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MICHELLE GRUNDSTROM MD
NPI 1538797311
Obstetrics & Gynecology in Plano, TX

Active since March 29, 2020PECOS Enrolled
6020 W PARKER RD STE 330, PLANO, TX 75093(469) 367-0225(469) 367-0430 Get Directions Write a Review

NPPES record last updated: July 10, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 10, 2024, Jun 26, 2024, Mar 29, 2020 (3 updates tracked since 2020).

About Michelle Grundstrom Md NPPES

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

MICHELLE GRUNDSTROM MD (NPI 1538797311) is an individual obstetrics & gynecology provider in Plano, Texas, licensed in Texas (V0750) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1538797311
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameMICHELLE GRUNDSTROMCredential: MD
Location Address6020 W PARKER RD STE 330Plano, TX 75093-0005
Mailing Address6020 W Parker Rd Ste 330Plano, TX 75093-0005 · (469) 367-0225
Phone(469) 367-0225
Fax(469) 367-0430
Sole ProprietorNo
Enumeration DateMarch 29, 2020
Last NPPES UpdateJuly 10, 20243 updates tracked since enumeration
NPPES CertifiedJuly 10, 2024
✔ NPI 1538797311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in TX · V0750
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
6020 W PARKER RD STE 330, Plano, TX 75093
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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 (PECOS)

Michelle Grundstrom Md 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 75093 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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 3

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

DR. NEDRA L. RICE MD
Obstetrics & Gynecology
6020 W PARKER RD STE 330
PLANO, TX 75093
Collin County (469) 367-0225
CONTEMPORARY WOMEN'S CARE, PA
Obstetrics & Gynecology
6020 W PARKER RD STE 330
PLANO, TX 75093
Collin County (469) 367-0225
SONY VELLAVOOR BIJI NURSE PRACTITIONER
Nurse Practitioner (Family)
6020 W PARKER RD STE 330
PLANO, TX 75093
Collin County (469) 367-0225

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 Michelle Grundstrom's NPI number?

The NPI number for Michelle Grundstrom is 1538797311. It was assigned to this individual provider in the NPPES registry on March 29, 2020.

Where is Michelle Grundstrom located?

Michelle Grundstrom practices at 6020 W Parker Rd Ste 330, Plano, TX 75093. The listed phone number is (469) 367-0225.

What is Michelle Grundstrom's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Michelle Grundstrom enrolled in Medicare?

Yes. Michelle Grundstrom is registered in the Medicare PECOS enrollment system.

What insurance does Michelle Grundstrom accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Michelle Grundstrom 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.

When was this NPI record last updated?

The NPPES record for Michelle Grundstrom was last updated on July 10, 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.