dr Ste 102Charleston, WV 25311-1298 · (304) 388-0151 · Fax (304) 388-1721
Sole ProprietorNo
Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 2016
Enumeration DateJune 3, 2016
Last NPPES UpdateDecember 28, 20232 updates tracked since enumeration
NPPES CertifiedDecember 28, 2023
NPI 1194173823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License Licensed in WV · 3853
Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

3200 MACCORKLE AVE SE, Charleston, WV 25304

Secondary Practice Location 1

Location 1200 Hospital DrSpencer, WV 25276-1050 · Phone (304) 927-4444 · Fax (304) 927-6837

Accepted Insurance

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. Zachary Grimes Do 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 ID8729324843
PECOS Enrollment IDI20220701001697
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 7

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
262 services132 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
111 services31 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
79 services71 patients
Pathology examination of tissue using a microscope, moderately high complexity 88307
A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.
45 services33 patients
Preparation of tissue for examination by removing any calcium present 88311
This procedure involves treating tissue samples to remove any calcium, which can interfere with the examination. The tissue is soaked in a special solution that safely dissolves the calcium, leaving the tissue intact for accurate analysis. This helps in making precise diagnoses.
37 services32 patients
Pathology examination of tissue using a microscope, moderately low complexity 88304
A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.
18 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Charleston Area Medical Center

Acute Care Hospitals · Charleston, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510022
Location501 Morris StreetCharleston, WV 25301 · Kanawha County
Emergency services Birthing friendly

Roane General Hospital

Critical Access Hospitals · Spencer, WV
OwnershipVoluntary non-profit - Private
CMS Certification Number511306
Location200 Hospital DriveSpencer, WV 25276 · Roane County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25304 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
$124.46 typical visit price
range $53.20 – $164.59
Typical copayment $31.11 (range $13.30 – $41.14)
Most-billed visit code 99204
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

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.

90.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Quality66.96
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

Physician Assistant
3200 MACCORKLE AVE SE
CHARLESTON, WV 25304
Emergency Medicine
3200 MACCORKLE AVE SE
CHARLESTON, WV 25304
Emergency Medicine
3200 MACCORKLE AVE SE
CHARLESTON, WV 25304
Physician Assistant
3200 MACCORKLE AVE SE
CHARLESTON, WV 25304
Emergency Medicine
3200 MACCORKLE AVE SE
CHARLESTON, WV 25304
Emergency Medicine
3200 MACCORKLE AVE SE
CHARLESTON, WV 25304
Emergency Medicine
3200 MACCORKLE AVE SE
CHARLESTON, WV 25304
Emergency Medicine
3200 MACCORKLE AVE SE
CHARLESTON, WV 25304

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194173823, enumerated as an "individual" on June 03, 2016.

The provider is located at 3200 MACCORKLE AVE SE CHARLESTON, WV 25304 and the phone number is (304) 388-5550.

Pathology with taxonomy code 207ZP0102X and a focus in Anatomic Pathology & Clinical Pathology.

The provider might be accepting Accepts: CareSource. Please consult your insurance carrier or call the provider to verify.

Zachary Grimes is affiliated with: CHARLESTON AREA MEDICAL CENTER and ROANE GENERAL HOSPITAL.