JEFFREY SCOTT GRIMES NP-C
NPI 1578934832
Nurse Practitioner - Family in Wichita Falls, TX

Active since October 13, 2015PECOS EnrolledAccepts Medicare Assignment
91.92/100
CMS Quality Rating
1600 11TH ST, EMERGENCY DEPARTMENT, WICHITA FALLS, TX 76301(940) 764-2120 Get Directions Write a Review

NPPES record last updated: October 14, 2015. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Jeffrey Scott Grimes Np-c NPPES

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

JEFFREY SCOTT GRIMES NP-C (NPI 1578934832) is an individual family provider in Wichita Falls, Texas, licensed in Texas (657337) and active in the NPI registry since October 2015. He is enrolled in Medicare PECOS, is affiliated with United Regional Health Care System, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1578934832
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJEFFREY SCOTT GRIMESCredential: NP-C
Location Address1600 11TH ST, EMERGENCY DEPARTMENTWichita Falls, TX 76301-4300
Mailing Address1600 11th St, Emergency DepartmentWichita Falls, TX 76301-4300
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateOctober 13, 2015
Last NPPES UpdateOctober 14, 2015
NPI 1578934832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in TX · 657337
1600 11TH ST, Wichita Falls, TX 76301

Accepted 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

Jeffrey Scott Grimes Np-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 ID5395055172
PECOS Enrollment IDI20151106000802
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 6

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
241 services231 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
65 services63 patients
Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes 99236
This service involves a brief hospital stay for a serious health issue. Patients are admitted and discharged on the same day, typically within 55 minutes. It allows for close monitoring and immediate treatment, ensuring optimal care.
31 services31 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
19 services17 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
15 services15 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

United Regional Health Care System

Acute Care Hospitals · Wichita Falls, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450010
Location1600 11th StreetWichita Falls, TX 76301 · Wichita County
Emergency services Birthing friendly

Collingsworth General Hospital

Critical Access Hospitals · Wellington, TX
OwnershipProprietary
CMS Certification Number451355
Location1013 15th StWellington, TX 79095 · Collingsworth County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76301 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

91.92/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.45
Improvement Activities40

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.

Emergency Medicine
1600 11TH ST
WICHITA FALLS, TX 76301
General Acute Care Hospital
1600 11TH ST
WICHITA FALLS, TX 76301
Emergency Medicine
1600 11TH ST
WICHITA FALLS, TX 76301
Anesthesiology
1600 11TH ST
WICHITA FALLS, TX 76301
Pharmacist
1600 11TH ST
WICHITA FALLS, TX 76301
Emergency Medicine
1600 11TH ST, EMERGENCY DEPT
WICHITA FALLS, TX 76301
Registered Nurse
1600 11TH ST
WICHITA FALLS, TX 76301
Nurse Practitioner (Acute Care)
1600 11TH ST
WICHITA FALLS, TX 76301

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 Jeffrey Grimes's NPI number?

The NPI number for Jeffrey Grimes is 1578934832. It was assigned to this individual provider in the NPPES registry on October 13, 2015.

Where is Jeffrey Grimes located?

Jeffrey Grimes practices at 1600 11th St Emergency Department, Wichita Falls, TX 76301. The listed phone number is (940) 764-2120.

What is Jeffrey Grimes's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jeffrey Grimes enrolled in Medicare?

Yes. Jeffrey Grimes 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 Jeffrey Grimes accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Oscar Insurance Company and UnitedHealthcare list Jeffrey Grimes 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 Jeffrey Grimes affiliated with any hospitals?

According to CMS data, Jeffrey Grimes is affiliated with United Regional Health Care System and Collingsworth General Hospital.

When was this NPI record last updated?

The NPPES record for Jeffrey Grimes was last updated on October 14, 2015. 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.