TIMOTHY J GRASS D.O.
NPI 1982719134
Family Medicine in Franklin, WI

Active since August 20, 2006PECOS EnrolledAccepts Medicare Assignment
82.39/100
CMS Quality Rating
10101 S 27TH ST, FRANKLIN, WI 53132(414) 325-4940 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Timothy J Grass D.o. NPPES

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

TIMOTHY J GRASS D.O. (NPI 1982719134) is an individual family medicine provider in Franklin, Wisconsin, licensed in Wisconsin (38321) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Ascension Columbia St Mary's Hospital Milwaukee, and is a graduate of Midwestern University, Chicago College Of Osteopathic Med (1995).

NPPES Registry Identity

NPI1982719134
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTIMOTHY J GRASSCredential: D.O.
Location Address10101 S 27TH STFranklin, WI 53132-7209
Mailing Address10101 S 27th StFranklin, WI 53132-7209 · (414) 325-4940
Sole ProprietorNo
Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 1995
Enumeration DateAugust 20, 2006
Last NPPES UpdateMarch 7, 2023
NPI 1982719134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WI · 38321
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.
10101 S 27TH ST, Franklin, WI 53132

Other Identifiers 1

Medicaid30091700WI

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

Timothy J Grass D.o. 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 ID840242079
PECOS Enrollment IDI20050216000564
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 6

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.
179 services109 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.
68 services68 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.
58 services41 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.
42 services29 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.
27 services27 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.
23 services23 patients

Hospital Affiliations CMS Care Compare 4

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

Ascension Columbia St Mary's Hospital Milwaukee

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520051
Location2323 N Lake DrMilwaukee, WI 53211 · Milwaukee County
Emergency services Birthing friendly

Ascension St Francis Hospital

Acute Care Hospitals · Milwaukee, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520078
Location3237 S 16th StMilwaukee, WI 53215 · Milwaukee County
Emergency services

Ascension All Saints Hospital

Acute Care Hospitals · Racine, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520096
Location3801 Spring StRacine, WI 53405 · Racine County
Emergency services Birthing friendly

Ascension SE Wisconsin Hospital

Acute Care Hospitals · Milwaukee, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520136
Location5000 W Chambers StMilwaukee, WI 53210 · Milwaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53132 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

82.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.88
Promoting Interoperability81
Improvement Activities40
Cost74.38

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers15 claims38 services$6.00 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
1 supplier11 claims11 services$185.46 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 20

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

Nurse Practitioner
10101 S 27TH ST
FRANKLIN, WI 53132
Physical Therapist (Orthopedic)
10101 S 27TH ST
FRANKLIN, WI 53132
Physician Assistant (Medical)
10101 S 27TH ST
FRANKLIN, WI 53132
Occupational Therapist
10101 S 27TH ST
FRANKLIN, WI 53132
Emergency Medicine
10101 S 27TH ST
FRANKLIN, WI 53132
Dietitian, Registered
10101 S 27TH ST
FRANKLIN, WI 53132
Pharmacy (Community/Retail Pharmacy)
10101 S 27TH ST, ROOM 1005
FRANKLIN, WI 53132
Physical Therapist
10101 S 27TH ST
FRANKLIN, WI 53132

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 Timothy Grass's NPI number?

The NPI number for Timothy Grass is 1982719134. It was assigned to this individual provider in the NPPES registry on August 20, 2006.

Where is Timothy Grass located?

Timothy Grass practices at 10101 S 27th St, Franklin, WI 53132. The listed phone number is (414) 325-4940.

What is Timothy Grass's specialty?

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

Is Timothy Grass enrolled in Medicare?

Yes. Timothy Grass 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 Timothy Grass accept?

Health plans from Anthem Blue Cross and Blue Shield and Network Health list Timothy Grass 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 Timothy Grass affiliated with any hospitals?

According to CMS data, Timothy Grass is affiliated with Ascension Columbia St Mary's Hospital Milwaukee, Ascension St Francis Hospital, Ascension All Saints Hospital and Ascension SE Wisconsin Hospital.

When was this NPI record last updated?

The NPPES record for Timothy Grass was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.