RICHARD L GRUNDEN MD
NPI 1639336167
Family Medicine in Marietta, PA
About Richard L Grunden Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RICHARD L GRUNDEN MD (NPI 1639336167) is an individual family medicine provider in Marietta, Pennsylvania, licensed in Pennsylvania (MD441932) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS, is affiliated with Lancaster General Hospital, and is a graduate of Pennsylvania State University College Of Medicine (2008).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Richard L Grunden Md 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.
Medicare Billing Reassignment
Medicare enrollment records show Richard Grunden reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Marietta, PA 17547
- Reassigned Medicare billing, Pennsylvania enrollment
- 727 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 8
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Lancaster General Hospital
Acute Care Hospitals · Lancaster, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 17547 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 3
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Richard Grunden's NPI number?
The NPI number for Richard Grunden is 1639336167. It was assigned to this individual provider in the NPPES registry on May 21, 2008.
Where is Richard Grunden located?
Richard Grunden practices at 1159 River Rd, Marietta, PA 17547. The listed phone number is (717) 426-1131.
What is Richard Grunden's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Richard Grunden enrolled in Medicare?
Yes. Richard Grunden 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.
Which organization bills Medicare for Richard Grunden's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Richard Grunden reassigns Medicare benefits to Lancaster General Medical Group (Marietta, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Richard Grunden's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Richard Grunden accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Richard Grunden 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 Richard Grunden affiliated with any hospitals?
According to CMS data, Richard Grunden is affiliated with Lancaster General Hospital.
When was this NPI record last updated?
The NPPES record for Richard Grunden was last updated on June 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Richard L Grunden, MD · NPI 1639336167
Family Medicine physician in Marietta, Pennsylvania. Individual provider, active in the CMS NPPES registry since May 21, 2008.
## Identity
- **NPI:** 1639336167 (Entity type: Individual)
- **Enumerated:** May 21, 2008
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** MD441932 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 1159 RIVER RD, Marietta, PA 17547-1628
- **Phone:** (717) 426-1131 · **Fax:** (717) 426-2068
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Lancaster General Medical Group (NPI 1740255124, Marietta, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Pennsylvania State University College Of Medicine, class of 2008
## Record status
- **NPPES last updated:** June 12, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1639336167) · Data from the CMS NPPES public registry.