TERRENCE MCGRATH
NPI 1326434341
Family Medicine in Indianapolis, IN

Q: What is Terrence Mcgrath's NPI number?

The NPI number for Terrence Mcgrath is 1326434341. It was assigned to this individual provider in the NPPES registry on April 7, 2015.

Q: What is Terrence Mcgrath's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Terrence Mcgrath was last updated on September 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since April 07, 2015PECOS EnrolledAccepts Medicare Assignment

5629 LEE RD, INDIANAPOLIS, IN 46216(317) 419-6800 Get Directions Write a Review

NPPES record last updated: September 7, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Sep 7, 2022, Dec 15, 2021, Oct 1, 2021 and 3 more (6 updates tracked since 2016).

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About Terrence Mcgrath NPPES

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

TERRENCE MCGRATH (NPI 1326434341) is an individual family medicine provider in Indianapolis, Indiana, licensed in Indiana (01080101A) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Ascension St Vincent Hospital, and maintains a secondary practice location in Warsaw.

NPPES Registry Identity

NPI1326434341

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameTERRENCE MCGRATH

Location Address5629 LEE RDIndianapolis, IN 46216-2003

Mailing Address5629 Lee RdIndianapolis, IN 46216-2003

Phone(317) 419-6800

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateApril 7, 2015

Last NPPES UpdateSeptember 7, 20226 updates tracked since enumeration

NPPES CertifiedSeptember 7, 2022

✔ NPI 1326434341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in IN · 01080101A✔ Licensed in TX · Q9674

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

5629 LEE RD, Indianapolis, IN 46216

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Secondary Practice Location 1

Location 12235 DuBois DrWarsaw, IN 46580-3212 · Phone (574) 371-2625

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Terrence Mcgrath 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 ID5496052409

PECOS Enrollment IDI20180801000674

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 10

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.

160 services98 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.

70 services70 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

66 services66 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.

22 services21 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

21 services20 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.

19 services18 patients

Hospital Affiliations CMS Care Compare 3

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

Ascension St Vincent Hospital

Acute Care Hospitals · Indianapolis, IN

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number150084

Location2001 W 86th StIndianapolis, IN 46260 · Marion County

Emergency services Birthing friendly

Ascension St Vincent Carmel

Acute Care Hospitals · Carmel, IN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150157

Location13500 N Meridian StCarmel, IN 46032 · Hamilton County

Emergency services Birthing friendly

Ascension St Vincent Fishers

Acute Care Hospitals · Fishers, IN

OwnershipVoluntary non-profit - Private

CMS Certification Number150181

Location13861 Olio RoadFishers, IN 46037 · Hamilton County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46216 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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 5

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

6 suppliers20 claims42 services$4.87 avg. paid by Medicare

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

4 suppliers14 claims14 services$39.50 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

5 suppliers17 claims86 services$2.61 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

3 suppliers12 claims12 services$42.80 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

1 supplier11 claims11 services$215.80 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 6

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

STACY FRAZIER FNP

Nurse Practitioner (Family)