GARY GRIMM
NPI 1386293249
Nurse Practitioner - Family in Honolulu, HI

Q: What is Gary Grimm's NPI number?

The NPI number for Gary Grimm is 1386293249. It was assigned to this individual provider in the NPPES registry on September 4, 2019.

Q: What is Gary Grimm's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Gary Grimm was last updated on June 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 September 04, 2019PECOS Enrolled

459 PATTERSON RD, HONOLULU, HI 96819(808) 433-0600 Get Directions Write a Review

NPPES record last updated: June 6, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 6, 2024, Sep 4, 2019 (2 updates tracked since 2019).

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About Gary Grimm NPPES

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

GARY GRIMM (NPI 1386293249) is an individual family provider in Honolulu, Hawaii, licensed in Pennsylvania (SP020636) and active in the NPI registry since September 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386293249

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameGARY GRIMM

Location Address459 PATTERSON RDHonolulu, HI 96819-1522

Mailing Address459 Patterson RdHonolulu, HI 96819-1522

Phone(808) 433-0600

Sole ProprietorNo

Enumeration DateSeptember 4, 2019

Last NPPES UpdateJune 6, 20242 updates tracked since enumeration

NPPES CertifiedJune 6, 2024

✔ NPI 1386293249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in PA · SP020636

459 PATTERSON RD, Honolulu, HI 96819

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gary Grimm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96819 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

$92.50 typical visit price

range $60.53 – $180.05

Typical copayment $23.12 (range $15.13 – $45.01)

Most-billed visit code 99203

Established Patient

$105.65 typical visit price

range $20.09 – $147.56

Typical copayment $26.41 (range $5.02 – $36.89)

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.

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.

MR. DEAN S KUMASAKA

Pharmacist