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GRANT MCKENZIE CAMPBELL MD
NPI 1861074510
Internal Medicine in Roseville, CA

Active since April 22, 2021Opted out of Medicare · through Feb 22, 2028
10004 FOOTHILLS BLVD, ROSEVILLE, CA 95747(916) 435-2700(916) 435-2701 Get Directions Write a Review

NPPES record last updated: June 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 19, 2024, Apr 22, 2021 (2 updates tracked since 2021).

About Grant Mckenzie Campbell Md NPPES

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

GRANT MCKENZIE CAMPBELL MD (NPI 1861074510) is an individual internal medicine provider in Roseville, California, licensed in California (A193270) and active in the NPI registry since April 2021. He has opted out of Medicare through February 22, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1861074510
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameGRANT MCKENZIE CAMPBELLCredential: MD
Location Address10004 FOOTHILLS BLVDRoseville, CA 95747-7102
Mailing Address86 W Underwood St Ste 100Orlando, FL 32806-1110 · (321) 841-5145
Phone(916) 435-2700
Fax(916) 435-2701
Sole ProprietorYes
Enumeration DateApril 22, 2021
Last NPPES UpdateJune 19, 20242 updates tracked since enumeration
NPPES CertifiedJune 19, 2024
✔ NPI 1861074510 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 · A193270
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
10004 FOOTHILLS BLVD, Roseville, CA 95747
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Grant Mckenzie Campbell Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 22, 2026 through February 22, 2028.

Opt-Out Effective DateFebruary 22, 2026
Opt-Out In Effect ThroughFebruary 22, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95747 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
$137.20 typical visit price
range $60.44 – $180.85
Typical copayment $34.30 (range $15.11 – $45.21)
Most-billed visit code 99204
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
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.

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 Grant Campbell's NPI number?

The NPI number for Grant Campbell is 1861074510. It was assigned to this individual provider in the NPPES registry on April 22, 2021.

Where is Grant Campbell located?

Grant Campbell practices at 10004 Foothills Blvd, Roseville, CA 95747. The listed phone number is (916) 435-2700.

What is Grant Campbell's specialty?

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

Is Grant Campbell enrolled in Medicare?

No. Grant Campbell has opted out of Medicare through February 22, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Grant Campbell was last updated on June 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.