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DR. RUTH MARIE GRAMS APNP,
NPI 1699244053
Nurse Practitioner - Primary Care in Horicon, WI

Active since November 15, 2018PECOS EnrolledAccepts Medicare Assignment
75.66/100
CMS Quality Rating
610 WASHINGTON ST, HORICON, WI 53032(920) 643-7170(920) 643-7165 Get Directions Write a Review

NPPES record last updated: January 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 20, 2026, Nov 15, 2018 (2 updates tracked since 2018).

About Dr. Ruth Marie Grams Apnp, NPPES

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

DR. RUTH MARIE GRAMS APNP, (NPI 1699244053) is an individual primary care provider in Horicon, Wisconsin, licensed in Texas (AP132952) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS, is affiliated with Marshfield Medical Center - Beaver Dam (mmc-bd), and is a graduate of Other (2016).

NPPES Registry Identity

NPI1699244053
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameDR. RUTH MARIE GRAMSCredential: APNP,
Location Address610 WASHINGTON STHoricon, WI 53032
Mailing Address610 Washington StHoricon, WI 53032 · (920) 643-7170 · Fax (920) 643-7165
Phone(920) 643-7170
Fax(920) 643-7165
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateNovember 15, 2018
Last NPPES UpdateJanuary 20, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2026
✔ NPI 1699244053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in TX · AP132952
610 WASHINGTON ST, Horicon, WI 53032
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, HealthPartners, Network 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

Dr. Ruth Marie Grams Apnp, 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 ID3072841204
PECOS Enrollment IDI20190826001022
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.

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.
84 services58 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.
47 services40 patients
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.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Marshfield Medical Center - Beaver Dam (mmc-Bd)

Acute Care Hospitals · Beaver Dam, WI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520076
Location707 S University AveBeaver Dam, WI 53916 · Dodge County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53032 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
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.

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.

75.66/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.27
Promoting Interoperability99
Improvement Activities40
Cost50.45

Other Providers at the Same Location NPPES

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

UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION
Durable Medical Equipment & Medical Supplies
610 WASHINGTON ST
HORICON, WI 53032
Dodge County (920) 485-4341

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 Ruth Grams's NPI number?

The NPI number for Ruth Grams is 1699244053. It was assigned to this individual provider in the NPPES registry on November 15, 2018.

Where is Ruth Grams located?

Ruth Grams practices at 610 Washington St, Horicon, WI 53032. The listed phone number is (920) 643-7170.

What is Ruth Grams's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Ruth Grams enrolled in Medicare?

Yes. Ruth Grams 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 Ruth Grams accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners, Network Health, Quartz and Sanford Health Plan and 1 other insurer list Ruth Grams 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 Ruth Grams affiliated with any hospitals?

According to CMS data, Ruth Grams is affiliated with Marshfield Medical Center - Beaver Dam (mmc-Bd).

When was this NPI record last updated?

The NPPES record for Ruth Grams was last updated on January 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.