BETHUNE ALAFIA GRINDLEY M.D.
NPI 1992130983
Internal Medicine - Nephrology in Winchester, VA

Q: What is Bethune Grindley's NPI number?

The NPI number for Bethune Grindley is 1992130983. It was assigned to this individual provider in the NPPES registry on September 9, 2013.

Q: What is Bethune Grindley's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Q: When was this NPI record last updated?

The NPPES record for Bethune Grindley was last updated on October 3, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 09, 2013PECOS EnrolledAccepts Medicare Assignment

80.39/100

CMS Quality Rating

812 AMHERST ST, WINCHESTER, VA 22601(540) 450-1600(540) 450-0166 Get Directions Write a Review

NPPES record last updated: October 3, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Bethune Alafia Grindley M.d. NPPES

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

BETHUNE ALAFIA GRINDLEY M.D. (NPI 1992130983) is an individual nephrology provider in Winchester, Virginia, licensed in Virginia (0101265548) and active in the NPI registry since September 2013. She is enrolled in Medicare PECOS, is affiliated with Winchester Medical Center, and maintains a secondary practice location in Bronx.

NPPES Registry Identity

NPI1992130983

Entity TypeIndividualFemale

Primary Taxonomy207RN0300X

Provider Legal NameBETHUNE ALAFIA GRINDLEYCredential: M.D.

Location Address812 AMHERST STWinchester, VA 22601-3300

Mailing Address812 Amherst StWinchester, VA 22601-3300 · (540) 450-1600 · Fax (540) 450-0166

Phone(540) 450-1600

Fax(540) 450-0166

Sole ProprietorYes

Medical School CMSOtherGraduated 2006

Enumeration DateSeptember 9, 2013

Last NPPES UpdateOctober 3, 2023

NPPES CertifiedOctober 3, 2023

✔ NPI 1992130983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in VA · 0101265548

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Also ListedGeneral Acute Care HospitalTaxonomy 282N00000X

812 AMHERST ST, Winchester, VA 22601

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Secondary Practice Location 1

Location 1234 E 149th St, BronxBronx, NY 10451-5504 · Phone (718) 579-5874 · Fax (718) 579-4836

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

Bethune Alafia Grindley 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 ID4880939461

PECOS Enrollment IDI20220425001458, I20250507000702

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 14

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.

893 services422 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

414 services136 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

238 services96 patients

Dialysis services, 4 or more physician visits per month (20 years or older) 90960

Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.

142 services60 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.

109 services97 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

75 services75 patients

Hemodialysis procedure with physician evaluation 90935

Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.

71 services38 patients

Home dialysis services per month (20 years or older) 90966

Home dialysis services provide kidney treatment for patients aged 20 or older right in their own homes. This service includes necessary equipment, supplies, and support for performing dialysis. It's a convenient option that allows patients to maintain their daily routines while receiving essential care.

60 services18 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

41 services39 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.

35 services35 patients

Manual urinalysis test with examination using microscope, automated 81001

A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.

32 services32 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.

21 services21 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.

17 services17 patients

Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour G0420

This service involves one-on-one educational sessions about managing chronic kidney disease. Each session lasts about an hour. Topics can include understanding the disease, dietary changes, medication management, and lifestyle modifications to help control the condition.

16 services15 patients

Hospital Affiliations CMS Care Compare 5

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

Winchester Medical Center

Acute Care Hospitals · Winchester, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490005

Location1840 Amherst StWinchester, VA 22601 · Winchester City County

Emergency services Birthing friendly

Warren Memorial Hospital

Acute Care Hospitals · Front Royal, VA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490033

Location351 Valley Health WayFront Royal, VA 22630 · Warren County

Emergency services

Shenandoah Memorial Hospital

Critical Access Hospitals · Woodstock, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number491305

Location759 South Main StreetWoodstock, VA 22664 · Shenandoah County

Emergency services

Page Memorial Hospital, Inc

Critical Access Hospitals · Luray, VA

OwnershipVoluntary non-profit - Private

CMS Certification Number491307

Location200 Memorial DriveLuray, VA 22835 · Page County

Emergency services

Hampshire Memorial Hospital

Critical Access Hospitals · Romney, WV

OwnershipVoluntary non-profit - Private

CMS Certification Number511311

Location363 Sunrise BoulevardRomney, WV 26757 · Hampshire County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22601 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

$129.04 typical visit price

range $56.19 – $170.30

Typical copayment $32.26 (range $14.04 – $42.57)

Most-billed visit code 99204

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

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.

80.39/100

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

Individually scored

Quality

78.2

Improvement Activities

Cost

47.02

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report

0%297 patients1/55-star benchmark: 87%

Controlling High Blood Pressure

72%414 patients4/55-star benchmark: 91%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

100%229 patients1/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

98%1,483 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

0%539 patients1/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

22%716 patients1/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

0%616 patients1/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

40%243 patients3/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 94% · 417 patients

Patients screened: 98% · 417 patients

62%45 patients3/55-star benchmark: 100%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 556 patients

Patients totalRate: 0% · 556 patients

0%556 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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Other Providers at the Same Location NPPES 13

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

MEENAKSHI GOPAL MD

Internal Medicine

812 AMHERST ST, SUITE 101
WINCHESTER, VA 22601

Winchester City (540) 722-0220

DR. DAVID E. SISSON M.D.

Internal Medicine (Nephrology)

812 AMHERST ST, STE 201
WINCHESTER, VA 22601

Winchester City (540) 450-1600

MRS. JENNIFER ANN LUTZ FNP

Internal Medicine (Nephrology)

812 AMHERST ST
WINCHESTER, VA 22601

Winchester City (540) 335-5232

WINCHESTER PSYCHIATRIC CONSULTANTS, PC

Psychiatry & Neurology (Psychiatry)

812 AMHERST ST, SUITE 302
WINCHESTER, VA 22601

Winchester City (540) 431-5067

ANNE E. SCHEMPP PA-C

Physician Assistant

812 AMHERST ST, SUITE 101
WINCHESTER, VA 22601

Winchester City (540) 722-0220

KATHERINE MARIE RUTHERFORD

Nurse Practitioner (Family)

812 AMHERST ST
WINCHESTER, VA 22601

Winchester City (540) 450-1600

VALLEY FAMILY PRACTICE LLC

Family Medicine

812 AMHERST ST, SUITE 101
WINCHESTER, VA 22601

Winchester City (540) 722-0220

RENAL PHYSICIAN ASSOCIATES OF WINCHESTER PLC

Clinic/Center (Medical Specialty)

812 AMHERST ST, STE 201
WINCHESTER, VA 22601

Winchester City (540) 450-1600

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 Bethune Grindley's NPI number?

The NPI number for Bethune Grindley is 1992130983. It was assigned to this individual provider in the NPPES registry on September 9, 2013.

Where is Bethune Grindley located?

Bethune Grindley practices at 812 Amherst St, Winchester, VA 22601. The listed phone number is (540) 450-1600.

What is Bethune Grindley's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Bethune Grindley enrolled in Medicare?

Yes. Bethune Grindley 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.

Is Bethune Grindley affiliated with any hospitals?

According to CMS data, Bethune Grindley is affiliated with Winchester Medical Center, Warren Memorial Hospital, Shenandoah Memorial Hospital, Page Memorial Hospital, Inc and Hampshire Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Bethune Grindley was last updated on October 3, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.