MR. CLARENCE E. GRIM M.D.
NPI 1760404768
Internal Medicine - Geriatric Medicine in Las Vegas, NV

Q: What is Clarence Grim's NPI number?

The NPI number for Clarence Grim is 1760404768. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Q: What is Clarence Grim's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Clarence Grim was last updated on March 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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 July 25, 2006PECOS Enrolled

1180 N TOWN CENTER DR STE 100, LAS VEGAS, NV 89144(414) 916-0841 Get Directions Write a Review

NPPES record last updated: March 10, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 10, 2020, Oct 18, 2019, Jun 16, 2018 and 2 more (5 updates tracked since 2018).

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About Mr. Clarence E. Grim M.d. NPPES

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

MR. CLARENCE E. GRIM M.D. (NPI 1760404768) is an individual geriatric medicine provider in Las Vegas, Nevada, licensed in Nevada (14040) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1760404768

Entity TypeIndividualMale

Primary Taxonomy207RG0300X

Provider Legal NameMR. CLARENCE E. GRIMCredential: M.D.

Location Address1180 N TOWN CENTER DR STE 100Las Vegas, NV 89144-6308

Mailing Address195 Hwy 50, Suite #104, Pmb 7172-289Stateline, NV 89449-7172 · (414) 916-0841

Phone(414) 916-0841

Sole ProprietorYes

Enumeration DateJuly 25, 2006

Last NPPES UpdateMarch 10, 20205 updates tracked since enumeration

NPPES CertifiedMarch 10, 2020

✔ NPI 1760404768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RG0300X

License✔ Licensed in NV · 14040

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.

Also ListedInternal MedicineTaxonomy 207R00000X · License 36279 (WI)

Also ListedInternal Medicine · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X · License 36279 (WI)

1180 N TOWN CENTER DR STE 100, Las Vegas, NV 89144

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Secondary Practice Locations 2

Location 19200 W Wisconsin AveMilwaukee, WI 53226-3522 · Phone (414) 805-3666

Location 2420 Kingsbury GradeStateline, NV 89449-7172 · Phone (414) 916-0841

Other Identifiers 1

Medicaid32093400WI

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. Clarence E. Grim M.d. 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 89144 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

$173.24 typical visit price

range $57.07 – $173.24

Typical copayment $43.31 (range $14.26 – $43.31)

Most-billed visit code 99205

Established Patient

$100.60 typical visit price

range $18.27 – $140.96

Typical copayment $25.15 (range $4.56 – $35.24)

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.

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.

MEGAN A BOSWORTH MS, RD, LD

Dietitian, Registered