MR. CLARENCE E. GRIM M.D.
NPI 1760404768
Internal Medicine - Geriatric Medicine in Las Vegas, NV
NPI Status: Active since July 25, 2006
Contact Information
1180 N TOWN CENTER DR STE 100
LAS VEGAS, NV
ZIP 89144
Phone: (414) 916-0841
- Individual
- Male
- Internal Medicine
- Geriatric Medicine
- PECOS Enrolled
About CLARENCE GRIM
This page provides the complete NPI Profile along with additional information for Clarence Grim, an internist established in Las Vegas, Nevada with a medical specialization in Internal Medicine, focusing in geriatric medicine . The healthcare provider is registered in the NPI registry with number 1760404768 assigned on July 2006. The practitioner's primary taxonomy code is 207RG0300X with license number 14040 (NV). The provider is registered as an individual and his NPI record was last updated 5 years ago.
- NPI
- 1760404768
- Provider Name
- MR. CLARENCE E. GRIM M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1180 N TOWN CENTER DR STE 100 LAS VEGAS, NV 89144
- Location Phone
- (414) 916-0841
- Mailing Address
- 195 HWY 50, SUITE #104 PMB 7172-289 STATELINE, NV 89449
- Mailing Phone
- (414) 916-0841
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 07-25-2006
- Last Update Date
- 03-10-2020
- Code Navigator
An internist like Clarence Grim is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Secondary Locations
- 9200 W Wisconsin Ave
Milwaukee, WI 53226
(414) 805-3666 - 9200 W Wisconsin Ave
Milwaukee, WI 53226
(414) 805-3666 - 420 Kingsbury Grade
Stateline, NV 89449
(414) 916-0841
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
Internal Medicine Geriatric Medicine
- Taxonomy Code
- 207RG0300X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 14040
- License State
- NV
- Taxonomy Description
- An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
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 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | 36279 (WI) |
| 2 | 207RE0101X | Allopathic & Osteopathic Physicians | Internal Medicine | 36279 (WI) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
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 |
|---|---|---|---|
| 32093400 | MEDICAID (05) | WI |
Medicare Participation & PECOS Enrollment Status
Clarence Grim 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
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
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 89144 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99205
- Average New Patient Price $173.24
- Minimum New Patient Price $57.07
- Maximum New Patient Price $173.24
- Average New Patient Copayment $43.31
- Minimum New Patient Copayment $14.26
- Maximum New Patient Copayment $43.31
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $100.6
- Minimum Established Patient Price $18.27
- Maximum Established Patient Price $140.96
- Average Established Patient Copayment $25.15
- Minimum Established Patient Copayment $4.56
- Maximum Established Patient Copayment $35.24
* 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.
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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 | 7 | 6 | 0 | 4 | 0 | 4 | 7 | 6 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 12 | 0 | 8 | 0 | 8 | 7 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 2 + 0 + 8 + 0 + 8 + 7 + 1 + 2 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1760404768 is valid because the calculated check digit 8 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 |
|---|---|---|---|
| 1164530812 | DR. MICHAEL KELLY GANN PHD Individual | Psychologist (Clinical) | 1180 N TOWN CENTER DR STE 100 LAS VEGAS, NV 89144 (702) 333-2907 |
| 1548753395 | UNITY BEHAVIORAL HEALTH SERVICES LLC Organization | Community/Behavioral Health | 1180 N TOWN CENTER DR STE 100 LAS VEGAS, NV 89144 (702) 670-8123 |
| 1275018509 | CSS GLOBAL SOLUTIONS INC Organization | Durable Medical Equipment & Medical Supplies | 1180 N TOWN CENTER DR STE 100 LAS VEGAS, NV 89144 (408) 721-2855 |
| 1063821783 | VISITING MEDICAL CLINIC LLC Organization | Nurse Practitioner (Family) | 1180 N TOWN CENTER DR STE 100 LAS VEGAS, NV 89144 (702) 749-9979 |
| 1699326645 | TRANSITIONS IN LYFE. LLC Organization | Counselor (Addiction (Substance Use Disorder)) | 1180 N TOWN CENTER DR STE 100 LAS VEGAS, NV 89144 (843) 260-4904 |
| 1215563424 | DR. DAVID ROGERS, PHD LTD. Organization | Clinic/Center (Adult Mental Health) | 1180 N TOWN CENTER DR STE 100 LAS VEGAS, NV 89144 (702) 830-5220 |
| 1114556222 | AROMA FUNCTIONAL NUTRITION PSYCHIATRY, LLC Organization | Psychiatry & Neurology (Psychiatry) | 1180 N TOWN CENTER DR STE 100 LAS VEGAS, NV 89144 (702) 907-7924 |
| 1710410550 | EUGENIA ZWEIBACH Individual | Internal Medicine | 1180 N TOWN CENTER DR STE 100 LAS VEGAS, NV 89144 (702) 202-2060 |
| 1033629399 | MEGAN A BOSWORTH MS, RD, LD Individual | Dietitian, Registered | 1180 N TOWN CENTER DR STE 100 LAS VEGAS, NV 89144 (702) 945-2738 |
| 1295354132 | THRIVE LLC Organization | Community/Behavioral Health | 1180 N TOWN CENTER DR STE 100 LAS VEGAS, NV 89144 (702) 273-3775 |
| 1518444041 | DR. TIFFANY MARIE SMITH DNP, PMHNP-BC Individual | Nurse Practitioner (Psychiatric/Mental Health) | 1180 N TOWN CENTER DR STE 100 LAS VEGAS, NV 89144 (702) 907-7924 |
| 1114520970 | EMILIANA ROMERO Individual | Homemaker | 1180 N TOWN CENTER DR STE 100 LAS VEGAS, NV 89144 (702) 575-3182 |
| 1841895448 | DAMARI TRAVIESO Individual | Homemaker | 1180 N TOWN CENTER DR STE 100 LAS VEGAS, NV 89144 (702) 466-5341 |
| 1275139073 | JAYA MILLER Individual | Homemaker | 1180 N TOWN CENTER DR STE 100 LAS VEGAS, NV 89144 (702) 862-7810 |
| 1184220972 | YAMILA MIRANDA GONZALEZ Individual | Homemaker | 1180 N TOWN CENTER DR STE 100 LAS VEGAS, NV 89144 (702) 466-5341 |
| 1871182220 | ANGELA ELIZABETH TURNER APRN Individual | Registered Nurse (Critical Care Medicine) | 1180 N TOWN CENTER DR STE 100 LAS VEGAS, NV 89144 (702) 202-2060 |
| 1598357253 | MILLEON MAGNIFICENT MCCULLOUGH Individual | Technician (Personal Care Attendant) | 1180 N TOWN CENTER DR STE 100 LAS VEGAS, NV 89144 (702) 945-2724 |
| 1285229922 | EL SHADDAI REFUGE HOMES CDC Organization | Psychiatry & Neurology (Psychiatry) | 1180 N TOWN CENTER DR STE 100 LAS VEGAS, NV 89144 (702) 945-2757 |
| 1639754773 | BOSWORTH NUTRITION CONCEPTS Organization | Clinic/Center | 1180 N TOWN CENTER DR STE 100 LAS VEGAS, NV 89144 (817) 366-5372 |
| 1366027336 | DONAI KIM Individual | Homemaker | 1180 N TOWN CENTER DR STE 100 LAS VEGAS, NV 89144 (702) 466-5341 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1760404768, enumerated in the NPI registry as an "individual" on July 25, 2006
The provider is located at 1180 N Town Center Dr Ste 100 Las Vegas, Nv 89144 and the phone number is (414) 916-0841
The provider's speciality is Internal Medicine with taxonomy code 207RG0300X with a focus in Geriatric Medicine
The provider might be accepting Accepts: Medicare and Medicaid. 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.
Medicare beneficiaries should expect a typical cost of $173.24 with an average copayment of $43.31 for new patient appointments. Established patients should expect a typical charge of $100.6 and an average copayment of 25.15. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on July 25, 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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