MR. RANDY CLARENCE ANTHONY GRIMSHAW PA-C
NPI 1710467246
Physician Assistant in Poughkeepsie, NY

Active since August 15, 2018PECOS Enrolled
159 BARNEGAT RD STE 101, POUGHKEEPSIE, NY 12601(845) 454-1942 Get Directions Write a Review

NPPES record last updated: August 15, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Randy Clarence Anthony Grimshaw Pa-c NPPES

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

MR. RANDY CLARENCE ANTHONY GRIMSHAW PA-C (NPI 1710467246) is an individual physician assistant in Poughkeepsie, New York, licensed in New York (022495) and active in the NPI registry since August 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710467246
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. RANDY CLARENCE ANTHONY GRIMSHAWCredential: PA-C
Location Address159 BARNEGAT RD STE 101Poughkeepsie, NY 12601-5402
Mailing Address98 Miller Rd Apt 101Rhinebeck, NY 12572-3559 · (518) 534-4585
Sole ProprietorNo
Enumeration DateAugust 15, 2018
NPI 1710467246 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 NY · 022495
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.

159 BARNEGAT RD STE 101, Poughkeepsie, NY 12601

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Randy Clarence Anthony Grimshaw Pa-c 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12601 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
$95.99 typical visit price
range $61.88 – $187.05
Typical copayment $23.99 (range $15.47 – $46.76)
Most-billed visit code 99203
Established Patient
$76.88 typical visit price
range $19.92 – $151.94
Typical copayment $19.22 (range $4.98 – $37.98)
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.

Other Providers at the Same Location NPPES 4

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

Nurse Practitioner
159 BARNEGAT RD STE 101
POUGHKEEPSIE, NY 12601
Internal Medicine (Hematology & Oncology)
159 BARNEGAT RD STE 101
POUGHKEEPSIE, NY 12601
Radiology (Diagnostic Radiology)
159 BARNEGAT RD STE 101
POUGHKEEPSIE, NY 12601
Internal Medicine (Hematology & Oncology)
159 BARNEGAT RD STE 101
POUGHKEEPSIE, NY 12601

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710467246, enumerated as an "individual" on August 15, 2018.

The provider is located at 159 BARNEGAT RD STE 101 POUGHKEEPSIE, NY 12601 and the phone number is (845) 454-1942.

Physician Assistant with taxonomy code 363A00000X.