DR. SHEILA GRAMMATICO M.D., M.P.H.
NPI 1821402926
Internal Medicine in Pasadena, CA

Active since June 17, 2014PECOS EnrolledAccepts Medicare Assignment
80.51/100
CMS Quality Rating
100 W CALIFORNIA BLVD, PASADENA, CA 91105(626) 397-5000 Get Directions Write a Review

NPPES record last updated: August 10, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Sheila Grammatico M.d., M.p.h. NPPES

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

DR. SHEILA GRAMMATICO M.D., M.P.H. (NPI 1821402926) is an individual internal medicine provider in Pasadena, California, licensed in California (A140048) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS and is a graduate of Tulane University School Of Medicine (2014).

NPPES Registry Identity

NPI1821402926
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. SHEILA GRAMMATICOCredential: M.D., M.P.H.
Location Address100 W CALIFORNIA BLVDPasadena, CA 91105-3010
Mailing Address10 Congress St Ste 208Pasadena, CA 91105-3027 · (626) 792-2166
Sole ProprietorNo
Medical School CMSTulane University School Of MedicineGraduated 2014
Enumeration DateJune 17, 2014
Last NPPES UpdateAugust 10, 2021
NPPES CertifiedAugust 10, 2021
NPI 1821402926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in CA · A140048
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.
100 W CALIFORNIA BLVD, Pasadena, CA 91105

Other Names 1

Other Name (5)Dr. Sheila Grammatico M.d., M.p.h.

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. Sheila Grammatico M.d., M.p.h. 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 ID5890071898
PECOS Enrollment IDI20200326000947
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 8

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.
158 services92 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.
116 services116 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
35 services35 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
35 services35 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
32 services32 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
31 services31 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91105 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

80.51/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.87
Promoting Interoperability96
Improvement Activities40
Cost62.52

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.

Nurse Practitioner (Acute Care)
100 W CALIFORNIA BLVD
PASADENA, CA 91105
Anesthesiology
100 W CALIFORNIA BLVD
PASADENA, CA 91105
Registered Nurse (Registered Nurse First Assistant)
100 W CALIFORNIA BLVD
PASADENA, CA 91105
Radiology (Diagnostic Radiology)
100 W CALIFORNIA BLVD
PASADENA, CA 91105
Pain Medicine (Pain Medicine)
100 W CALIFORNIA BLVD
PASADENA, CA 91105
Rehabilitation Unit
100 W CALIFORNIA BLVD
PASADENA, CA 91105
Hospitalist
100 W CALIFORNIA BLVD
PASADENA, CA 91105
Emergency Medicine
100 W CALIFORNIA BLVD
PASADENA, CA 91105

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 Sheila Grammatico's NPI number?

The NPI number for Sheila Grammatico is 1821402926. It was assigned to this individual provider in the NPPES registry on June 17, 2014. The provider is also known as Dr. Sheila Grammatico M.D., M.P.H..

Where is Sheila Grammatico located?

Sheila Grammatico practices at 100 W California Blvd, Pasadena, CA 91105. The listed phone number is (626) 397-5000.

What is Sheila Grammatico's specialty?

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

Is Sheila Grammatico enrolled in Medicare?

Yes. Sheila Grammatico 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.

When was this NPI record last updated?

The NPPES record for Sheila Grammatico was last updated on August 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.