DR. CAPRICE D MCGRAIL MD
NPI 1336120633
Obstetrics & Gynecology in Warren, MI

Active since November 14, 2005PECOS EnrolledAccepts Medicare Assignment
11300 E 13 MILE RD, STE 4A, WARREN, MI 48093(586) 574-1313(586) 574-0842 Get Directions Write a Review

NPPES record last updated: July 12, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Caprice D Mcgrail Md NPPES

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

DR. CAPRICE D MCGRAIL MD (NPI 1336120633) is an individual obstetrics & gynecology provider in Warren, Michigan, licensed in Michigan (4301076384) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital - Grosse Pointe, and is a graduate of Wayne State University School Of Medicine (2000).

NPPES Registry Identity

NPI1336120633
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. CAPRICE D MCGRAILCredential: MD
Location Address11300 E 13 MILE RD, STE 4AWarren, MI 48093-2500
Mailing Address11300 E 13 Mile Rd, Ste 4Warren, MI 48093-2500 · (586) 574-1313 · Fax (586) 574-0842
Fax(586) 574-0842
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2000
Enumeration DateNovember 14, 2005
Last NPPES UpdateJuly 12, 2024
NPPES CertifiedJuly 12, 2024
NPI 1336120633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in MI · 4301076384
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

11300 E 13 MILE RD, Warren, MI 48093

Other Names 1

Other Name (5)Caprice Herron

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

Dr. Caprice D Mcgrail 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 ID1658345475
PECOS Enrollment IDI20040825001433
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 4

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 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.
46 services30 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
41 services41 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.
39 services39 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Beaumont Hospital - Grosse Pointe

Acute Care Hospitals · Grosse Pointe, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230089
Location468 Cadieux RdGrosse Pointe, MI 48230 · Wayne County
Emergency services Birthing friendly

Beaumont Hospital Royal Oak

Acute Care Hospitals · Royal Oak, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230130
Location3601 W Thirteen Mile RdRoyal Oak, MI 48073 · Oakland County
Emergency services Birthing friendly

Beaumont Hospital, Troy

Acute Care Hospitals · Troy, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230269
Location44201 Dequindre RoadTroy, MI 48085 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48093 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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 10

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

Dentist (Endodontics)
11300 E 13 MILE RD
WARREN, MI 48093
Specialist
11300 E 13 MILE RD, SUITE 4
WARREN, MI 48093
Obstetrics & Gynecology
11300 E 13 MILE RD, STE 4A
WARREN, MI 48093
Obstetrics & Gynecology
11300 E 13 MILE RD, SUITE 4
WARREN, MI 48093
Dentist (Endodontics)
11300 E 13 MILE RD
WARREN, MI 48093
Dentist (Endodontics)
11300 E 13 MILE RD
WARREN, MI 48093
Dentist (Endodontics)
11300 E 13 MILE RD
WARREN, MI 48093
Obstetrics & Gynecology
11300 E 13 MILE RD, STE 4A
WARREN, MI 48093

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 Caprice Mcgrail's NPI number?

The NPI number for Caprice Mcgrail is 1336120633. It was assigned to this individual provider in the NPPES registry on November 14, 2005. The provider is also known as Caprice Herron.

Where is Caprice Mcgrail located?

Caprice Mcgrail practices at 11300 E 13 Mile Rd Ste 4A, Warren, MI 48093. The listed phone number is (586) 574-1313.

What is Caprice Mcgrail's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Caprice Mcgrail enrolled in Medicare?

Yes. Caprice Mcgrail 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 Caprice Mcgrail 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 Caprice Mcgrail 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 Caprice Mcgrail affiliated with any hospitals?

According to CMS data, Caprice Mcgrail is affiliated with Beaumont Hospital - Grosse Pointe, Beaumont Hospital Royal Oak and Beaumont Hospital, Troy.

When was this NPI record last updated?

The NPPES record for Caprice Mcgrail was last updated on July 12, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.