DR. NICHOLAS GLEN GRANT M.D.
NPI 1205096096
Pathology - Anatomic Pathology & Clinical Pathology in Dallas, TX
About Dr. Nicholas Glen Grant M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. NICHOLAS GLEN GRANT M.D. (NPI 1205096096) is an individual anatomic pathology & clinical pathology provider in Dallas, Texas, licensed in Texas (P6401) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS and is a graduate of University Of Colorado School Of Medicine, Denver (2008).
NPPES Registry Identity
Specialties & Licenses
Accepted 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. Nicholas Glen Grant 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.
Medicare Billing Reassignments
3Medicare enrollment records show Nicholas Grant reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Boise, ID 83702
- Reassigned Medicare billing, Idaho enrollment
- 33 clinicians in this Medicare group
Boise, ID 83704
- Reassigned Medicare billing, Idaho enrollment
- 23 clinicians in this Medicare group
Nampa, ID 83687
- Reassigned Medicare billing, Idaho enrollment
- 8 clinicians in this Medicare group
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 6
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 75390 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
DALLAS, TX 75390
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 Nicholas Grant's NPI number?
The NPI number for Nicholas Grant is 1205096096. It was assigned to this individual provider in the NPPES registry on June 15, 2008.
Where is Nicholas Grant located?
Nicholas Grant practices at 5323 Harry Hines Blvd, Dallas, TX 75390. The listed phone number is (214) 590-8630.
What is Nicholas Grant's specialty?
The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.
Is Nicholas Grant enrolled in Medicare?
Yes. Nicholas Grant 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 Nicholas Grant's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Grant reassigns Medicare benefits to 3 organizations: Idaho Gastroenterology Associates, LLP (Boise, ID), Digestive Health Clinic LLC (Boise, ID) and Diagnostic Pathology Services Inc (Nampa, ID). 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 Nicholas Grant's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nicholas Grant accept?
Health plans from Moda Health Plan, Inc. and Molina Healthcare list Nicholas Grant 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.
When was this NPI record last updated?
The NPPES record for Nicholas Grant was last updated on August 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Dr. Nicholas Glen Grant, M.D. · NPI 1205096096
Anatomic Pathology & Clinical Pathology physician in Dallas, Texas. Individual provider, active in the CMS NPPES registry since June 15, 2008.
## Identity
- **NPI:** 1205096096 (Entity type: Individual)
- **Enumerated:** June 15, 2008
- **Primary specialty:** Pathology - Anatomic Pathology & Clinical Pathology · taxonomy 207ZP0102X
- **State license:** P6401 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 5323 HARRY HINES BLVD, Dallas, TX 75390-7201
- **Phone:** (214) 590-8630
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Idaho Gastroenterology Associates, LLP (NPI 1265427256, Boise, ID); Digestive Health Clinic LLC (NPI 1750498333, Boise, ID); Diagnostic Pathology Services Inc (NPI 1720014087, Nampa, ID) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Colorado School Of Medicine, Denver, class of 2008
## Record status
- **NPPES last updated:** August 13, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1205096096) · Data from the CMS NPPES public registry.