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ABBAGAIL GRUBB NP-BC
NPI 1902377880
Nurse Practitioner - Family in Lancaster, OH

Active since December 17, 2018PECOS EnrolledAccepts Medicare Assignment
71.23/100
CMS Quality Rating
2405 N COLUMBUS ST STE 100, LANCASTER, OH 43130(740) 689-4480 Get Directions Write a Review

NPPES record last updated: March 12, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 12, 2019, Jan 2, 2019, Dec 17, 2018 (3 updates tracked since 2018).

About Abbagail Grubb Np-bc NPPES

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

ABBAGAIL GRUBB NP-BC (NPI 1902377880) is an individual family provider in Lancaster, Ohio, licensed in Ohio (APRN.CNP.024038) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS, is affiliated with Fairfield Medical Center, and maintains a secondary practice location in Lancaster.

NPPES Registry Identity

NPI1902377880
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameABBAGAIL GRUBBCredential: NP-BC
Location Address2405 N COLUMBUS ST STE 100Lancaster, OH 43130-8189
Mailing Address2848 W Point Rd SeLancaster, OH 43130-8639 · (740) 475-9192
Phone(740) 689-4480
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateDecember 17, 2018
Last NPPES UpdateMarch 12, 20193 updates tracked since enumeration
✔ NPI 1902377880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OH · APRN.CNP.024038
2405 N COLUMBUS ST STE 100, Lancaster, OH 43130
Open in Google Maps ↗

Secondary Practice Location 1

Location 12848 W Point Rd SELancaster, OH 43130-8639 · Phone (740) 475-9192

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Abbagail Grubb Np-bc 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 ID4789925520
PECOS Enrollment IDI20190404001816
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 5

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.
146 services127 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
77 services63 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.
75 services57 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
21 services18 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Fairfield Medical Center

Acute Care Hospitals · Lancaster, OH
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360072
Location401 North Ewing StreetLancaster, OH 43130 · Fairfield County
Emergency services Birthing friendly

Hocking Valley Community Hospital

Critical Access Hospitals · Logan, OH
OwnershipVoluntary non-profit - Other
CMS Certification Number361330
Location601 State Route 664NLogan, OH 43138 · Hocking County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43130 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

71.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality52.72
Promoting Interoperability87
Improvement Activities40
Cost58.69

Other Providers at the Same Location NPPES 2

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

DR. JOHN LAZARUS MD
Internal Medicine (Cardiovascular Disease)
2405 N COLUMBUS ST STE 100
LANCASTER, OH 43130
Fairfield County (740) 689-4480
JESSICA VICENT HOY DO
Dermatology
2405 N COLUMBUS ST STE 100
LANCASTER, OH 43130
Fairfield County (614) 908-1339

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 Abbagail Grubb's NPI number?

The NPI number for Abbagail Grubb is 1902377880. It was assigned to this individual provider in the NPPES registry on December 17, 2018.

Where is Abbagail Grubb located?

Abbagail Grubb practices at 2405 N Columbus St Ste 100, Lancaster, OH 43130. The listed phone number is (740) 689-4480.

What is Abbagail Grubb's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Abbagail Grubb enrolled in Medicare?

Yes. Abbagail Grubb 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 Abbagail Grubb accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and MedMutual and 1 other insurer list Abbagail Grubb 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 Abbagail Grubb affiliated with any hospitals?

According to CMS data, Abbagail Grubb is affiliated with Fairfield Medical Center and Hocking Valley Community Hospital.

When was this NPI record last updated?

The NPPES record for Abbagail Grubb was last updated on March 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.