GEORGE STEPHEN GRANBERRY IV PA-C
NPI 1679910285
Physician Assistant in Wichita, KS

Q: What is George Granberry's NPI number?

The NPI number for George Granberry is 1679910285. It was assigned to this individual provider in the NPPES registry on May 23, 2013.

Q: What is George Granberry's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for George Granberry was last updated on March 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since May 23, 2013PECOS EnrolledAccepts Medicare Assignment

77.19/100

CMS Quality Rating

9828 E SHANNON WOODS CIR STE 100, WICHITA, KS 67226(316) 631-1600(316) 631-1617 Get Directions Write a Review

NPPES record last updated: March 17, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2026, Nov 25, 2025 (2 updates tracked since 2025).

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About George Stephen Granberry Iv Pa-c NPPES

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

GEORGE STEPHEN GRANBERRY IV PA-C (NPI 1679910285) is an individual physician assistant in Wichita, Kansas, licensed in Kansas (15-01611) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS, is affiliated with Kansas Surgery & Recovery Center, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1679910285

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameGEORGE STEPHEN GRANBERRY IVCredential: PA-C

Location Address9828 E SHANNON WOODS CIR STE 100Wichita, KS 67226-4100

Mailing Address9828 E Shannon Woods Cir Ste 100Wichita, KS 67226-4100 · (316) 631-1600 · Fax (316) 631-1617

Phone(316) 631-1600

Fax(316) 631-1617

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateMay 23, 2013

Last NPPES UpdateMarch 17, 20262 updates tracked since enumeration

NPPES CertifiedMarch 17, 2026

✔ NPI 1679910285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in KS · 15-01611

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

9828 E SHANNON WOODS CIR STE 100, Wichita, KS 67226

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health 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

George Stephen Granberry Iv Pa-c 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 ID941441125

PECOS Enrollment IDI20130731000164

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 3

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.

Release and/or relocation of elbow nerve 64718

This procedure involves adjusting the position of a nerve in your elbow to alleviate discomfort or improve function. The nerve is carefully moved from its original location and placed in a less strained position. This can help reduce pain and improve arm movement.

19 services16 patients

Removal of bone joints between wrist and fingers 25447

This procedure involves the surgical removal of bone joints between your wrist and fingers. It's typically done to relieve pain or restore function due to conditions like arthritis. After removal, the space may be filled with a graft or artificial joint.

16 services15 patients

Transfer of tendon to back of hand 26480

A transfer of tendon to the back of the hand is a surgical procedure aimed at improving hand function. It involves moving a healthy tendon from one area to another to replace a damaged or non-functioning one, helping to restore movement and strength.

16 services15 patients

Hospital Affiliations CMS Care Compare

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

Kansas Surgery & Recovery Center

Acute Care Hospitals · Wichita, KS

OwnershipPhysician

CMS Certification Number170183

Location2770 North Webb RoadWichita, KS 67226 · Sedgwick County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 67226 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

$81.98 typical visit price

range $53.00 – $161.67

Typical copayment $20.49 (range $13.25 – $40.41)

Most-billed visit code 99203

Established Patient

$66.40 typical visit price

range $16.88 – $132.11

Typical copayment $16.60 (range $4.22 – $33.02)

Most-billed visit code 99213

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.

77.19/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

65.88

Promoting Interoperability

100

Improvement Activities

Cost

58.09

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.

Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf L3660

DME-Orthotic Devices · category DF000N

1 supplier12 claims12 services$94.89 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 18

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

RACHEL HENRY PA-C

Physician Assistant