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BRIAN DAVID GRADWOHL PHD
NPI 1457974784
Clinical Neuropsychologist in Muskegon, MI

Active since May 21, 2020PECOS EnrolledAccepts Medicare Assignment
94.5/100
CMS Quality Rating
1277 MERCY DR, MUSKEGON, MI 49444(231) 672-6568 Get Directions Write a Review

NPPES record last updated: January 13, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 13, 2022, May 21, 2020 (2 updates tracked since 2020).

About Brian David Gradwohl Phd NPPES

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

BRIAN DAVID GRADWOHL PHD (NPI 1457974784) is an individual clinical neuropsychologist in Muskegon, Michigan and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS, is affiliated with Trinity Health Muskegon Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1457974784
Entity TypeIndividualMale
Primary Taxonomy103G00000X
Provider Legal NameBRIAN DAVID GRADWOHLCredential: PHD
Location Address1277 MERCY DRMuskegon, MI 49444-4605
Mailing Address1277 Mercy DrMuskegon, MI 49444-4605 · (231) 672-6568
Phone(231) 672-6568
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMay 21, 2020
Last NPPES UpdateJanuary 13, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2022
✔ NPI 1457974784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
1277 MERCY DR, Muskegon, MI 49444
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and more.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

Brian David Gradwohl Phd 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 ID7618399601
PECOS Enrollment IDI20200619002322
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 3

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.

Evaluation of neuropsychological test, each additional hour 96133
This service involves further evaluation of your neuropsychological test results beyond the initial hour. It helps to understand your cognitive functioning better, focusing on areas like memory, attention, and problem-solving skills.
107 services43 patients
Evaluation of neuropsychological test, first hour 96132
An evaluation of neuropsychological tests is a process to assess your brain's function. It involves tasks designed to measure cognitive abilities such as memory, attention, problem-solving, and language skills. The first hour involves initial testing and observation.
43 services43 patients
Exam of neurobehavioral status, first hour 96116
An exam of neurobehavioral status is a medical procedure that evaluates your brain's functions. This includes assessing your cognitive abilities, emotional responses, and behavioral patterns. The first hour of the exam is typically dedicated to this initial evaluation.
41 services41 patients

Hospital Affiliations CMS Care Compare

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

Trinity Health Muskegon Hospital

Acute Care Hospitals · Muskegon, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230066
Location1500 E Sherman BlvdMuskegon, MI 49441 · Muskegon 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.

94.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality96.41
Improvement Activities20
Cost81.3

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.

LEAH KATHRYN MARTIN PA-C
Physician Assistant
1277 MERCY DR
MUSKEGON, MI 49444
Muskegon County (231) 672-6186
BAO-MIN TWU MD
Internal Medicine (Nephrology)
1277 MERCY DR
MUSKEGON, MI 49444
Muskegon County (231) 733-1912
SYED SOHAIB HUSAINI M.D
Family Medicine (Sleep Medicine)
1277 MERCY DR
MUSKEGON, MI 49444
Muskegon County (231) 672-6186
BARRY WILLIAM KRAM D.O.
Internal Medicine (Nephrology)
1277 MERCY DR
MUSKEGON, MI 49444
Muskegon County (231) 739-6375
CONRAD KOZLOWSKI MD
Internal Medicine (Sleep Medicine)
1277 MERCY DR
MUSKEGON, MI 49444
Muskegon County (231) 672-6186
KELSI E DRUDY PA-C
Physician Assistant (Medical)
1277 MERCY DR
MUSKEGON, MI 49444
Muskegon County (231) 672-6186

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 Brian Gradwohl's NPI number?

The NPI number for Brian Gradwohl is 1457974784. It was assigned to this individual provider in the NPPES registry on May 21, 2020.

Where is Brian Gradwohl located?

Brian Gradwohl practices at 1277 Mercy Dr, Muskegon, MI 49444. The listed phone number is (231) 672-6568.

What is Brian Gradwohl's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Brian Gradwohl enrolled in Medicare?

Yes. Brian Gradwohl 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 Brian Gradwohl accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and Priority Health list Brian Gradwohl 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 Brian Gradwohl affiliated with any hospitals?

According to CMS data, Brian Gradwohl is affiliated with Trinity Health Muskegon Hospital.

When was this NPI record last updated?

The NPPES record for Brian Gradwohl was last updated on January 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.