DOUGLAS J GRUENBACHER MD
NPI 1376597872
Family Medicine in Quinter, KS

Active since May 19, 2006PECOS EnrolledAccepts Medicare Assignment
501 GARFIELD ST, QUINTER, KS 67752(785) 754-3333(785) 754-2335 Get Directions Write a Review

NPPES record last updated: December 22, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Douglas J Gruenbacher Md NPPES

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

DOUGLAS J GRUENBACHER MD (NPI 1376597872) is an individual family medicine provider in Quinter, Kansas, licensed in Kansas (28949) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Logan County Hospital, and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (1999).

NPPES Registry Identity

NPI1376597872
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDOUGLAS J GRUENBACHERCredential: MD
Location Address501 GARFIELD STQuinter, KS 67752-9795
Mailing Address501 Garfield StQuinter, KS 67752-9795 · (785) 754-3333 · Fax (785) 754-2335
Fax(785) 754-2335
Sole ProprietorNo
Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 1999
Enumeration DateMay 19, 2006
Last NPPES UpdateDecember 22, 2011
NPI 1376597872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in KS · 28949
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.
501 GARFIELD ST, Quinter, KS 67752

Other Identifiers 4

Other102120KS · Bcbs
Medicaid100420600AKS
Medicare UPINH30177KS
Medicare ID-Type Unspecified102120KS

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

Douglas J Gruenbacher 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 ID6103992961
PECOS Enrollment IDI20100120000784
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 2

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
72 services23 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
20 services14 patients

Hospital Affiliations CMS Care Compare 4

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

Logan County Hospital

Critical Access Hospitals · Oakley, KS
OwnershipGovernment - Local
CMS Certification Number171326
Location211 Cherry AvenueOakley, KS 67748 · Logan County
Emergency services

Sheridan County Hospital

Critical Access Hospitals · Hoxie, KS
OwnershipGovernment - Local
CMS Certification Number171347
Location826 18th StreetHoxie, KS 67740 · Sheridan County
Emergency services

Trego County Lemke Memorial Hospital

Critical Access Hospitals · Wa Keeney, KS
OwnershipGovernment - Local
CMS Certification Number171355
Location320 N Thirteenth StWa Keeney, KS 67672 · Trego County
Emergency services

Gove County Medical Center

Critical Access Hospitals · Quinter, KS
OwnershipVoluntary non-profit - Other
CMS Certification Number171367
Location520 West 5th StreetQuinter, KS 67752 · Gove County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 67752 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
$81.98 typical visit price
range $53.00 – $161.67
Typical copayment $20.49 (range $13.25 – $40.41)
Most-billed visit code 99203
Established Patient
$94.12 typical visit price
range $16.88 – $132.11
Typical copayment $23.53 (range $4.22 – $33.02)
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 12

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
4 suppliers31 claims61 services$1.93 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers11 claims11 services$119.53 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
2 suppliers11 claims11 services$61.08 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
4 suppliers14 claims14 services$23.25 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
3 suppliers19 claims19 services$22.60 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers19 claims93 services$3.22 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.

Dental Hygienist
501 GARFIELD ST
QUINTER, KS 67752
Family Medicine
501 GARFIELD ST
QUINTER, KS 67752
Family Medicine
501 GARFIELD ST
QUINTER, KS 67752
Clinic/Center (Dental)
501 GARFIELD ST
QUINTER, KS 67752
Family Medicine
501 GARFIELD ST
QUINTER, KS 67752
Nurse Practitioner (Family)
501 GARFIELD ST
QUINTER, KS 67752

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 Douglas Gruenbacher's NPI number?

The NPI number for Douglas Gruenbacher is 1376597872. It was assigned to this individual provider in the NPPES registry on May 19, 2006.

Where is Douglas Gruenbacher located?

Douglas Gruenbacher practices at 501 Garfield St, Quinter, KS 67752. The listed phone number is (785) 754-3333.

What is Douglas Gruenbacher's specialty?

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

Is Douglas Gruenbacher enrolled in Medicare?

Yes. Douglas Gruenbacher 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 Douglas Gruenbacher accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 2 other insurers list Douglas Gruenbacher 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 Douglas Gruenbacher affiliated with any hospitals?

According to CMS data, Douglas Gruenbacher is affiliated with Logan County Hospital, Sheridan County Hospital, Trego County Lemke Memorial Hospital and Gove County Medical Center.

When was this NPI record last updated?

The NPPES record for Douglas Gruenbacher was last updated on December 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.