MARK ANDREW GRISE MD
NPI 1215963442
Internal Medicine - Interventional Cardiology in Pensacola, FL

Active since June 22, 2006PECOS EnrolledAccepts Medicare Assignment
90.84/100
CMS Quality Rating
5151 N 9TH AVE STE 200, PENSACOLA, FL 32504(850) 416-4970 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jul 21, 2022, Jul 10, 2017 (2 updates tracked since 2017).

About Mark Andrew Grise Md NPPES

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

MARK ANDREW GRISE MD (NPI 1215963442) is an individual interventional cardiology provider in Pensacola, Florida, licensed in Florida (ME110993) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Sacred Heart Hospital, and is a graduate of University Of Massachusetts Medical School (1992).

NPPES Registry Identity

NPI1215963442
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameMARK ANDREW GRISECredential: MD
Location Address5151 N 9TH AVE STE 200Pensacola, FL 32504-8721
Mailing AddressPo Box 2699Pensacola, FL 32513-2699 · (850) 475-4500
Sole ProprietorNo
Medical School CMSUniversity Of Massachusetts Medical SchoolGraduated 1992
Enumeration DateJune 22, 2006
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1215963442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License✔ Licensed in FL · ME110993
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License ME95178 (FL)
5151 N 9TH AVE STE 200, Pensacola, FL 32504

Other Identifiers 3

OtherME95178FL · Medical License
Medicaid05483588MS
Medicaid1140619LA

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

Mark Andrew Grise Md 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 ID1254325343
PECOS Enrollment IDI20061220000538
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 26

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
1,931 services1,536 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
721 services532 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
505 services488 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
255 services228 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.
230 services218 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
230 services124 patients

Hospital Affiliations CMS Care Compare 3

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

Sacred Heart Hospital

Acute Care Hospitals · Pensacola, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100025
Location5151 N 9th AvePensacola, FL 32504 · Escambia County
Emergency services Birthing friendly

Baptist Hospital

Acute Care Hospitals · Pensacola, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100093
Location123 Baptist WayPensacola, FL 32503 · Escambia County
Emergency services Birthing friendly

Hca Florida West Hospital

Acute Care Hospitals · Pensacola, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100231
Location8383 N Davis HwyPensacola, FL 32514 · Escambia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32504 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

90.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.68
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
37%423 patients2/55-star benchmark: 93%
Cervical Cancer Screening
24%214 patients1/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
42%76 patients2/55-star benchmark: 87%
Colorectal Cancer Screening
37%1,249 patients2/55-star benchmark: 88%
Controlling High Blood Pressure
56%1,347 patients3/55-star benchmark: 91%
Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF <= 40%)
89%292 patients4/55-star benchmark: 99%
Dementia: Cognitive Assessment
29%38 patients
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
50%317 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
75%3,371 patients3/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
44%1,361 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
48%2,022 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
18%653 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 51% · 1,658 patients
Patients screened: 52% · 1,658 patients
79%81 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
89%1,515 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 1% · 1,375 patients
Patients totalRate: 7% · 1,414 patients
7%1,414 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 14

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

Internal Medicine (Cardiovascular Disease)
5151 N 9TH AVE STE 200
PENSACOLA, FL 32504
Internal Medicine (Interventional Cardiology)
5151 N 9TH AVE STE 200
PENSACOLA, FL 32504
Internal Medicine (Interventional Cardiology)
5151 N 9TH AVE STE 200
PENSACOLA, FL 32504
Nurse Practitioner (Family)
5151 N 9TH AVE STE 200
PENSACOLA, FL 32504
Nurse Practitioner
5151 N 9TH AVE STE 200
PENSACOLA, FL 32504
Nurse Practitioner (Adult Health)
5151 N 9TH AVE STE 200
PENSACOLA, FL 32504
Internal Medicine (Cardiovascular Disease)
5151 N 9TH AVE STE 200
PENSACOLA, FL 32504
Internal Medicine (Interventional Cardiology)
5151 N 9TH AVE STE 200
PENSACOLA, FL 32504

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 Mark Grise's NPI number?

The NPI number for Mark Grise is 1215963442. It was assigned to this individual provider in the NPPES registry on June 22, 2006.

Where is Mark Grise located?

Mark Grise practices at 5151 N 9th Ave Ste 200, Pensacola, FL 32504. The listed phone number is (850) 416-4970.

What is Mark Grise's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Mark Grise enrolled in Medicare?

Yes. Mark Grise 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.

What insurance does Mark Grise accept?

Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare and 1 other insurer list Mark Grise 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 Mark Grise affiliated with any hospitals?

According to CMS data, Mark Grise is affiliated with Sacred Heart Hospital, Baptist Hospital and Hca Florida West Hospital.

When was this NPI record last updated?

The NPPES record for Mark Grise was last updated on July 21, 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.