DAVID CHRISTIAN GRANT MD
NPI 1639261035
General Practice in Marquette, MI
Quality Rating: 92.04 out of 100 score
NPI Status: Active since September 30, 2006
Contact Information
420 W MAGNETIC ST
MARQUETTE, MI
ZIP 49855
Phone: (906) 225-3561
- Individual
- Male
- Years of Experience 25
- General Practice
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About DAVID GRANT
This page provides the complete NPI Profile along with additional information for David Grant, a primary care provider established in Marquette, Michigan with a medical specialization in General Practice and more than 25 years of experience. He graduated from Oregon Health Sciences University School Of Medicine in 2001. The healthcare provider is registered in the NPI registry with number 1639261035 assigned on September 2006. The practitioner's primary taxonomy code is 208D00000X with license number 4301089202 (MI). The provider is registered as an individual and his NPI record was last updated 16 years ago.
- NPI
- 1639261035
- Provider Name
- DAVID CHRISTIAN GRANT MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 420 W MAGNETIC ST MARQUETTE, MI 49855
- Location Phone
- (906) 225-3561
- Mailing Address
- 4602 DEPT CAROL STREAM, IL 60122
- Mailing Phone
- (906) 225-4821
- Mailing Fax
- Medical School Name
- OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
- Graduation Year
- 2001
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-30-2006
- Last Update Date
- 04-28-2009
- Code Navigator
A primary care provider (PCP) like David Grant sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc
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
General Practice
- Taxonomy Code
- 208D00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 4301089202
- License State
- MI
- Taxonomy Description
- A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
---|---|---|---|---|
1 | 207P00000X | Allopathic & Osteopathic Physicians | Emergency Medicine | MD25662 (OR) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Cross� Preferred HMO Bronze Extra - HMO
- Blue Cross� Preferred HMO Bronze Saver HSA - HMO
- Blue Cross� Preferred HMO Bronze Secure - HMO
- Blue Cross� Preferred HMO Gold - HMO
- Blue Cross� Preferred HMO Gold Extra - HMO
- Blue Cross� Preferred HMO Silver - HMO
- Blue Cross� Preferred HMO Silver Extra - HMO
- Blue Cross� Preferred HMO Silver Saver - HMO
- Blue Cross� Preferred HMO Value - HMO
- Blue Cross� Select HMO Bronze Extra - HMO
- Blue Cross� Premier PPO Bronze Extra - PPO
- Blue Cross� Premier PPO Bronze HSA - PPO
- Blue Cross� Premier PPO Bronze Secure - PPO
- Blue Cross� Premier PPO Gold - PPO
- Blue Cross� Premier PPO Gold Extra - PPO
- Blue Cross� Premier PPO Silver - PPO
- Blue Cross� Premier PPO Silver Extra - PPO
- Blue Cross� Premier PPO Silver Saver HSA - PPO
- Blue Cross� Premier PPO Value - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
DG089202 | OTHER (01) | MI | BLUE CROSS |
A64853 | MEDICARE UPIN (02) | MI | |
0M36120025 | MEDICARE PIN (08) | MI | |
5212533 | MEDICAID (05) | MI | |
P00456632 | OTHER (01) | MI | RAILROAD MEDICARE |
Medicare Participation & PECOS Enrollment Status
David Grant is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
David Grant 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), a Home Health Agency (HHA) and Power Mobility Devices.
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
PECOS PAC ID: 2163323908
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20070910000212
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.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: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Critical care, first 30-74 minutes
Emergency department visit for life threatening or functioning severity
Emergency department visit for problem of high severity
Emergency department visit for problem of moderate severity
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
This service was performed 24 times for 24 patientsAn emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
This service was performed 178 times for 174 patientsAn emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
This service was performed 129 times for 127 patientsAn emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
This service was performed 33 times for 33 patientsA routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
This service was performed 249 times for 216 patientsOverall MIPS Quality Performance
The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 92.04, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
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Final Score: 92.04 out of 100
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.
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Quality Score: 78.2
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.
There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
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Promoting Interoperability Score: 100
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.
The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. -
Improvement Activities Score: 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.
The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. -
Cost Score: N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. -
Cost Score: N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. David Grant is affiliated with the following medical facilities:
Hospital Name | Address | Phone | Hospital Type | Overall Rating |
---|---|---|---|---|
UPHS MARQUETTE DLP HOSPITAL | 850 W BARAGA AVE MARQUETTE, MI 49855 | (906) 228-9440 | Acute Care Hospitals |
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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 | 6 | 3 | 9 | 2 | 6 | 1 | 0 | 3 | 5 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 6 | 6 | 9 | 4 | 6 | 2 | 0 | 6 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 6 + 6 + 9 + 4 + 6 + 2 + 0 + 6 + 24 = 65 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 65 = 5 | 5 |
The NPI number 1639261035 is valid because the calculated check digit 5 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 |
---|---|---|---|
1417959750 | MARQUETTE GENERAL HOSPITAL, INC. Organization | General Acute Care Hospital | 420 W MAGNETIC ST MARQUETTE, MI 49855 (906) 225-3406 |
1447233093 | DR. THOMAS SCOTT EMERSON M.D. Individual | General Practice | 420 W MAGNETIC ST MARQUETTE, MI 49855 (888) 674-0854 |
1295718898 | ANTHONY N LACKEY P.A. Individual | Physician Assistant | 420 W MAGNETIC ST SUITE ER MARQUETTE, MI 49855 (888) 674-0854 |
1003899600 | DR. DONALD E SNOWDON M.D. Individual | Emergency Medicine | 420 W MAGNETIC ST SUITE ER MARQUETTE, MI 49855 (888) 674-0854 |
1437132065 | DR. RICHARD L TOMACARI D.O. Individual | General Practice | 420 W MAGNETIC ST SUITE ER MARQUETTE, MI 49855 (888) 674-0854 |
1275517740 | DR. JAMES R ADDISON MD Individual | General Practice | 420 W MAGNETIC ST SUITE ER MARQUETTE, MI 49855 (888) 674-0854 |
1255315727 | DR. ROBIN D COOK M.D. Individual | General Practice | 420 W MAGNETIC ST SUITE ER MARQUETTE, MI 49855 (888) 674-0854 |
1417931866 | DR. ALAN F HUNTER M.D. Individual | Surgery | 420 W MAGNETIC ST SUITE ER MARQUETTE, MI 49855 (888) 674-0854 |
1467419069 | MARQUETTE GENERAL HOSPITAL,INC. Organization | Emergency Medicine | 420 W MAGNETIC ST MARQUETTE, MI 49855 (906) 225-4854 |
1093764706 | DR. STEVEN J VERBRIDGE D.O. Individual | General Practice | 420 W MAGNETIC ST MARQUETTE, MI 49855 (906) 225-3561 |
1134170152 | MARQUETTE GENERAL HOSPITAL, INC. Organization | Psychiatric Unit | 420 W MAGNETIC ST MARQUETTE, MI 49855 (906) 228-9440 |
1366493389 | MARQUETTE GENERAL HOSPITAL, INC. Organization | Rehabilitation Unit | 420 W MAGNETIC ST MARQUETTE, MI 49855 (906) 228-9440 |
1902998792 | DR. STEPHANE GRIJSEELS MD Individual | Radiology (Diagnostic Radiology) | 420 W MAGNETIC ST MARQUETTE, MI 49855 (906) 225-3540 |
1366518383 | MARQUETTE GENERAL HOSPITAL, INC. Organization | Clinic/Center (End-Stage Renal Disease (ESRD) Treatment) | 420 W MAGNETIC ST MARQUETTE, MI 49855 (906) 228-9440 |
1801963152 | DR. JOHN DAVID WEISS MD Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 420 W MAGNETIC ST MARQUETTE, MI 49855 (906) 228-9440 |
1063589216 | DR. RANDOLPH EDWARD SMITH MD Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 420 W MAGNETIC ST MARQUETTE, MI 49855 (906) 228-9440 |
1013067602 | JODI L MCCOLLUM PA Individual | Physician Assistant | 420 W MAGNETIC ST SUITE ER MARQUETTE, MI 49855 (906) 225-4854 |
1174647564 | MARQUETTE GENERAL HOSPITAL, INC. Organization | Rehabilitation, Substance Use Disorder Unit | 420 W MAGNETIC ST MARQUETTE, MI 49855 (906) 228-9440 |
1396916094 | EXCALIBUR MEDICAL IMAGING, LLC Organization | Radiology (Diagnostic Radiology) | 420 W MAGNETIC ST MARQUETTE, MI 49855 (906) 225-3540 |
1396918389 | MARQUETTE GENERAL HOSPITAL, INC. Organization | Hearing Aid Equipment | 420 W MAGNETIC ST MARQUETTE, MI 49855 (906) 228-9440 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639261035, enumerated in the NPI registry as an "individual" on September 30, 2006
The provider is located at 420 W Magnetic St Marquette, Mi 49855 and the phone number is (906) 225-3561
The provider's speciality is General Practice with taxonomy code 208D00000X
The provider has more than 25 years of experience. He graduated from Oregon Health Sciences University School Of Medicine in 2001.
The provider might be accepting Accepts: Blue Care Network of Michigan, Blue Cross Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
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), a Home Health Agency (HHA) and Power Mobility Devices.
The provider has an overall high rating in the following quality measures: uses technology to exchange and make use of healthcare information.
The most common procedures or services performed by this practitioner are: Critical care, first 30-74 minutes, Emergency department visit for life threatening or functioning severity, Emergency department visit for problem of high severity, Emergency department visit for problem of moderate severity and Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only.
The practitioner is affiliated to the following hospital(s): UPHS MARQUETTE DLP HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on September 30, 2006. 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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