DERALD P. GRICE MD
NPI 1780656256
Physical Medicine & Rehabilitation - Pain Medicine in Charlottesville, VA

Active since February 07, 2006PECOS EnrolledAccepts Medicare Assignment
79.39/100
CMS Quality Rating
415 RAY C. HUNT DRIVE, SUITE 3100, CHARLOTTESVILLE, VA 22903(434) 243-3633(434) 243-1539 Get Directions Write a Review

NPPES record last updated: August 9, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 9, 2023, Oct 13, 2020 (2 updates tracked since 2020).

About Derald P. Grice Md NPPES

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

DERALD P. GRICE MD (NPI 1780656256) is an individual pain medicine provider in Charlottesville, Virginia, licensed in Virginia (0101057941) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with University Of Virginia Medical Center, and maintains a secondary practice location in Charlottesville.

NPPES Registry Identity

NPI1780656256
Entity TypeIndividualMale
Primary Taxonomy2081P2900X
Provider Legal NameDERALD P. GRICECredential: MD
Location Address415 RAY C. HUNT DRIVE, SUITE 3100Charlottesville, VA 22903-7851
Mailing AddressPo Box 9007Charlottesville, VA 22906-9007
Fax(434) 243-1539
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 1996
Enumeration DateFebruary 7, 2006
Last NPPES UpdateAugust 9, 20232 updates tracked since enumeration
NPPES CertifiedAugust 9, 2023
NPI 1780656256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P2900X
License Licensed in VA · 0101057941
Definition
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X · License 0101057941 (VA)
415 RAY C. HUNT DRIVE, Charlottesville, VA 22903

Secondary Practice Location 1

Location 11215 Lee StCharlottesville, VA 22908-7851 · Phone (434) 924-0211

Other Identifiers 7

Other006802354VA · First Health
Medicaid006802354VA
Other433065VA · Anthem
Other6802354VA · Va Premier
Other147149VA · Southern Health
Other700027226VA · Cigna
Other41886VA · Optima

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

Derald P. Grice 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 ID5597824193
PECOS Enrollment IDI20081112000174
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 20

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
216 services124 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
187 services108 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.
112 services81 patients
Injection of trigger points, 3 or more muscles 20553
Trigger point injection therapy involves injecting medication into specific areas of your muscles, known as trigger points. These are areas that produce pain and discomfort. If you have three or more muscles affected, each will be treated individually.
110 services37 patients
Injection of anesthetic agent and/or steroid into upper neck and back of head nerve 64405
This procedure involves injecting a mix of anesthetic and/or steroid into nerves in the upper neck and back of the head. It helps relieve pain by reducing inflammation and numbing the area. It's a common treatment for headaches and neck pain.
84 services23 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
53 services33 patients

Hospital Affiliations CMS Care Compare

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

University Of Virginia Medical Center

Acute Care Hospitals · Charlottesville, VA
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number490009
Location1215 Lee StreetCharlottesville, VA 22908 · Charlottesville City County
Emergency services Birthing friendly

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.

79.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.66
Promoting Interoperability100
Improvement Activities40
Cost57.65

Other Providers at the Same Location NPPES 16

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

Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
415 RAY C. HUNT DRIVE
CHARLOTTESVILLE, VA 22903
Internal Medicine (Endocrinology, Diabetes & Metabolism)
415 RAY C. HUNT DRIVE, STE 2100
CHARLOTTESVILLE, VA 22903
Nurse Practitioner (Adult Health)
415 RAY C. HUNT DRIVE
CHARLOTTESVILLE, VA 22903
Internal Medicine (Endocrinology, Diabetes & Metabolism)
415 RAY C. HUNT DRIVE
CHARLOTTESVILLE, VA 22903
Internal Medicine (Endocrinology, Diabetes & Metabolism)
415 RAY C. HUNT DRIVE, UVA ENDOCRINOLOGY
CHARLOTTESVILLE, VA 22903
Otolaryngology
415 RAY C. HUNT DRIVE, STE 2200
CHARLOTTESVILLE, VA 22903
Internal Medicine (Rheumatology)
415 RAY C. HUNT DRIVE, STE 2100
CHARLOTTESVILLE, VA 22903
Audiologist
415 RAY C. HUNT DRIVE, UVA ENT CLINIC AT FONTAINE
CHARLOTTESVILLE, VA 22903

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 Derald Grice's NPI number?

The NPI number for Derald Grice is 1780656256. It was assigned to this individual provider in the NPPES registry on February 7, 2006.

Where is Derald Grice located?

Derald Grice practices at 415 Ray C. Hunt Drive Suite 3100, Charlottesville, VA 22903. The listed phone number is (434) 243-3633.

What is Derald Grice's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Is Derald Grice enrolled in Medicare?

Yes. Derald Grice 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.

Is Derald Grice affiliated with any hospitals?

According to CMS data, Derald Grice is affiliated with University Of Virginia Medical Center.

When was this NPI record last updated?

The NPPES record for Derald Grice was last updated on August 9, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.