MARK E GRANDON PA-C
NPI 1386683852
Physician Assistant - Surgical in Louisville, KY

Q: What is Mark Grandon's NPI number?

The NPI number for Mark Grandon is 1386683852. It was assigned to this individual provider in the NPPES registry on June 6, 2006.

Q: What is Mark Grandon's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Mark Grandon was last updated on July 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 June 06, 2006PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

3 AUDUBON PLAZA DR, SUITE 560, LOUISVILLE, KY 40217(502) 636-8004(502) 636-8384 Get Directions Write a Review

NPPES record last updated: July 9, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mark E Grandon Pa-c NPPES

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

MARK E GRANDON PA-C (NPI 1386683852) is an individual surgical provider in Louisville, Kentucky, licensed in Kentucky (PA155) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Norton Hospitals, Inc, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1386683852

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameMARK E GRANDONCredential: PA-C

Location Address3 AUDUBON PLAZA DR, SUITE 560Louisville, KY 40217-1319

Mailing AddressPo Box 776351Chicago, IL 60677-6351 · (502) 588-9490 · Fax (502) 272-5116

Phone(502) 636-8004

Fax(502) 636-8384

Sole ProprietorNo

Medical School CMSOtherGraduated 1991

Enumeration DateJune 6, 2006

Last NPPES UpdateJuly 9, 2016

✔ NPI 1386683852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in KY · PA155

3 AUDUBON PLAZA DR, Louisville, KY 40217

Open in Google Maps ↗

Other Identifiers 8

Other000000689934KY · Anthem - Cts

Other1299470001KY · Ptan

Medicare UPINS04680KY

Medicare PINP400031960KY

Medicaid95001558KY

Other121030KY · Siho - Cts

Medicare PIN0620410KY

Other50032501KY · Passport/passport Advantage - Cts

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Mark E Grandon Pa-c 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 ID5496845760

PECOS Enrollment IDI20071227000033

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 5

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.

Coronary artery bypass using artery graft, 1 graft 33533

A coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.

31 services31 patients

Harvest of vein using an endoscope 33508

Harvesting a vein using an endoscope is a procedure where a small camera is used to help surgeons remove a vein from your body. This vein is often used to bypass a blocked artery, improving blood flow to your heart.

27 services27 patients

Extensive reconstruction of upper heart chamber and alteration of electrical pathway using an endoscope 33266

This procedure involves significant reshaping of the upper chamber of your heart using a small camera (endoscope). It also changes the heart's electrical pathway to improve its function. It's a minimally invasive operation aimed at restoring normal heart rhythm.

23 services23 patients

Exclusion of appendage of left upper chamber of heart performed during other procedure on chest 33268

This is a procedure done on the heart's left upper chamber (atrium). The small pouch-like appendage is sealed off during another chest procedure. This is done to reduce the risk of blood clots forming and causing strokes.

14 services14 patients

Coronary artery bypass using vein or artery graft, 3 grafts 33519

A coronary artery bypass with 3 grafts is a surgery to improve blood flow to the heart. Veins or arteries from other parts of your body are used to bypass blocked coronary arteries. This helps to restore normal blood flow to the heart, reducing the risk of heart disease.

13 services13 patients

Hospital Affiliations CMS Care Compare

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

Norton Hospitals, Inc

Acute Care Hospitals · Louisville, KY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180088

Location200 East Chestnut StreetLouisville, KY 40202 · Jefferson County

Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

100

Improvement Activities

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.

JEANNE M THOMPSON M.D.

Internal Medicine

3 AUDUBON PLAZA DR, LL2
LOUISVILLE, KY 40217

Jefferson County (502) 636-8095

NEUROSCIENCE ASSOCIATES, PSC

Psychiatry & Neurology (Neurology)

3 AUDUBON PLAZA DR, SUITE 110
LOUISVILLE, KY 40217

Jefferson County (502) 634-3433

CARDIOVASCULAR ASSOCIATES, PSC

Internal Medicine (Cardiovascular Disease)

3 AUDUBON PLAZA DR, SUITE 350
LOUISVILLE, KY 40217

Jefferson County (502) 891-8300

BRYAN JESSOP ECKERLE

Psychiatry & Neurology (Neurology)

3 AUDUBON PLAZA DR, LL2
LOUISVILLE, KY 40217

Jefferson County (502) 636-4940

DR. NORMAN D RADTKE M.D.

Ophthalmology

3 AUDUBON PLAZA DR, SUITE 240
LOUISVILLE, KY 40217

Jefferson County (502) 636-2823

GARY F BLOEMER M.D.

Orthopaedic Surgery

3 AUDUBON PLAZA DR, SUITE 430
LOUISVILLE, KY 40217

Jefferson County (502) 588-9490

NORTON HOSPITALS INC

Clinic/Center (Rehabilitation)

3 AUDUBON PLAZA DR, STE L12
LOUISVILLE, KY 40217

Jefferson County (502) 629-8000

ALICE HOANG JOHNSON MD

Internal Medicine

3 AUDUBON PLAZA DR, LL-2
LOUISVILLE, KY 40217

Jefferson County (502) 636-8095

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 Mark Grandon's NPI number?

The NPI number for Mark Grandon is 1386683852. It was assigned to this individual provider in the NPPES registry on June 6, 2006.

Where is Mark Grandon located?

Mark Grandon practices at 3 Audubon Plaza Dr Suite 560, Louisville, KY 40217. The listed phone number is (502) 636-8004.

What is Mark Grandon's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Mark Grandon enrolled in Medicare?

Yes. Mark Grandon 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 Mark Grandon accept?

Health plans from CareSource list Mark Grandon 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 Mark Grandon affiliated with any hospitals?

According to CMS data, Mark Grandon is affiliated with Norton Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Mark Grandon was last updated on July 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.