KENYON JACOB GRAND DO
NPI 1922567999
Emergency Medicine in Chicago, IL

Q: What is Kenyon Grand's NPI number?

The NPI number for Kenyon Grand is 1922567999. It was assigned to this individual provider in the NPPES registry on March 18, 2019.

Q: What is Kenyon Grand's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Kenyon Grand was last updated on June 17, 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 March 18, 2019PECOS EnrolledAccepts Medicare Assignment

89.55/100

CMS Quality Rating

1740 W TAYLOR ST, CHICAGO, IL 60612(866) 600-2273 Get Directions Write a Review

NPPES record last updated: June 17, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 3, 2021, Mar 18, 2019 (2 updates tracked since 2019).

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About Kenyon Jacob Grand Do NPPES

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

KENYON JACOB GRAND DO (NPI 1922567999) is an individual emergency medicine provider in Chicago, Illinois, licensed in Illinois (1922567999) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Emory Decatur Hospital, and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2019).

NPPES Registry Identity

NPI1922567999

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameKENYON JACOB GRANDCredential: DO

Location Address1740 W TAYLOR STChicago, IL 60612-7232

Mailing Address1 E 8th St Apt 304Chicago, IL 60605-5060 · (513) 550-1739

Phone(866) 600-2273

Sole ProprietorNo

Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2019

Enumeration DateMarch 18, 2019

Last NPPES UpdateJune 17, 20222 updates tracked since enumeration

NPPES CertifiedJune 17, 2022

✔ NPI 1922567999 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Licenses✔ Licensed in IL · 1922567999✔ Licensed in GA · 90937

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1740 W TAYLOR ST, Chicago, IL 60612

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.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

Kenyon Jacob Grand Do 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 ID4880925221

PECOS Enrollment IDI20220712000854

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

241 services235 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

178 services176 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

78 services76 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

33 services32 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.

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.

Emory Decatur Hospital

Acute Care Hospitals · Decatur, GA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110076

Location2701 N Decatur RoadDecatur, GA 30033 · De Kalb County

Emergency services Birthing friendly

Emory Hillandale Hospital

Acute Care Hospitals · Lithonia, GA

1/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110226

Location2801 Dekalb Medical ParkwayLithonia, GA 30058 · De Kalb County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60612 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $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.

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.

89.55/100

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

Scored as part of a group practice

Quality

70.45

Improvement Activities

Cost

100

Other Providers at the Same Location NPPES 20

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

MRS. CATHLEEN CONWAY JENSEN OTR/L

Occupational Therapist

1740 W TAYLOR ST, C100
CHICAGO, IL 60612

Cook County (312) 996-3700

KELLY M HOYERT PA-C

Physician Assistant (Surgical)

1740 W TAYLOR ST, 3F OCC
CHICAGO, IL 60612

Cook County (312) 355-4300

DR. YI-LOONG COLIN WOON M.D.

Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)