ADAM C GRIMM PA
NPI 1407110653
Physician Assistant in Pewaukee, WI

Q: What is Adam Grimm's NPI number?

The NPI number for Adam Grimm is 1407110653. It was assigned to this individual provider in the NPPES registry on July 2, 2012.

Q: What is Adam Grimm's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Adam Grimm was last updated on August 28, 2023. 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 July 02, 2012PECOS EnrolledAccepts Medicare Assignment

N15W28300 GOLF RD, PEWAUKEE, WI 53072(262) 303-5055(262) 303-5057 Get Directions Write a Review

NPPES record last updated: August 28, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 28, 2023, Aug 25, 2023, Aug 21, 2020 and 1 more (4 updates tracked since 2019).

On this page

About Adam C Grimm Pa NPPES

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

ADAM C GRIMM PA (NPI 1407110653) is an individual physician assistant in Pewaukee, Wisconsin, licensed in Wisconsin (7534) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS, is affiliated with Waukesha Memorial Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1407110653

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameADAM C GRIMMCredential: PA

Location AddressN15W28300 GOLF RDPewaukee, WI 53072-4800

Mailing AddressN15w28300 Golf RdPewaukee, WI 53072-4800 · (262) 303-5055 · Fax (262) 303-5057

Phone(262) 303-5055

Fax(262) 303-5057

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateJuly 2, 2012

Last NPPES UpdateAugust 28, 20234 updates tracked since enumeration

NPPES CertifiedAugust 28, 2023

✔ NPI 1407110653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in WI · 7534✔ Licensed in WI · 100887-875

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

N15W28300 GOLF RD, Pewaukee, WI 53072

Open in Google Maps ↗

Other Identifiers 1

Medicaid100046348WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Network Health.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

Adam C Grimm Pa 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 ID4789833906

PECOS Enrollment IDI20230809000361

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.

Hospital Affiliations CMS Care Compare

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

Waukesha Memorial Hospital

Acute Care Hospitals · Waukesha, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520008

Location725 American AveWaukesha, WI 53188 · Waukesha County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53072 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

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 20

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

THE ORTHOPAEDIC SURGERY CENTER LLC

Clinic/Center (Ambulatory Surgical)