DR. MELINDA J GRUBER M.D.
NPI 1962449041
Family Medicine in Santa Claus, IN

Active since May 31, 2006PECOS EnrolledAccepts Medicare Assignment
85.59/100
CMS Quality Rating
92 W CHRISTMAS BLVD, SANTA CLAUS, SANTA CLAUS, IN 47579(812) 937-4120(812) 937-7074 Get Directions Write a Review

NPPES record last updated: November 26, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Melinda J Gruber M.d. NPPES

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

DR. MELINDA J GRUBER M.D. (NPI 1962449041) is an individual family medicine provider in Santa Claus, Indiana, licensed in Indiana (01045418) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Memorial Hospital And Health Care Center, and is a graduate of Indiana University School Of Medicine (1995).

NPPES Registry Identity

NPI1962449041
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MELINDA J GRUBERCredential: M.D.
Location Address92 W CHRISTMAS BLVD, SANTA CLAUSSanta Claus, IN 47579-6044
Mailing AddressPo Box 1028, JasperJasper, IN 47547-1028 · (812) 996-0410 · Fax (812) 996-8497
Fax(812) 937-7074
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 1995
Enumeration DateMay 31, 2006
Last NPPES UpdateNovember 26, 2014
NPI 1962449041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IN · 01045418
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.
92 W CHRISTMAS BLVD, Santa Claus, IN 47579

Other Identifiers 3

Medicaid200137470IN
OtherP00312747IN · Railroad Medicare
Medicare UPING85053IN

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. Melinda J Gruber 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 ID6204848625
PECOS Enrollment IDI20060628000249
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 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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
171 services126 patients
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.
71 services53 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
31 services31 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
26 services13 patients

Hospital Affiliations CMS Care Compare

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

Memorial Hospital And Health Care Center

Acute Care Hospitals · Jasper, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150115
Location800 W 9th StJasper, IN 47546 · Dubois County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47579 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

85.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.96
Promoting Interoperability100
Improvement Activities40
Cost69

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers17 claims23 services$18.59 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers18 claims23 services$98.65 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 6

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

Nurse Practitioner
92 W CHRISTMAS BLVD
SANTA CLAUS, IN 47579
Family Medicine
92 W CHRISTMAS BLVD
SANTA CLAUS, IN 47579
Nurse Practitioner (Family)
92 W CHRISTMAS BLVD
SANTA CLAUS, IN 47579
Internal Medicine (Cardiovascular Disease)
92 W CHRISTMAS BLVD
SANTA CLAUS, IN 47579
Family Medicine
92 W CHRISTMAS BLVD
SANTA CLAUS, IN 47579
Family Medicine
92 W CHRISTMAS BLVD
SANTA CLAUS, IN 47579

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 Melinda Gruber's NPI number?

The NPI number for Melinda Gruber is 1962449041. It was assigned to this individual provider in the NPPES registry on May 31, 2006.

Where is Melinda Gruber located?

Melinda Gruber practices at 92 W Christmas Blvd Santa Claus, Santa Claus, IN 47579. The listed phone number is (812) 937-4120.

What is Melinda Gruber's specialty?

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

Is Melinda Gruber enrolled in Medicare?

Yes. Melinda Gruber 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 Melinda Gruber accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Melinda Gruber 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 Melinda Gruber affiliated with any hospitals?

According to CMS data, Melinda Gruber is affiliated with Memorial Hospital And Health Care Center.

When was this NPI record last updated?

The NPPES record for Melinda Gruber was last updated on November 26, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.