DAVID M MCGRATH M.D.
NPI 1275640229
Internal Medicine in Grand Rapids, MI

Active since August 24, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1000 EAST PARIS AVE SE STE 100, GRAND RAPIDS, MI 49546(616) 459-3158(616) 988-0071 Get Directions Write a Review

NPPES record last updated: December 13, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 13, 2022, Nov 19, 2018, Jun 21, 2016 (3 updates tracked since 2016).

About David M Mcgrath M.d. NPPES

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

DAVID M MCGRATH M.D. (NPI 1275640229) is an individual internal medicine provider in Grand Rapids, Michigan, licensed in Michigan (4301068115) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Corewell Health Zeeland Hospital, and is a graduate of Michigan State University College Of Human Medicine (1993).

NPPES Registry Identity

NPI1275640229
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDAVID M MCGRATHCredential: M.D.
Location Address1000 EAST PARIS AVE SE STE 100Grand Rapids, MI 49546
Mailing Address1000 East Paris Ave Se Ste 100Grand Rapids, MI 49546-3680 · (616) 459-3158 · Fax (616) 988-0071
Fax(616) 988-0071
Sole ProprietorNo
Medical School CMSMichigan State University College Of Human MedicineGraduated 1993
Enumeration DateAugust 24, 2006
Last NPPES UpdateDecember 13, 20223 updates tracked since enumeration
NPPES CertifiedDecember 13, 2022
NPI 1275640229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MI · 4301068115
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1000 EAST PARIS AVE SE STE 100, Grand Rapids, MI 49546

Other Identifiers 2

Other1104107461MI · Bcbs Of Michigan
Medicaid4488260MI

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

David M Mcgrath 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.

PECOS PAC ID9032125885
PECOS Enrollment IDI20100918000289
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 14

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 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.
277 services117 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
198 services88 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
107 services72 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
103 services68 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
93 services93 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
71 services47 patients

Hospital Affiliations CMS Care Compare 4

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

Corewell Health Zeeland Hospital

Acute Care Hospitals · Zeeland, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number230003
Location8333 Felch StZeeland, MI 49464 · Ottawa County
Emergency services Birthing friendly

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230038
Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Mercy Health Saint Mary's

Acute Care Hospitals · Grand Rapids, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230059
Location200 Jefferson Avenue SEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Corewell Health Pennock Hospital

Critical Access Hospitals · Hastings, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number231339
Location1009 W Green StHastings, MI 49058 · Barry County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49546 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.54
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 8

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers12 claims46 services$6.37 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier13 claims13 services$36.81 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers15 claims15 services$14.49 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier24 claims24 services$2.88 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers27 claims27 services$62.57 avg. paid by Medicare
Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier11 claims1,980 services$0.33 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 10

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

Nurse Practitioner (Family)
1000 EAST PARIS AVE SE STE 100
GRAND RAPIDS, MI 49546
Internal Medicine
1000 EAST PARIS AVE SE STE 100
GRAND RAPIDS, MI 49546
Family Medicine
1000 EAST PARIS AVE SE STE 100
GRAND RAPIDS, MI 49546
Internal Medicine
1000 EAST PARIS AVE SE STE 100
GRAND RAPIDS, MI 49546
Internal Medicine
1000 EAST PARIS AVE SE STE 100
GRAND RAPIDS, MI 49546
Family Medicine
1000 EAST PARIS AVE SE STE 100
GRAND RAPIDS, MI 49546
Internal Medicine
1000 EAST PARIS AVE SE STE 100
GRAND RAPIDS, MI 49546
Physician Assistant
1000 EAST PARIS AVE SE STE 100
GRAND RAPIDS, MI 49546

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 David Mcgrath's NPI number?

The NPI number for David Mcgrath is 1275640229. It was assigned to this individual provider in the NPPES registry on August 24, 2006.

Where is David Mcgrath located?

David Mcgrath practices at 1000 East Paris Ave SE Ste 100, Grand Rapids, MI 49546. The listed phone number is (616) 459-3158.

What is David Mcgrath's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is David Mcgrath enrolled in Medicare?

Yes. David Mcgrath 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 David Mcgrath accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list David Mcgrath 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 David Mcgrath affiliated with any hospitals?

According to CMS data, David Mcgrath is affiliated with Corewell Health Zeeland Hospital, Spectrum Health, Mercy Health Saint Mary's and Corewell Health Pennock Hospital.

When was this NPI record last updated?

The NPPES record for David Mcgrath was last updated on December 13, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.