JAMES G GRATTAN M.D.
NPI 1841293370
Internal Medicine - Cardiovascular Disease in Lubbock, TX

Q: What is James Grattan's NPI number?

The NPI number for James Grattan is 1841293370. It was assigned to this individual provider in the NPPES registry on May 30, 2005.

Q: What is James Grattan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for James Grattan was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 May 30, 2005PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

4802 N LOOP 289, LUBBOCK, TX 79416(806) 788-0040(806) 788-0015 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Jul 11, 2017 (3 updates tracked since 2017).

On this page

About James G Grattan M.d. NPPES

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

JAMES G GRATTAN M.D. (NPI 1841293370) is an individual cardiovascular disease provider in Lubbock, Texas, licensed in Texas (K3738) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS, is affiliated with Covenant Medical Center, and maintains a secondary practice location in Lubbock.

NPPES Registry Identity

NPI1841293370

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameJAMES G GRATTANCredential: M.D.

Location Address4802 N LOOP 289Lubbock, TX 79416-3025

Mailing Address4802 N Loop 289Lubbock, TX 79416-3025 · (806) 788-0040 · Fax (806) 788-0015

Phone(806) 788-0040

Fax(806) 788-0015

Sole ProprietorNo

Medical School CMSMayo Medical SchoolGraduated 1980

Enumeration DateMay 30, 2005

Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration

✔ NPI 1841293370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in TX · K3738

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

4802 N LOOP 289, Lubbock, TX 79416

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Secondary Practice Location 1

Location 13710 21st StreetLubbock, TX 79410-1220 · Phone (806) 780-8003 · Fax (806) 780-5423

Other Identifiers 1

Medicaid044535502TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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

James G Grattan M.d. 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 ID9436054327

PECOS Enrollment IDI20060814000221

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 14

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.

1,071 services549 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

262 services248 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.

192 services162 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018

An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.

100 services100 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452

Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.

98 services98 patients

Ultrasound of both sides of head and neck blood flow 93880

An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.

47 services46 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

25 services25 patients

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.

25 services14 patients

Ct scan of heart structure with contrast 75572

A CT scan of the heart with contrast is a non-invasive test. A dye is injected into your veins, which helps to highlight heart structures in the images. The CT scanner uses X-rays to create detailed pictures of your heart, aiding in diagnosis.

22 services22 patients

Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional 93228

An Electrocardiogram (ECG) is a non-invasive test that records the electrical signals in your heart. For up to 30 days, a small device will continuously monitor your heart's activity. A healthcare professional will then review the data and provide a report on your heart's function.

21 services21 patients

Ultrasound study of arm or leg veins with compression and maneuvers 93970

An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.

15 services15 patients

Ultrasound study of one arm or leg veins with compression and maneuvers 93971

This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.

14 services12 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

14 services14 patients

Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts 93978

This procedure involves using sound waves to create images of your aorta, vena cava, groin vessels, or bypass grafts. It helps to detect abnormalities or blockages, ensuring your blood flows smoothly. It's painless and non-invasive.

13 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Covenant Medical Center

Acute Care Hospitals · Lubbock, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450040

Location3615 19th StreetLubbock, TX 79410 · Lubbock County

Emergency services

Medical Arts Hospital

Acute Care Hospitals · Lamesa, TX

OwnershipGovernment - Hospital District or Authority

CMS Certification Number450489

Location2200 N Bryan AveLamesa, TX 79331 · Dawson County

Emergency services

University Medical Center

Acute Care Hospitals · Lubbock, TX

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number450686

Location602 Indiana AvenueLubbock, TX 79415 · Lubbock County

Emergency services Birthing friendly

Lubbock Heart Hospital LP

Acute Care Hospitals · Lubbock, TX

1/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number450876

Location4810 North Loop 289Lubbock, TX 79416 · Lubbock County

Emergency services

Covenant Childrens Hospital

Childrens · Lubbock, TX

OwnershipVoluntary non-profit - Private

CMS Certification Number453306

Location4015 22nd PlaceLubbock, TX 79410 · Lubbock County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79416 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

$126.40 typical visit price

range $54.84 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

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.

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.

75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Other Providers at the Same Location NPPES 14

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

M ALAN SHARIF M.D.

Internal Medicine (Cardiovascular Disease)