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DR. GWENDOLYN GRANT M.D.
NPI 1841395357
Internal Medicine - Rheumatology in Durango, CO

Active since September 13, 2006PECOS EnrolledAccepts Medicare Assignment
88.22/100
CMS Quality Rating
1010 THREE SPRINGS BLVD STE 275, DURANGO, CO 81301(970) 764-3740(970) 764-3643 Get Directions Write a Review

NPPES record last updated: January 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Gwendolyn Grant M.d. NPPES

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

DR. GWENDOLYN GRANT M.D. (NPI 1841395357) is an individual rheumatology provider in Durango, Colorado, licensed in Colorado (DR.0044790) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with San Juan Regional Medical Center Inc, and is a graduate of Yale University School Of Medicine (1991).

NPPES Registry Identity

NPI1841395357
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameDR. GWENDOLYN GRANTCredential: M.D.
Location Address1010 THREE SPRINGS BLVD STE 275Durango, CO 81301-8296
Mailing Address1010 Three Springs Blvd Ste 275Durango, CO 81301-8296 · (970) 764-3740 · Fax (970) 764-3643
Phone(970) 764-3740
Fax(970) 764-3643
Sole ProprietorNo
Medical School CMSYale University School Of MedicineGraduated 1991
Enumeration DateSeptember 13, 2006
Last NPPES UpdateJanuary 17, 2018
✔ NPI 1841395357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in CO · DR.0044790
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
1010 THREE SPRINGS BLVD STE 275, Durango, CO 81301
Open in Google Maps ↗

Other Identifiers 3

Medicaid428822AZ
MedicaidR4911NM
Medicaid85030872CO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include University of Utah Health Plans.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

Dr. Gwendolyn Grant 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 ID5597762633
PECOS Enrollment IDI20061102000025, I20061106000579
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 3

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.
448 services240 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.
49 services46 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
12 services11 patients

Hospital Affiliations CMS Care Compare 2

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

San Juan Regional Medical Center Inc

Acute Care Hospitals · Farmington, NM
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320005
Location801 West Maple StreetFarmington, NM 87401 · San Juan County
Emergency services Birthing friendly

Northern Navajo Medical Center

Acute Care Hospitals · Shiprock, NM
OwnershipGovernment - Federal
CMS Certification Number320059
LocationUs Hwy 491 NorthShiprock, NM 87420 · San Juan County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81301 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
$132.55 typical visit price
range $58.06 – $174.82
Typical copayment $33.13 (range $14.51 – $43.70)
Most-billed visit code 99204
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

88.22/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.96
Promoting Interoperability81
Improvement Activities40

Other Providers at the Same Location NPPES

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

DAVID CISNEROS
Internal Medicine (Rheumatology)
1010 THREE SPRINGS BLVD STE 275
DURANGO, CO 81301
La Plata County (970) 764-3740

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 Gwendolyn Grant's NPI number?

The NPI number for Gwendolyn Grant is 1841395357. It was assigned to this individual provider in the NPPES registry on September 13, 2006.

Where is Gwendolyn Grant located?

Gwendolyn Grant practices at 1010 Three Springs Blvd Ste 275, Durango, CO 81301. The listed phone number is (970) 764-3740.

What is Gwendolyn Grant's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Gwendolyn Grant enrolled in Medicare?

Yes. Gwendolyn Grant 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.

What insurance does Gwendolyn Grant accept?

Health plans from University of Utah Health Plans list Gwendolyn Grant as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Gwendolyn Grant affiliated with any hospitals?

According to CMS data, Gwendolyn Grant is affiliated with San Juan Regional Medical Center Inc and Northern Navajo Medical Center.

When was this NPI record last updated?

The NPPES record for Gwendolyn Grant was last updated on January 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.