MICHAEL D GRIMES MD
NPI 1972569028
Family Medicine in Wichita, KS

Q: What is Michael Grimes's NPI number?

The NPI number for Michael Grimes is 1972569028. It was assigned to this individual provider in the NPPES registry on April 25, 2006.

Q: What is Michael Grimes's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Michael Grimes was last updated on May 8, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 25, 2006PECOS EnrolledAccepts Medicare Assignment

83.42/100

CMS Quality Rating

1900 N AMIDON AVE, STE 100, WICHITA, KS 67203(316) 832-9024(316) 832-9478 Get Directions Write a Review

NPPES record last updated: May 8, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Michael D Grimes Md NPPES

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

MICHAEL D GRIMES MD (NPI 1972569028) is an individual family medicine provider in Wichita, Kansas, licensed in Kansas (04-25925) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Ascension Via Christi Hospitals Wichita, Inc., and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (1994).

NPPES Registry Identity

NPI1972569028

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameMICHAEL D GRIMESCredential: MD

Location Address1900 N AMIDON AVE, STE 100Wichita, KS 67203-2125

Mailing AddressPo Box 8035Wichita, KS 67208-0035 · (316) 689-9135 · Fax (316) 689-9667

Phone(316) 832-9024

Fax(316) 832-9478

Sole ProprietorNo

Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 1994

Enumeration DateApril 25, 2006

Last NPPES UpdateMay 8, 2014

✔ NPI 1972569028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in KS · 04-25925

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.

1900 N AMIDON AVE, Wichita, KS 67203

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Other Identifiers 3

Other003719199Medicare

Medicare UPING18703

Medicaid100289990DKS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, 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

Michael D Grimes Md 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 ID5698701373

PECOS Enrollment IDI20050713001190

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 18

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.

579 services269 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

435 services242 patients

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.

140 services100 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

92 services59 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

45 services45 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

42 services42 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.

39 services39 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

37 services37 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

28 services28 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

28 services23 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

28 services28 patients

Transitional care management services for problem of at least moderate complexity 99495

Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.

22 services18 patients

Destruction of precancer skin growth, 1 growth 17000

"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.

20 services16 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.

16 services13 patients

Screening 3d breast mammography 77063

Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.

13 services13 patients

Screening mammography 77067

Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.

13 services13 patients

Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005

An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.

12 services12 patients

Dxa bone density measurement of hip, pelvis, spine 77080

A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.

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.

Ascension Via Christi Hospitals Wichita, Inc.

Acute Care Hospitals · Wichita, KS

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number170122

Location929 North St Francis StreetWichita, KS 67214 · Sedgwick County

Emergency services Birthing friendly

Via Christi Hospital Wichita St Teresa, Inc

Acute Care Hospitals · Wichita, KS

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number170200

Location14800 West St TeresaWichita, KS 67235 · Sedgwick County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 67203 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

$81.98 typical visit price

range $53.00 – $161.67

Typical copayment $20.49 (range $13.25 – $40.41)

Most-billed visit code 99203

Established Patient

$94.12 typical visit price

range $16.88 – $132.11

Typical copayment $23.53 (range $4.22 – $33.02)

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.

83.42/100

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

Scored as part of a group practice

Quality

73.21

Promoting Interoperability

Improvement Activities

Cost

73.2

Referred Medical Equipment & Supplies CMS DME claims 4

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

15 suppliers68 claims133 services$5.78 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

1 supplier12 claims12 services$872.72 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

2 suppliers26 claims27 services$67.39 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

6 suppliers77 claims77 services$184.40 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 8

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

BRUCE E BARCLAY MD

Family Medicine

1900 N AMIDON AVE, STE 100
WICHITA, KS 67203

Sedgwick County (316) 832-9024

PREFERRED MEDICAL ASSOCIATES

Family Medicine

1900 N AMIDON AVE, STE 100
WICHITA, KS 67203

Sedgwick County (316) 832-9024

EDWARD J HETT MD

Family Medicine

1900 N AMIDON AVE, STE 100
WICHITA, KS 67203

Sedgwick County (316) 832-9024

DENNIS G PHILLIPS MD

Family Medicine

1900 N AMIDON AVE, STE 100
WICHITA, KS 67203

Sedgwick County (316) 832-9024

ARTHUR F WINDHOLZ MD

Family Medicine

1900 N AMIDON AVE, STE 100
WICHITA, KS 67203

Sedgwick County (316) 832-9024

BRIAN A JOHNSON MD

Family Medicine

1900 N AMIDON AVE, STE 100
WICHITA, KS 67203

Sedgwick County (316) 832-9024

ATTENTION AND LEARNING CLINIC, LLC

Psychologist (Clinical)

1900 N AMIDON AVE, SUITE 200
WICHITA, KS 67203

Sedgwick County (316) 558-8085

PREFERRED MEDICAL ASSOCIATES

Radiology (Diagnostic Ultrasound)

1900 N AMIDON AVE, STE 100
WICHITA, KS 67203

Sedgwick County (316) 687-1555

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 Michael Grimes's NPI number?

The NPI number for Michael Grimes is 1972569028. It was assigned to this individual provider in the NPPES registry on April 25, 2006.

Where is Michael Grimes located?

Michael Grimes practices at 1900 N Amidon Ave Ste 100, Wichita, KS 67203. The listed phone number is (316) 832-9024.

What is Michael Grimes's specialty?

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

Is Michael Grimes enrolled in Medicare?

Yes. Michael Grimes 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 Michael Grimes accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 2 other insurers list Michael Grimes 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 Michael Grimes affiliated with any hospitals?

According to CMS data, Michael Grimes is affiliated with Ascension Via Christi Hospitals Wichita, Inc. and Via Christi Hospital Wichita St Teresa, Inc.

When was this NPI record last updated?

The NPPES record for Michael Grimes was last updated on May 8, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.