DR. MIRA GRACE MD
NPI 1659667293
Family Medicine - Addiction Medicine in Clinton Township, MI

Active since June 22, 2011PECOS EnrolledAccepts Medicare Assignment
43191 DALCOMA DR STE 101, CLINTON TOWNSHIP, MI 48038(248) 810-4727(248) 810-4727 Get Directions Write a Review

NPPES record last updated: September 2, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 2, 2026, Aug 10, 2026, Aug 3, 2026 and 4 more (7 updates tracked since 2021).

About Dr. Mira Grace Md NPPES

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

DR. MIRA GRACE MD (NPI 1659667293) is an individual addiction medicine provider in Clinton Township, Michigan, licensed in Michigan (4301507706) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS, is affiliated with Trinity Health Oakland Hospital, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1659667293
Entity TypeIndividualFemale
Primary Taxonomy207QA0401X
Provider Legal NameDR. MIRA GRACECredential: MD
Location Address43191 DALCOMA DR STE 101Clinton Township, MI 48038-6308
Mailing Address43191 Dalcoma Dr Ste 101Clinton Township, MI 48038-6308 · (248) 810-4727 · Fax (248) 810-4727
Fax(248) 810-4727
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJune 22, 2011
Last NPPES UpdateSeptember 2, 20267 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2026
✔ NPI 1659667293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
License✔ Licensed in MI · 4301507706
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
43191 DALCOMA DR STE 101, Clinton Township, MI 48038

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

Dr. Mira Grace 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.

PECOS PAC ID3476877317
PECOS Enrollment IDI20230906003173
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Mira Grace reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Addiction Medicine
43191 DALCOMA DR STE 101
Clinton Township, MI 48038
  • Reassigned Medicare billing, Michigan enrollment
Family Medicine
28300 ORCHARD LAKE RD STE 103
Farmington Hills, MI 48334
  • Reassigned Medicare billing, Michigan enrollment
  • 1,480 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 2

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.
17 services13 patients
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.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Trinity Health Oakland Hospital

Acute Care Hospitals · Pontiac, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230029
Location44405 Woodward AvePontiac, MI 48341 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48038 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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 3

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

Surgery (Vascular Surgery)
43191 DALCOMA DR STE 101
CLINTON TOWNSHIP, MI 48038
Surgery (Vascular Surgery)
43191 DALCOMA DR STE 101
CLINTON TOWNSHIP, MI 48038
Family Medicine (Addiction Medicine)
43191 DALCOMA DR STE 101
CLINTON TOWNSHIP, MI 48038

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 Mira Grace's NPI number?

The NPI number for Mira Grace is 1659667293. It was assigned to this individual provider in the NPPES registry on June 22, 2011.

Where is Mira Grace located?

Mira Grace practices at 43191 Dalcoma Dr Ste 101, Clinton Township, MI 48038. The listed phone number is (248) 810-4727.

What is Mira Grace's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

Is Mira Grace enrolled in Medicare?

Yes. Mira Grace 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 organizations bill Medicare for Mira Grace's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mira Grace reassigns Medicare benefits to 2 organizations: Panagia Medical Recovery Clinic PLLC (Clinton Township, MI) and Iha Health Services Corporation (Farmington Hills, MI). Each 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 Mira Grace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mira Grace accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Mira Grace 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 Mira Grace affiliated with any hospitals?

According to CMS data, Mira Grace is affiliated with Trinity Health Oakland Hospital.

When was this NPI record last updated?

The NPPES record for Mira Grace was last updated on September 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.