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EMILY E GRUM MD
NPI 1366554735
Internal Medicine - Pulmonary Disease in Wilkes Barre, PA

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment
1000 E MOUNTAIN BLVD, WILKES BARRE, PA 18711(570) 808-5770(570) 808-6362 Get Directions Write a Review

NPPES record last updated: July 10, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 10, 2020, Jul 3, 2019 (2 updates tracked since 2019).

About Emily E Grum Md NPPES

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

EMILY E GRUM MD (NPI 1366554735) is an individual pulmonary disease provider in Wilkes Barre, Pennsylvania, licensed in Pennsylvania (MD034267E) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Geisinger-community Medical Center, and is a graduate of Medical College Of Pennsylvania (1984).

NPPES Registry Identity

NPI1366554735
Entity TypeIndividualFemale
Primary Taxonomy207RP1001X
Provider Legal NameEMILY E GRUMCredential: MD
Location Address1000 E MOUNTAIN BLVDWilkes Barre, PA 18711-0027
Mailing Address100 N Academy AveDanville, PA 17822-9800 · (570) 271-6144 · Fax (570) 271-6578
Phone(570) 808-5770
Fax(570) 808-6362
Sole ProprietorNo
Medical School CMSMedical College Of PennsylvaniaGraduated 1984
Enumeration DateAugust 31, 2006
Last NPPES UpdateJuly 10, 20202 updates tracked since enumeration
NPPES CertifiedJuly 10, 2020
✔ NPI 1366554735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in PA · MD034267E
Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

1000 E MOUNTAIN BLVD, Wilkes Barre, PA 18711
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Accepted Insurance

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

Emily E Grum 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 ID9234310061
PECOS Enrollment IDI20110225000696
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 6

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.

Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
330 services321 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
311 services302 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
286 services282 patients
Test to measure expiratory airflow and volume 94010
This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.
144 services140 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
43 services42 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
15 services15 patients

Hospital Affiliations CMS Care Compare 3

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

Geisinger-Community Medical Center

Acute Care Hospitals · Scranton, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390001
Location1822 Mulberry StreetScranton, PA 18510 · Lackawanna County
Emergency services Birthing friendly

Wilkes-Barre General Hospital

Acute Care Hospitals · Wilkes-Barre, PA
1/5 CMS rating
OwnershipProprietary
CMS Certification Number390137
Location575 North River StreetWilkes-Barre, PA 18764 · Luzerne County
Emergency services

Geisinger Wyoming Valley Medical Center

Acute Care Hospitals · Wilkes Barre, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390270
Location1000 East Mountain BoulevardWilkes Barre, PA 18711 · Luzerne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18711 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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 4

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers38 claims38 services$11.55 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier11 claims11 services$3.22 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
5 suppliers55 claims55 services$56.42 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
3 suppliers44 claims44 services$29.99 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 20

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

ROBIN MICHELLE MARICHAK ATHLETIC TRAINER
Specialist
1000 E MOUNTAIN BLVD
WILKES BARRE, PA 18711
Luzerne County (570) 820-6086
DR. HOWARD L SPECTOR DO
Radiology (Diagnostic Radiology)
1000 E MOUNTAIN BLVD
WILKES BARRE, PA 18711
Luzerne County (570) 808-7905
MR. KEITH J AUGUSTINE CRNA
Nurse Anesthetist, Certified Registered
1000 E MOUNTAIN BLVD, DEPT OF ANESTHESIA
WILKES BARRE, PA 18711
Luzerne County (570) 826-7850
MR. WILLIAM B. BLANNETT CRNA
Nurse Anesthetist, Certified Registered
1000 E MOUNTAIN BLVD, DEPT OF ANESTHESIA
WILKES BARRE, PA 18711
Luzerne County (570) 826-7850
DR. JOSEPH N. BRUNO JR. M.D.
Radiology (Diagnostic Radiology)
1000 E MOUNTAIN BLVD, DEPT OF RADIOLOGY
WILKES BARRE, PA 18711
Luzerne County (570) 808-7779
DR. GRACE K. BOYLE M.D.
Radiology (Diagnostic Radiology)
1000 E MOUNTAIN BLVD, DEPT OF RADIOLOGY
WILKES BARRE, PA 18711
Luzerne County (570) 826-7779
DR. CALVIN J. DYSINGER M.D.
Anesthesiology
1000 E MOUNTAIN BLVD, DEPT OF ANESTHESIA
WILKES BARRE, PA 18711
Luzerne County (570) 826-7850
MS. MARY E. GARDNER CRNA
Nurse Anesthetist, Certified Registered
1000 E MOUNTAIN BLVD, DEPT OF ANESTHESIA
WILKES BARRE, PA 18711
Luzerne County (570) 826-7850

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 Emily Grum's NPI number?

The NPI number for Emily Grum is 1366554735. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Emily Grum located?

Emily Grum practices at 1000 E Mountain Blvd, Wilkes Barre, PA 18711. The listed phone number is (570) 808-5770.

What is Emily Grum's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Emily Grum enrolled in Medicare?

Yes. Emily Grum 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 Emily Grum accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Emily Grum 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 Emily Grum affiliated with any hospitals?

According to CMS data, Emily Grum is affiliated with Geisinger-Community Medical Center, Wilkes-Barre General Hospital and Geisinger Wyoming Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Emily Grum was last updated on July 10, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.