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BRIAN JEFFREY GRADE M.D.
NPI 1932162724
Emergency Medicine in Newport Beach, CA

Active since April 11, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
ONE HOAG DR, ECU DEPT., NEWPORT BEACH, CA 92663(949) 764-5689(405) 751-3183 Get Directions Write a Review

NPPES record last updated: September 19, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Brian Jeffrey Grade M.d. NPPES

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

BRIAN JEFFREY GRADE M.D. (NPI 1932162724) is an individual emergency medicine provider in Newport Beach, California, licensed in California (G55504) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Southern California Keck School Of Medicine (1984).

NPPES Registry Identity

NPI1932162724
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameBRIAN JEFFREY GRADECredential: M.D.
Location AddressONE HOAG DR, ECU DEPT.Newport Beach, CA 92663-4162
Mailing AddressPo Box 720300Oklahoma City, OK 73172-0300 · (800) 749-4560 · Fax (405) 751-3183
Phone(949) 764-5689
Fax(405) 751-3183
Sole ProprietorNo
Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 1984
Enumeration DateApril 11, 2006
Last NPPES UpdateSeptember 19, 2012
✔ NPI 1932162724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in CA · G55504
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.
ONE HOAG DR, Newport Beach, CA 92663
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Other Identifiers 5

Medicaid00G555040CA
Medicare UPINA52964CA
Medicaid00G555040670CA
Other00G555040CA · Blue Shield
Medicare PINWG55504ECA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Brian Jeffrey Grade 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 ID8628030046
PECOS Enrollment IDI20041028000641
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Brian Grade reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Physicians Of Orange County
0.1 mi
Emergency Medicine
1 HOAG DR
Newport Beach, CA 92663
  • Reassigned Medicare billing, California enrollment
  • 61 clinicians in this Medicare group
NPI 1912771569 (949) 764-4624
Newport Emergency Medical Group Inc
0.1 mi
Medical Specialty
1 HOAG DR, ECU DEPT.
Newport Beach, CA 92663
  • Reassigned Medicare billing, California enrollment
  • 59 clinicians in this Medicare group
NPI 1922061779 (949) 764-5689

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.
383 services374 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.
327 services300 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.
283 services276 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.
32 services32 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92663 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES 11

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

HOWARD KEN NAKASHIOYA M.D.
Emergency Medicine
ONE HOAG DR, ECU DEPT
NEWPORT BEACH, CA 92663
Orange County (949) 764-5689
PASCAL S.C. JUANG M.D.
Emergency Medicine
ONE HOAG DR, ECU DEPT
NEWPORT BEACH, CA 92663
Orange County (949) 764-5689
RAYMOND LOUIS RICCI M.D.
Emergency Medicine
ONE HOAG DR, ECU DEPT
NEWPORT BEACH, CA 92663
Orange County (949) 764-5689
MICHAEL FREDERICK CONTINO M.D.
Emergency Medicine
ONE HOAG DR, ECU DEPT.
NEWPORT BEACH, CA 92663
Orange County (949) 764-5689
DARRIN MILES FRYER M.D.
Emergency Medicine
ONE HOAG DR, ECU DEPT.
NEWPORT BEACH, CA 92663
Orange County (949) 764-5689
DAVID EUGENE CHRISTY M.D.
Emergency Medicine
ONE HOAG DR, ECU DEPT.
NEWPORT BEACH, CA 92663
Orange County (949) 764-5689
WILLIAM PARK M.D.
Emergency Medicine
ONE HOAG DR, ECU DEPT
NEWPORT BEACH, CA 92663
Orange County (949) 764-5689
DR. STEVEN LIN M.D.
Internal Medicine (Critical Care Medicine)
ONE HOAG DR
NEWPORT BEACH, CA 92663
Orange County (949) 764-6876

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 Brian Grade's NPI number?

The NPI number for Brian Grade is 1932162724. It was assigned to this individual provider in the NPPES registry on April 11, 2006.

Where is Brian Grade located?

Brian Grade practices at One Hoag Dr Ecu Dept., Newport Beach, CA 92663. The listed phone number is (949) 764-5689.

What is Brian Grade's specialty?

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

Is Brian Grade enrolled in Medicare?

Yes. Brian Grade 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.

Which organizations bill Medicare for Brian Grade's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brian Grade reassigns Medicare benefits to 2 organizations: Emergency Physicians Of Orange County (Newport Beach, CA) and Newport Emergency Medical Group Inc (Newport Beach, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brian Grade's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Brian Grade was last updated on September 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.