MR. BRETT RYAN GRUNDL MMS, PA-C
NPI 1578783171
Physician Assistant in Hemet, CA

Q: What is Brett Grundl's NPI number?

The NPI number for Brett Grundl is 1578783171. It was assigned to this individual provider in the NPPES registry on April 26, 2007.

Q: What is Brett Grundl'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 Brett Grundl was last updated on July 5, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 April 26, 2007PECOS EnrolledAccepts Medicare Assignment

880 N STATE ST, HEMET, CA 92543(951) 766-2462(951) 766-2479 Get Directions Write a Review

NPPES record last updated: July 5, 2011. Verified against the NPPES registry weekly; last sync: September 27, 2026.

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About Mr. Brett Ryan Grundl Mms, Pa-c NPPES

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

MR. BRETT RYAN GRUNDL MMS, PA-C (NPI 1578783171) is an individual physician assistant in Hemet, California, licensed in California (PA 18749) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1578783171

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMR. BRETT RYAN GRUNDLCredential: MMS, PA-C

Location Address880 N STATE STHemet, CA 92543-1459

Mailing Address880 N State StHemet, CA 92543-1459 · (951) 766-2462 · Fax (951) 766-2479

Phone(951) 766-2462

Fax(951) 766-2479

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateApril 26, 2007

Last NPPES UpdateJuly 5, 2011

✔ NPI 1578783171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in CA · PA 18749

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.

880 N STATE ST, Hemet, CA 92543

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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 and accepts Medicare assignment

Mr. Brett Ryan Grundl Mms, 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 ID7012230071

PECOS Enrollment IDI20141223001268

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 92543 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

$91.88 typical visit price

range $59.60 – $179.42

Typical copayment $22.97 (range $14.90 – $44.85)

Most-billed visit code 99203

Established Patient

$74.08 typical visit price

range $19.37 – $146.42

Typical copayment $18.52 (range $4.84 – $36.60)

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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

6 suppliers25 claims69 services$3.51 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

5 suppliers14 claims22 services$0.58 avg. paid by Medicare

Lightweight wheelchair K0003

DME-Wheelchairs · category DD000N

1 supplier12 claims12 services$27.39 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

4 suppliers14 claims14 services$199.75 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

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

DR. TINA RAQUEL CIFUENTES MD

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