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JOEL S. GRUBBS DO
NPI 1649347501
Family Medicine in Edmond, OK

Active since November 29, 2006PECOS EnrolledAccepts Medicare Assignment
77.69/100
CMS Quality Rating
2916 N KELLY AVE, EDMOND, OK 73003(405) 715-5300(405) 715-5350 Get Directions Write a Review

NPPES record last updated: July 13, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 13, 2017, Feb 5, 2016 (2 updates tracked since 2016).

About Joel S. Grubbs Do NPPES

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

JOEL S. GRUBBS DO (NPI 1649347501) is an individual family medicine provider in Edmond, Oklahoma, licensed in Oklahoma (5143) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Oklahoma City, Inc, and is a graduate of Ohio Medical University (1986).

NPPES Registry Identity

NPI1649347501
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJOEL S. GRUBBSCredential: DO
Location Address2916 N KELLY AVEEdmond, OK 73003-3233
Mailing Address5300 N Independence Ave, 280Oklahoma City, OK 73112-5556 · (405) 715-5300 · Fax (405) 715-5350
Phone(405) 715-5300
Fax(405) 715-5350
Sole ProprietorNo
Medical School CMSOhio Medical UniversityGraduated 1986
Enumeration DateNovember 29, 2006
Last NPPES UpdateJuly 13, 20172 updates tracked since enumeration
✔ NPI 1649347501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OK · 5143
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2916 N KELLY AVE, Edmond, OK 73003
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, CommunityCare, Medica 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 and accepts Medicare assignment

Joel S. Grubbs Do 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 ID8729267091
PECOS Enrollment IDI20111228000360
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 10

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 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.
313 services177 patients
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.
162 services107 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
120 services120 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
84 services15 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
81 services73 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
43 services17 patients

Hospital Affiliations CMS Care Compare 5

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

Mercy Hospital Oklahoma City, Inc

Acute Care Hospitals · Oklahoma City, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number370013
Location4300 West Memorial RoadOklahoma City, OK 73120 · Oklahoma County
Emergency services Birthing friendly

Integris Baptist Medical Center, Inc

Acute Care Hospitals · Oklahoma City, OK
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370028
Location3300 Northwest ExpresswayOklahoma City, OK 73112 · Oklahoma County
Emergency services Birthing friendly

O U Medical Center

Acute Care Hospitals · Oklahoma City, OK
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370093
Location700 NE 13th StreetOklahoma City, OK 73104 · Oklahoma County
Emergency services Birthing friendly

Lakeside Women's Hospital, A Member Of Integris He

Acute Care Hospitals · Oklahoma City, OK
OwnershipVoluntary non-profit - Private
CMS Certification Number370199
Location11200 North Portland AvenueOklahoma City, OK 73120 · Oklahoma County
Emergency services Birthing friendly

Integris Health Edmond Hospital

Acute Care Hospitals · Edmond, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370236
Location4801 Integris ParkwayEdmond, OK 73034 · Oklahoma County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73003 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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.

77.69/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.52
Promoting Interoperability100
Improvement Activities40
Cost43.13

Referred Medical Equipment & Supplies CMS DME claims 11

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
3 suppliers24 claims24 services$31.29 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers14 claims14 services$66.20 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers15 claims37 services$25.23 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
3 suppliers11 claims53 services$14.05 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
3 suppliers18 claims18 services$44.71 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
4 suppliers19 claims19 services$14.03 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 5

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

DR. DEREK JAMES POURTORKAN DO
Family Medicine
2916 N KELLY AVE
EDMOND, OK 73003
Oklahoma County (405) 715-5300
BRYANT ALEXANDER PIERCE MD
Family Medicine
2916 N KELLY AVE
EDMOND, OK 73003
Oklahoma County (405) 715-5300
MRS. BRITTANY FAITH CABRERA PA-C
Physician Assistant
2916 N KELLY AVE
EDMOND, OK 73003
Oklahoma County (405) 715-5300
DR. JORDEN DANIEL POPE DO
Family Medicine
2916 N KELLY AVE
EDMOND, OK 73003
Oklahoma County (405) 715-5300
JOANNA BARTHOLOMEW D.O.
Family Medicine
2916 N KELLY AVE
EDMOND, OK 73003
Oklahoma County (405) 715-5300

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 Joel Grubbs's NPI number?

The NPI number for Joel Grubbs is 1649347501. It was assigned to this individual provider in the NPPES registry on November 29, 2006.

Where is Joel Grubbs located?

Joel Grubbs practices at 2916 N Kelly Ave, Edmond, OK 73003. The listed phone number is (405) 715-5300.

What is Joel Grubbs's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Joel Grubbs enrolled in Medicare?

Yes. Joel Grubbs 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 Joel Grubbs accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, CommunityCare, Medica, Mending Health and UnitedHealthcare list Joel Grubbs 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 Joel Grubbs affiliated with any hospitals?

According to CMS data, Joel Grubbs is affiliated with Mercy Hospital Oklahoma City, Inc, Integris Baptist Medical Center, Inc, O U Medical Center, Lakeside Women's Hospital, A Member Of Integris He and Integris Health Edmond Hospital.

When was this NPI record last updated?

The NPPES record for Joel Grubbs was last updated on July 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.