GRISHMA P BHARUCHA M.D.
NPI 1609137363
Ophthalmology in Duluth, MN

Active since May 30, 2012PECOS EnrolledAccepts Medicare Assignment
400 E 3RD ST, DULUTH, MN 55805(218) 786-8364 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Jun 29, 2016 (2 updates tracked since 2016).

About Grishma P Bharucha M.d. NPPES

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

GRISHMA P BHARUCHA M.D. (NPI 1609137363) is an individual ophthalmology provider in Duluth, Minnesota, licensed in Minnesota (60673) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS, is affiliated with Essentia Health St Mary's Medical Center, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1609137363
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameGRISHMA P BHARUCHACredential: M.D.
Location Address400 E 3RD STDuluth, MN 55805-1951
Mailing Address1702 University Dr SFargo, ND 58103-4940 · (701) 364-4222
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateMay 30, 2012
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1609137363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in MN · 60673 Licensed in MN · 108917
Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

400 E 3RD ST, Duluth, MN 55805

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

Grishma P Bharucha M.d. 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 ID4385886316
PECOS Enrollment IDI20160624000509
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 16

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
118 services73 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
81 services70 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
80 services65 patients
Ct scan of cornea 92025
A CT scan of the cornea is a non-invasive imaging test that uses X-rays to capture detailed pictures of your eye's cornea. It helps in diagnosing diseases or damage, planning for surgery, or evaluating the results of a treatment. It's a safe and painless procedure.
70 services60 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
49 services49 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
38 services37 patients

Hospital Affiliations CMS Care Compare 4

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

Essentia Health St Mary's Medical Center

Acute Care Hospitals · Duluth, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240002
Location402 East Second StreetDuluth, MN 55805 · St. Louis County
Emergency services Birthing friendly

Essentia Health Duluth

Acute Care Hospitals · Duluth, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240019
Location502 East Second StreetDuluth, MN 55805 · St. Louis County
Birthing friendly

St Lukes Hospital

Acute Care Hospitals · Duluth, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240047
Location915 East 1st StreetDuluth, MN 55805 · St. Louis County
Emergency services Birthing friendly

St Marys Hospital Superior

Critical Access Hospitals · Superior, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521329
Location3500 Tower AveSuperior, WI 54880 · Douglas County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55805 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

Nurse Anesthetist, Certified Registered
400 E 3RD ST
DULUTH, MN 55805
Internal Medicine (Infectious Disease)
400 E 3RD ST
DULUTH, MN 55805
Nurse Practitioner (Psychiatric/Mental Health)
400 E 3RD ST
DULUTH, MN 55805
Hospitalist
400 E 3RD ST
DULUTH, MN 55805
Radiology (Diagnostic Radiology)
400 E 3RD ST
DULUTH, MN 55805
Internal Medicine (Cardiovascular Disease)
400 E 3RD ST
DULUTH, MN 55805
Clinical Nurse Specialist (Medical-Surgical)
400 E 3RD ST
DULUTH, MN 55805
Internal Medicine
400 E 3RD ST
DULUTH, MN 55805

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 Grishma Bharucha's NPI number?

The NPI number for Grishma Bharucha is 1609137363. It was assigned to this individual provider in the NPPES registry on May 30, 2012.

Where is Grishma Bharucha located?

Grishma Bharucha practices at 400 E 3rd St, Duluth, MN 55805. The listed phone number is (218) 786-8364.

What is Grishma Bharucha's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Grishma Bharucha enrolled in Medicare?

Yes. Grishma Bharucha 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 Grishma Bharucha accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners, Medica, Sanford Health Plan and Security Health Plan list Grishma Bharucha 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 Grishma Bharucha affiliated with any hospitals?

According to CMS data, Grishma Bharucha is affiliated with Essentia Health St Mary's Medical Center, Essentia Health Duluth, St Lukes Hospital and St Marys Hospital Superior.

When was this NPI record last updated?

The NPPES record for Grishma Bharucha was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.