DR. MICHAEL EDWARD GRADY D.D.S.
NPI 1437291267
Dentist - General Practice in Milwaukee, WI
NPI Status: Active since February 12, 2007
Contact Information
1801 W WISCONSIN AVE
CPMG B
MILWAUKEE, WI
ZIP 53233
Phone: (414) 288-6578
Fax: (414) 288-6505
- Individual
- Male
- Dentist
- General Practice
- PECOS Enrolled
- Opted-Out Medicare
About MICHAEL GRADY
This page provides the complete NPI Profile along with additional information for Michael Grady, a provider established in Milwaukee, Wisconsin with a medical specialization in Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1437291267 assigned on February 2007. The practitioner's primary taxonomy code is 1223G0001X with license number WI4652 (WI). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1437291267
- Provider Name
- DR. MICHAEL EDWARD GRADY D.D.S.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1801 W WISCONSIN AVE CPMG B MILWAUKEE, WI 53233
- Location Phone
- (414) 288-6578
- Location Fax
- (414) 288-6505
- Mailing Address
- 1616 E RIVER RD GRAFTON, WI 53024
- Mailing Phone
- (262) 618-4347
- Is Sole Proprietor?
- No
- Enumeration Date
- 02-12-2007
- Last Update Date
- 07-08-2007
- Code Navigator
A dentist like Michael Grady is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Michael Grady opted out of Medicare effective on 07-08-2016 until 07-08-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist General Practice
- Taxonomy Code
- 1223G0001X
- Type
- Dental Providers
- License No.
- WI4652
- License State
- WI
- Taxonomy Description
- A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Medicare Participation & PECOS Enrollment Status
Michael Grady is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 07-08-2016
Opt-Out End Date: 07-08-2026
Eligible to Order and Refer? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: No
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 53233 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $82.92
- Minimum New Patient Price $53.9
- Maximum New Patient Price $163.24
- Average New Patient Copayment $20.73
- Minimum New Patient Copayment $13.47
- Maximum New Patient Copayment $40.81
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $67.37
- Minimum Established Patient Price $17.4
- Maximum Established Patient Price $133.76
- Average Established Patient Copayment $16.84
- Minimum Established Patient Copayment $4.35
- Maximum Established Patient Copayment $33.44
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for DR. MICHAEL EDWARD GRADY D.D.S.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 3 | 7 | 2 | 9 | 1 | 2 | 6 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 6 | 7 | 4 | 9 | 2 | 2 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 6 + 7 + 4 + 9 + 2 + 2 + 1 + 2 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1437291267 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1982693099 | DR. BRIAN DAVID HODGSON DDS Individual | Dentist (Pediatric Dentistry) | 1801 W WISCONSIN AVE MILWAUKEE, WI 53233 (414) 288-1566 |
| 1700851581 | DR. JESSE WAYLON SMITH D.D.S Individual | Dentist (Prosthodontics) | 1801 W WISCONSIN AVE #206 MILWAUKEE, WI 53233 (414) 288-6508 |
| 1790743193 | DR. TIMOTHY JOHN CREAMER D.D.S. Individual | Dentist | 1801 W WISCONSIN AVE MILWAUKEE, WI 53233 (414) 288-6171 |
| 1164436150 | DR. MOAWIA KASSAB DDS, MS Individual | Dentist (Periodontics) | 1801 W WISCONSIN AVE MARQUETTE UNIVERSITY, DENTAL SCHOOL, SURGICAL SCIENCES MILWAUKEE, WI 53233 (414) 288-0771 |
| 1124032495 | SAMEER RAMBHIA B.D.S., M.S. Individual | Dentist (Prosthodontics) | 1801 W WISCONSIN AVE #004 MILWAUKEE, WI 53233 (414) 288-5411 |
| 1215082839 | DR. GARY L. STAFFORD DMD Individual | Dentist (General Practice) | 1801 W WISCONSIN AVE RM 336A MILWAUKEE, WI 53233 (414) 288-5409 |
| 1659492668 | DR. JAMES WINFIELD GLORE D.D.S. Individual | Dentist (Oral and Maxillofacial Surgery) | 1801 W WISCONSIN AVE MARQUETTE UNIVERSITY SCHOOL OF DENTISTRY MILWAUKEE, WI 53233 (414) 288-7155 |
| 1720202203 | DR. CLARK REGAN SWEENEY DDS Individual | Dentist (Oral and Maxillofacial Surgery) | 1801 W WISCONSIN AVE MILWAUKEE, WI 53233 (414) 288-6212 |
| 1760655906 | MRS. ANNE B KENNEDY RDH Individual | Dental Hygienist | 1801 W WISCONSIN AVE MILWAUKEE, WI 53233 (414) 288-0762 |
| 1386810828 | DR. PETER HANS JACOBSOHN DDS Individual | Dentist (Oral and Maxillofacial Surgery) | 1801 W WISCONSIN AVE MILWAUKEE, WI 53233 (414) 288-5902 |
| 1316102700 | DR. ROBERT A HENSCHEL Individual | Dentist | 1801 W WISCONSIN AVE MILWAUKEE, WI 53233 (414) 288-5902 |
| 1356597488 | DR. MANLIO ZUNIGA Individual | Dentist (Prosthodontics) | 1801 W WISCONSIN AVE MILWAUKEE, WI 53233 (414) 288-8465 |
| 1871743633 | PROF. FRANCISCO GUEDES ALENCAR JR. DDS, MS Individual | Dentist | 1801 W WISCONSIN AVE MARQUETTE UNIVERSITY SCHOOL OF DENTISTRY MILWAUKEE, WI 53233 (414) 288-5590 |
| 1306087150 | DR. ALFRED PATRICK LONGO D.D.S. Individual | Dentist (General Practice) | 1801 W WISCONSIN AVE MUSOD ADVANCED CARE CLINIC MILWAUKEE, WI 53233 (414) 288-7388 |
| 1699909762 | DR. JOSEPH WILLIAM KUFFEL D.D.S. Individual | Dentist (General Practice) | 1801 W WISCONSIN AVE MILWAUKEE, WI 53233 (414) 288-7388 |
| 1326330093 | MRS. BELINDA J RHODEN-TADYCH RDH Individual | Dental Hygienist | 1801 W WISCONSIN AVE MILWAUKEE, WI 53233 (262) 617-9867 |
| 1295012763 | MRS. ANGELINE RIEGERT RDH Individual | Dental Hygienist | 1801 W WISCONSIN AVE MILWAUKEE, WI 53233 (414) 288-8961 |
| 1215202791 | DR. ANNA NATALIA PRZYSZLAK DDS Individual | Dentist | 1801 W WISCONSIN AVE DENTAL SCHOOL , 141 MILWAUKEE, WI 53233 (414) 288-7388 |
| 1023398047 | AMIR SEIFI DDS Individual | Dentist | 1801 W WISCONSIN AVE MARQUETTE UNIVERSITY SCHOOL OF DENTISTRY. RM 325 MILWAUKEE, WI 53233 (414) 288-6517 |
| 1245585579 | DR. PHILLIP JAMES OSOWSKI D.D.S. Individual | Dentist (General Practice) | 1801 W WISCONSIN AVE MILWAUKEE, WI 53233 (414) 288-3544 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1437291267, enumerated in the NPI registry as an "individual" on February 12, 2007
The provider is located at 1801 W Wisconsin Ave Cpmg B Milwaukee, Wi 53233 and the phone number is (414) 288-6578
The provider's speciality is Dentist with taxonomy code 1223G0001X with a focus in General Practice
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).
Medicare beneficiaries should expect a typical cost of $82.92 with an average copayment of $20.73 for new patient appointments. Established patients should expect a typical charge of $67.37 and an average copayment of 16.84. Please review your insurance plan or contact the provider directly to determine your specific costs.
No, the provider signed an affidavit on July 08, 2016 to opt-out of the Medicare program. The provider is excluded from the Medicare program until July 08, 2026.
This NPI record was last updated on February 12, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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