FRANCIS LAWSON GRUMBINE MD
NPI 1316178452
Ophthalmology in Baltimore, MD

Active since August 06, 2009PECOS EnrolledAccepts Medicare Assignment
419 W REDWOOD ST, STE 470, BALTIMORE, MD 21201(667) 214-1111(410) 328-6503 Get Directions Write a Review

NPPES record last updated: July 27, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Francis Lawson Grumbine Md NPPES

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

FRANCIS LAWSON GRUMBINE MD (NPI 1316178452) is an individual ophthalmology provider in Baltimore, Maryland, licensed in Maryland (D0078912) and active in the NPI registry since August 2009. He is enrolled in Medicare PECOS, is affiliated with Greater Baltimore Medical Center, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (2009).

NPPES Registry Identity

NPI1316178452
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameFRANCIS LAWSON GRUMBINECredential: MD
Location Address419 W REDWOOD ST, STE 470Baltimore, MD 21201-1734
Mailing Address419 W Redwood St, Ste 470Baltimore, MD 21201-1734 · (667) 214-1111 · Fax (410) 328-6503
Fax(410) 328-6503
Sole ProprietorYes
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 2009
Enumeration DateAugust 6, 2009
Last NPPES UpdateJuly 27, 2015
NPI 1316178452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in MD · D0078912 Licensed in PA · MD454769
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
419 W REDWOOD ST, Baltimore, MD 21201

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

Francis Lawson Grumbine 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 ID5991943946
PECOS Enrollment IDI20150526000737
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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
345 services342 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.
298 services233 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
159 services94 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.
149 services147 patients
Ultrasound scan to determine eye length and lens power 76519
An ultrasound scan for the eye is a safe, non-invasive procedure. It uses sound waves to create images of your eye's structure. This helps determine the length of your eye and the power of your lens, which is crucial for diagnosing eye conditions and planning surgeries.
104 services102 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
87 services87 patients

Hospital Affiliations CMS Care Compare

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

Greater Baltimore Medical Center

Acute Care Hospitals · Baltimore, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210044
Location6701 North Charles StreetBaltimore, MD 21204 · Baltimore County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21201 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
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Surgery
419 W REDWOOD ST
BALTIMORE, MD 21201
Dermatology
419 W REDWOOD ST
BALTIMORE, MD 21201
Ophthalmology
419 W REDWOOD ST, SUITE 479
BALTIMORE, MD 21201
Nurse Practitioner (Family)
419 W REDWOOD ST, SUITE 160
BALTIMORE, MD 21201
Obstetrics & Gynecology (Maternal & Fetal Medicine)
419 W REDWOOD ST, SUITE 500
BALTIMORE, MD 21201
Social Worker (Clinical)
419 W REDWOOD ST
BALTIMORE, MD 21201
Nurse Practitioner
419 W REDWOOD ST
BALTIMORE, MD 21201
Internal Medicine
419 W REDWOOD ST
BALTIMORE, MD 21201

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 Francis Grumbine's NPI number?

The NPI number for Francis Grumbine is 1316178452. It was assigned to this individual provider in the NPPES registry on August 6, 2009.

Where is Francis Grumbine located?

Francis Grumbine practices at 419 W Redwood St Ste 470, Baltimore, MD 21201. The listed phone number is (667) 214-1111.

What is Francis Grumbine's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Francis Grumbine enrolled in Medicare?

Yes. Francis Grumbine 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 Francis Grumbine accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Providence Health Plan list Francis Grumbine 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 Francis Grumbine affiliated with any hospitals?

According to CMS data, Francis Grumbine is affiliated with Greater Baltimore Medical Center.

When was this NPI record last updated?

The NPPES record for Francis Grumbine was last updated on July 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.