ROBERT J GRASS MD
NPI 1689665093
Internal Medicine in Fond Du Lac, WI

Active since November 03, 2005PECOS EnrolledAccepts Medicare Assignment
420 E DIVISION ST, FOND DU LAC, WI 54935(920) 926-8615 Get Directions Write a Review

NPPES record last updated: October 18, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 20, 2020, Feb 29, 2016 (2 updates tracked since 2016).

About Robert J Grass Md NPPES

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

ROBERT J GRASS MD (NPI 1689665093) is an individual internal medicine provider in Fond Du Lac, Wisconsin, licensed in Wisconsin (43234) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with St. Agnes Hospital Hospice, and is a graduate of Medical College Of Wisconsin (1997).

NPPES Registry Identity

NPI1689665093
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameROBERT J GRASSCredential: MD
Location Address420 E DIVISION STFond Du Lac, WI 54935-4560
Mailing Address420 E Division StFond Du Lac, WI 54935-4560 · (920) 926-8340 · Fax (920) 926-8370
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 1997
Enumeration DateNovember 3, 2005
Last NPPES UpdateOctober 18, 20242 updates tracked since enumeration
NPPES CertifiedOctober 18, 2024
NPI 1689665093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in WI · 43234
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedInternal Medicine · Adolescent MedicineTaxonomy 207RA0000X · License 43234 (WI)
Also ListedPediatricsTaxonomy 208000000X · License 43234 (WI)
420 E DIVISION ST, Fond Du Lac, WI 54935

Other Identifiers 2

Other110221540WI · Railroad Medicare
Medicaid34090300WI

Accepted 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

Robert J Grass 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 ID9436288958
PECOS Enrollment IDI20100521000337
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.

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.
81 services81 patients
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.
76 services51 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.
27 services23 patients

Hospital Affiliations CMS Care Compare

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

St. Agnes Hospital Hospice

Acute Care Hospitals · Fond Du Lac, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520088
Location430 E Division StFond Du Lac, WI 54935 · Fond Du Lac County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54935 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

Referred Medical Equipment & Supplies CMS DME claims 7

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
11 suppliers36 claims95 services$4.78 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers19 claims25 services$0.72 avg. paid by Medicare
Tracheostomy, inner cannula A4623
DME-Orthotic Devices · category DF000N
1 supplier15 claims706 services$6.07 avg. paid by Medicare
Tracheostomy care kit for established tracheostomy A4629
DME-Orthotic Devices · category DF000N
1 supplier12 claims365 services$4.49 avg. paid by Medicare
Aerosol mask, used with dme nebulizer A7015
DME-Other DME · category DE000N
1 supplier13 claims15 services$1.13 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier23 claims23 services$90.89 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 20

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

Internal Medicine (Cardiovascular Disease)
420 E DIVISION ST
FOND DU LAC, WI 54935
Family Medicine
420 E DIVISION ST
FOND DU LAC, WI 54935
Nurse Practitioner (Adult Health)
420 E DIVISION ST
FOND DU LAC, WI 54935
Obstetrics & Gynecology
420 E DIVISION ST
FOND DU LAC, WI 54935
Audiologist
420 E DIVISION ST
FOND DU LAC, WI 54935
Pediatrics
420 E DIVISION ST
FOND DU LAC, WI 54935
Ophthalmology
420 E DIVISION ST
FOND DU LAC, WI 54935
Pediatrics
420 E DIVISION ST
FOND DU LAC, WI 54935

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 Robert Grass's NPI number?

The NPI number for Robert Grass is 1689665093. It was assigned to this individual provider in the NPPES registry on November 3, 2005.

Where is Robert Grass located?

Robert Grass practices at 420 E Division St, Fond Du Lac, WI 54935. The listed phone number is (920) 926-8615.

What is Robert Grass's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Robert Grass enrolled in Medicare?

Yes. Robert Grass 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 Robert Grass accept?

Health plans from Anthem Blue Cross and Blue Shield, Network Health and Quartz list Robert Grass 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 Robert Grass affiliated with any hospitals?

According to CMS data, Robert Grass is affiliated with St. Agnes Hospital Hospice.

When was this NPI record last updated?

The NPPES record for Robert Grass was last updated on October 18, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.