DR. RORY TYNAN GRACE M.D.
NPI 1649680778
Internal Medicine - Gastroenterology in Raleigh, NC

Q: What is Rory Grace's NPI number?

The NPI number for Rory Grace is 1649680778. It was assigned to this individual provider in the NPPES registry on April 28, 2014.

Q: What is Rory Grace's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Rory Grace was last updated on June 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 28, 2014PECOS Enrolled

4420 LAKE BOONE TRL, RALEIGH, NC 27607(919) 784-5050 Get Directions Write a Review

NPPES record last updated: June 29, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 29, 2021, Jun 14, 2021, Jan 15, 2018 and 1 more (4 updates tracked since 2017).

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About Dr. Rory Tynan Grace M.d. NPPES

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

DR. RORY TYNAN GRACE M.D. (NPI 1649680778) is an individual gastroenterology provider in Raleigh, North Carolina, licensed in North Carolina (2021-01504) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS and maintains a secondary practice location in Camden.

NPPES Registry Identity

NPI1649680778

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameDR. RORY TYNAN GRACECredential: M.D.

Location Address4420 LAKE BOONE TRLRaleigh, NC 27607-7505

Mailing Address4420 Lake Boone TrlRaleigh, NC 27607-7505 · (919) 784-5050

Phone(919) 784-5050

Sole ProprietorNo

Enumeration DateApril 28, 2014

Last NPPES UpdateJune 29, 20214 updates tracked since enumeration

NPPES CertifiedJune 29, 2021

✔ NPI 1649680778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in NC · 2021-01504

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Also ListedInternal MedicineTaxonomy 207R00000X · License MT205831 (PA)

Also ListedHospitalistTaxonomy 208M00000X · License 25MA10113900 (NJ)

4420 LAKE BOONE TRL, Raleigh, NC 27607

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Secondary Practice Location 1

Location 11 Cooper PlzCamden, NJ 08103-1461 · Phone (856) 342-2000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Rory Tynan Grace M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

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.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27607 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

$125.01 typical visit price

range $54.12 – $165.09

Typical copayment $31.25 (range $13.53 – $41.27)

Most-billed visit code 99204

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

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.

NADER CYRUS EMAMI-KELISHADI PA

Physician Assistant

4420 LAKE BOONE TRL
RALEIGH, NC 27607

Wake County (703) 585-0860

ERIC LINTON

Nurse Anesthetist, Certified Registered

4420 LAKE BOONE TRL
RALEIGH, NC 27607

Wake County (919) 784-3100

JOSHUA DAVID FISHER FNP

Nurse Practitioner (Family)

4420 LAKE BOONE TRL
RALEIGH, NC 27607

Wake County (919) 784-3100

MALLORY WOLTERING RN

Registered Nurse (Critical Care Medicine)

4420 LAKE BOONE TRL
RALEIGH, NC 27607

Wake County (919) 784-3100

JOHN O COLLINS M.D.

Psychiatry & Neurology (Neurology)

4420 LAKE BOONE TRL
RALEIGH, NC 27607

Wake County (919) 784-7093

ERIN D RUSINEK PA-C

Physician Assistant

4420 LAKE BOONE TRL, SUITE 200
RALEIGH, NC 27607

Wake County (919) 784-6818

DONNA RANSOM CRNA

Nurse Anesthetist, Certified Registered

4420 LAKE BOONE TRL
RALEIGH, NC 27607

Wake County (919) 784-3034

JOELLEN C SPECA M.D.

Internal Medicine (Hematology & Oncology)

4420 LAKE BOONE TRL, SUITE 200
RALEIGH, NC 27607

Wake County (919) 784-6818

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 Rory Grace's NPI number?

The NPI number for Rory Grace is 1649680778. It was assigned to this individual provider in the NPPES registry on April 28, 2014.

Where is Rory Grace located?

Rory Grace practices at 4420 Lake Boone Trl, Raleigh, NC 27607. The listed phone number is (919) 784-5050.

What is Rory Grace's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Rory Grace enrolled in Medicare?

Yes. Rory Grace is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Rory Grace was last updated on June 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.