DR. JAMES GRATTON M.D.
NPI 1306279864
Emergency Medicine in Ponce, PR
About Dr. James Gratton M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JAMES GRATTON M.D. (NPI 1306279864) is an individual emergency medicine provider in Ponce, Puerto Rico, licensed in Puerto Rico (29593-R) and active in the NPI registry since August 2013. He is enrolled in Medicare PECOS, is affiliated with South Texas Health System, and is a graduate of Other (2012).
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. James Gratton 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
12Medicare enrollment records show James Gratton reassigns Medicare billing to 12 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Clewiston, FL 33440
- Reassigned Medicare billing, Texas enrollment
- 123 clinicians in this Medicare group
Beckley, WV 25801
- Reassigned Medicare billing, West Virginia enrollment
- 80 clinicians in this Medicare group
Oak Hill, WV 25901
- Reassigned Medicare billing, West Virginia enrollment
- 35 clinicians in this Medicare group
Harlingen, TX 78550
- Reassigned Medicare billing, Texas enrollment
- 47 clinicians in this Medicare group
Weslaco, TX 78596
- Reassigned Medicare billing, Texas enrollment
- 44 clinicians in this Medicare group
Alamo, TX 78516
- Reassigned Medicare billing, Texas enrollment
- 145 clinicians in this Medicare group
Edinburg, TX 78541
- Reassigned Medicare billing, Texas enrollment
- 154 clinicians in this Medicare group
Edinburg, TX 78539
- Reassigned Medicare billing, Texas enrollment
- 257 clinicians in this Medicare group
Edinburg, TX 78539
- Reassigned Medicare billing, Texas enrollment
- 136 clinicians in this Medicare group
Mcallen, TX 78503
- Reassigned Medicare billing, Texas enrollment
- 170 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 3
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
South Texas Health System
Acute Care Hospitals · Edinburg, TXValley Regional Medical Center
Acute Care Hospitals · Brownsville, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 00716 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.
PONCE, PR 00716
PONCE, PR 00716
PONCE, PR 00716
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 James Gratton's NPI number?
The NPI number for James Gratton is 1306279864. It was assigned to this individual provider in the NPPES registry on August 19, 2013.
Where is James Gratton located?
James Gratton practices at 917 Ave Tito Castro, Ponce, PR 00716. The listed phone number is (787) 844-2080.
What is James Gratton's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is James Gratton enrolled in Medicare?
Yes. James Gratton 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 James Gratton's services?
According to the CMS Revalidation Reassignment List (October 2026 release), James Gratton reassigns Medicare benefits to 12 organizations: Small Hospital Innovations LLC (Clewiston, FL), Beckley Emergency Physicians LLC (Beckley, WV), Oak Hill Emergency Physicians, LLC (Oak Hill, WV), Emergency Physicians Of South Texas PLLC (Harlingen, TX), Rio Grande Valley Emergency Physicians PLLC (Weslaco, TX) and 7 more organizations, listed in the Medicare section above. 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 James Gratton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does James Gratton accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list James Gratton 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 James Gratton affiliated with any hospitals?
According to CMS data, James Gratton is affiliated with South Texas Health System and Valley Regional Medical Center.
When was this NPI record last updated?
The NPPES record for James Gratton was last updated on August 19, 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. James Gratton, M.D. · NPI 1306279864
Emergency Medicine physician in Ponce, Puerto Rico. Individual provider, active in the CMS NPPES registry since August 19, 2013.
## Identity
- **NPI:** 1306279864 (Entity type: Individual)
- **Enumerated:** August 19, 2013
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 29593-R (Puerto Rico)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 917 AVE TITO CASTRO, Ponce, PR 00716-4717
- **Phone:** (787) 844-2080
## 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:** 12 organizations under Medicare reassignment (form CMS-855R): Small Hospital Innovations LLC (NPI 1184040560, Clewiston, FL); Beckley Emergency Physicians LLC (NPI 1376757674, Beckley, WV); Oak Hill Emergency Physicians, LLC (NPI 1891075057, Oak Hill, WV); Emergency Physicians Of South Texas PLLC (NPI 1477310779, Harlingen, TX); Rio Grande Valley Emergency Physicians PLLC (NPI 1801877212, Weslaco, TX); and 7 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** August 19, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1306279864) · Data from the CMS NPPES public registry.