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DR. DOUGLAS REED GROSSNICKLE MD
NPI 1669418810
Internal Medicine - Geriatric Medicine in Portland, OR

Active since June 22, 2006PECOS Enrolled
86.03/100
CMS Quality Rating
10373 NE HANCOCK, SUITE 219, PORTLAND, OR 97220(503) 775-7407(503) 775-1547 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Douglas Reed Grossnickle Md NPPES

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

DR. DOUGLAS REED GROSSNICKLE MD (NPI 1669418810) is an individual geriatric medicine provider in Portland, Oregon, licensed in Oregon (MD13084) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669418810
Entity TypeIndividualMale
Primary Taxonomy207RG0300X
Provider Legal NameDR. DOUGLAS REED GROSSNICKLECredential: MD
Location Address10373 NE HANCOCK, SUITE 219Portland, OR 97220
Mailing Address10113 Se Cleone CtPortland, OR 97266 · (503) 775-7407 · Fax (503) 775-1547
Phone(503) 775-7407
Fax(503) 775-1547
Sole ProprietorNo
Enumeration DateJune 22, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1669418810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
License✔ Licensed in OR · MD13084
Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

10373 NE HANCOCK, Portland, OR 97220
Open in Google Maps ↗

Other Identifiers 3

Medicare ID-Type Unspecified0000BHQHBOR
Medicare UPINC92776OR
Medicaid264119OR

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. Douglas Reed Grossnickle Md 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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
40 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97220 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
$176.88 typical visit price
range $58.99 – $176.88
Typical copayment $44.22 (range $14.74 – $44.22)
Most-billed visit code 99205
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
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.

86.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.8
Promoting Interoperability99
Improvement Activities40
Cost74.15

Referred Medical Equipment & Supplies CMS DME claims

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

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$888.60 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Douglas Grossnickle's NPI number?

The NPI number for Douglas Grossnickle is 1669418810. It was assigned to this individual provider in the NPPES registry on June 22, 2006.

Where is Douglas Grossnickle located?

Douglas Grossnickle practices at 10373 NE Hancock Suite 219, Portland, OR 97220. The listed phone number is (503) 775-7407.

What is Douglas Grossnickle's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Douglas Grossnickle enrolled in Medicare?

Yes. Douglas Grossnickle is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Douglas Grossnickle was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.