MICHELINA DE LA MAZA GRIMES MD
NPI 1255779385
Pediatrics in Tucson, AZ

Active since June 11, 2013PECOS Enrolled
97.64/100
CMS Quality Rating
1625 N CAMPBELL AVE, TUCSON, AZ 85719(520) 626-7053(520) 626-6986 Get Directions Write a Review

NPPES record last updated: February 25, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 9, 2019, Mar 15, 2019, Nov 6, 2017 and 3 more (6 updates tracked since 2016).

About Michelina De La Maza Grimes Md NPPES

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

MICHELINA DE LA MAZA GRIMES MD (NPI 1255779385) is an individual pediatrics provider in Tucson, Arizona, licensed in Arizona (52125) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255779385
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameMICHELINA DE LA MAZA GRIMESCredential: MD
Location Address1625 N CAMPBELL AVETucson, AZ 85719
Mailing Address1625 N Campbell AveTucson, AZ 85719-4330 · (520) 626-7053 · Fax (520) 626-6986
Fax(520) 626-6986
Sole ProprietorNo
Enumeration DateJune 11, 2013
Last NPPES UpdateFebruary 25, 20266 updates tracked since enumeration
NPPES CertifiedFebruary 25, 2026
NPI 1255779385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in AZ · 52125
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedPediatrics · Pediatric Hematology-OncologyTaxonomy 2080P0207X · License 52155 (AZ)
1625 N CAMPBELL AVE, Tucson, AZ 85719

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 (PECOS)

Michelina De La Maza Grimes Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85719 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

97.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Quality84.77
Promoting Interoperability98.67
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.

Hospitalist
1625 N CAMPBELL AVE
TUCSON, AZ 85719
Emergency Medicine
1625 N CAMPBELL AVE
TUCSON, AZ 85719
Internal Medicine
1625 N CAMPBELL AVE
TUCSON, AZ 85719
Nurse Practitioner (Family)
1625 N CAMPBELL AVE
TUCSON, AZ 85719
Pharmacist
1625 N CAMPBELL AVE
TUCSON, AZ 85719
Anesthesiology (Pediatric Anesthesiology)
1625 N CAMPBELL AVE
TUCSON, AZ 85719
Nurse Anesthetist, Certified Registered
1625 N CAMPBELL AVE
TUCSON, AZ 85719
Physician Assistant
1625 N CAMPBELL AVE
TUCSON, AZ 85719

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255779385, enumerated as an "individual" on June 11, 2013.

The provider is located at 1625 N CAMPBELL AVE TUCSON, AZ 85719 and the phone number is (520) 626-7053.

Pediatrics with taxonomy code 208000000X.

The provider might be accepting Accepts: Blue Cross Blue Shield of Arizona. Please consult your insurance carrier or call the provider to verify.