DR. GARY J GRUNOW MD
NPI 1851386718
Family Medicine in Mineral Point, WI

Active since September 16, 2005PECOS EnrolledAccepts Medicare Assignment
99.3/100
CMS Quality Rating
104 HIGH ST, MINERAL POINT, WI 53565(608) 987-2346(608) 987-2390 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Gary J Grunow Md NPPES

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

DR. GARY J GRUNOW MD (NPI 1851386718) is an individual family medicine provider in Mineral Point, Wisconsin, licensed in Wisconsin (35674) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Ssm Health St Mary's Hospital - Madison, and is a graduate of University Of Wisconsin School Of Medicine (1993).

NPPES Registry Identity

NPI1851386718
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. GARY J GRUNOWCredential: MD
Location Address104 HIGH STMineral Point, WI 53565-1289
Mailing Address104 High StMineral Point, WI 53565-1289 · (608) 987-2346 · Fax (608) 987-2390
Fax(608) 987-2390
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 1993
Enumeration DateSeptember 16, 2005
Last NPPES UpdateJuly 8, 2007
NPI 1851386718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WI · 35674
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
104 HIGH ST, Mineral Point, WI 53565

Other Identifiers 2

Medicare UPINF93848WI
Medicaid32065100WI

Accepted 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. Gary J Grunow 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 ID8729055330
PECOS Enrollment IDI20100820000316
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.

Hospital Affiliations CMS Care Compare 4

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

Ssm Health St Mary's Hospital - Madison

Acute Care Hospitals · Madison, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520083
Location700 South Park StMadison, WI 53715 · Dane County
Emergency services Birthing friendly

University Of Wi Hospitals & Clinics Authority

Acute Care Hospitals · Madison, WI
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number520098
Location600 Highland AvenueMadison, WI 53792 · Dane County
Emergency services

Upland Hills Health

Critical Access Hospitals · Dodgeville, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521352
Location800 Compassion WayDodgeville, WI 53533 · Iowa County
Emergency services

Southwest Health Center

Critical Access Hospitals · Platteville, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521354
Location1400 East Side RdPlatteville, WI 53818 · Grant County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53565 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

99.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality98.74
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 16

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers84 claims202 services$6.43 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers22 claims22 services$1.13 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
5 suppliers40 claims40 services$90.22 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers39 claims107 services$36.03 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
3 suppliers25 claims141 services$19.59 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
2 suppliers11 claims61 services$16.94 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

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

Family Medicine
104 HIGH ST
MINERAL POINT, WI 53565
Family Medicine
104 HIGH ST
MINERAL POINT, WI 53565
Family Medicine
104 HIGH ST
MINERAL POINT, WI 53565
Physician Assistant (Medical)
104 HIGH ST
MINERAL POINT, WI 53565
Nurse Practitioner (Family)
104 HIGH ST
MINERAL POINT, WI 53565
Family Medicine
104 HIGH ST
MINERAL POINT, WI 53565
Obstetrics & Gynecology
104 HIGH ST
MINERAL POINT, WI 53565
Family Medicine
104 HIGH ST
MINERAL POINT, WI 53565

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 Gary Grunow's NPI number?

The NPI number for Gary Grunow is 1851386718. It was assigned to this individual provider in the NPPES registry on September 16, 2005.

Where is Gary Grunow located?

Gary Grunow practices at 104 High St, Mineral Point, WI 53565. The listed phone number is (608) 987-2346.

What is Gary Grunow's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Gary Grunow enrolled in Medicare?

Yes. Gary Grunow 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 Gary Grunow accept?

Health plans from Anthem Blue Cross and Blue Shield, Group Health Cooperative-SCW and Quartz list Gary Grunow 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 Gary Grunow affiliated with any hospitals?

According to CMS data, Gary Grunow is affiliated with Ssm Health St Mary's Hospital - Madison, University Of Wi Hospitals & Clinics Authority, Upland Hills Health and Southwest Health Center.

When was this NPI record last updated?

The NPPES record for Gary Grunow was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.