DR. SEAN GRIMM MD
NPI 1235346941
Psychiatry & Neurology - Neurology in Chicago, IL

Active since May 16, 2007PECOS EnrolledAccepts Medicare Assignment
1725 W HARRISON ST STE 1010, CHICAGO, IL 60612(312) 226-2371(312) 942-1783 Get Directions Write a Review

NPPES record last updated: September 15, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Sean Grimm Md NPPES

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

DR. SEAN GRIMM MD (NPI 1235346941) is an individual neurology provider in Chicago, Illinois, licensed in Illinois (036-118109) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Rush University Medical Center, and is a graduate of University Of Texas Medical School At San Antonio (2001).

NPPES Registry Identity

NPI1235346941
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. SEAN GRIMMCredential: MD
Location Address1725 W HARRISON ST STE 1010Chicago, IL 60612-3841
Mailing Address1725 W Harrison St Ste 1010Chicago, IL 60612-3841 · (312) 226-2371 · Fax (312) 942-1783
Fax(312) 942-1783
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 2001
Enumeration DateMay 16, 2007
Last NPPES UpdateSeptember 15, 2021
NPPES CertifiedSeptember 15, 2021
NPI 1235346941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in IL · 036-118109
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
1725 W HARRISON ST STE 1010, Chicago, IL 60612

Other Identifiers 5

Other206147245IL · Medicare Ptan (individual)
OtherP01258079IL · Medicare Railroad (individual)
OtherCA4748IL · Medicare Railroad (group)
Medicaid036118109IL
Other206147IL · Medicare Ptan (group)

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. Sean Grimm 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 ID8921108325
PECOS Enrollment IDI20070714000052
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 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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
69 services33 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
56 services26 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
45 services23 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.
25 services13 patients

Hospital Affiliations CMS Care Compare

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

Rush University Medical Center

Acute Care Hospitals · Chicago, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140119
Location1653 West Congress ParkwayChicago, IL 60612 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60612 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Temozolomide, oral, 5 mg J8700
Treatment-Treatment - Miscellaneous · category RX000N
1 supplier11 claims5,503 services$0.41 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
1 supplier11 claims16 services$19.05 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 18

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

Internal Medicine (Hematology)
1725 W HARRISON ST STE 1010
CHICAGO, IL 60612
Nurse Practitioner (Adult Health)
1725 W HARRISON ST STE 1010
CHICAGO, IL 60612
Nurse Practitioner (Adult Health)
1725 W HARRISON ST STE 1010
CHICAGO, IL 60612
Nurse Practitioner (Adult Health)
1725 W HARRISON ST STE 1010
CHICAGO, IL 60612
Physician Assistant
1725 W HARRISON ST STE 1010
CHICAGO, IL 60612
Genetic Counselor, MS
1725 W HARRISON ST STE 1010
CHICAGO, IL 60612
Nurse Practitioner (Acute Care)
1725 W HARRISON ST STE 1010
CHICAGO, IL 60612
Nurse Practitioner
1725 W HARRISON ST STE 1010
CHICAGO, IL 60612

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 Sean Grimm's NPI number?

The NPI number for Sean Grimm is 1235346941. It was assigned to this individual provider in the NPPES registry on May 16, 2007.

Where is Sean Grimm located?

Sean Grimm practices at 1725 W Harrison St Ste 1010, Chicago, IL 60612. The listed phone number is (312) 226-2371.

What is Sean Grimm's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Sean Grimm enrolled in Medicare?

Yes. Sean Grimm 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 Sean Grimm accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Sean Grimm 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 Sean Grimm affiliated with any hospitals?

According to CMS data, Sean Grimm is affiliated with Rush University Medical Center.

When was this NPI record last updated?

The NPPES record for Sean Grimm was last updated on September 15, 2021. 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.