DR. ELLEN MARIE GRUBB (O.D.) – Optometrist, NPI 1417260340

DR. ELLEN MARIE GRUBB (O.D.) is a healthcare provider. based in Mt sterling, Kentucky. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 1807DT (KY). The NPI Number for DR. ELLEN MARIE GRUBB (O.D.) is 1417260340

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
DR. ELLEN MARIE GRUBB (O.D.)
NPI
1417260340
Phone
(859) 498-4800
Address
25 STERLING WAY
Enumeration Date
20 July 2010
Last Update Date
14 September 2012

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
5137935970
Graduation Year
2010 (16 years ago)
PAC ID
0648453274
Group Practice PAC ID
2163433640
Professional Enrollment ID
I20170119001634
Address ID
OH452364306CI7800XRDXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

700 OPTOMETRY in KY

Provider Addresses for DR. ELLEN MARIE GRUBB (O.D.)

  • 25 STERLING WAY

    SUITE C

    MT STERLING, KY 403531174

    Phone: (859) 498-4800

    Fax: (859) 498-2021

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $28.

Total Amount is formed as General ($28) + Research ($0) + Ownership ($0) = $28.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: CooperVision Inc. ($28).

Total Amount

$28

General + Research + Ownership

Payments

2

Total payment records

General Amount

$28

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
CooperVision Inc.$28
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-01-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170119001634IOptometryOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system105105$0
92004New patient complete exam of visual system3131$0
View full utilization report →

Insurance plans in this area (ZIP 40353)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2163433640View full group profile
NameSpecialtyState
O P T O M E T R YOH
O P T O M E T R YGA
O P T O M E T R YOH
O P T O M E T R YOH
O P T O M E T R YTN
O P T O M E T R YOH
O P T O M E T R YOH
O P T O M E T R YOH
O P T O M E T R YOH
O P T O M E T R YOH

Reviews

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Frequently asked questions

What identifier follows DR. ELLEN MARIE GRUBB (O.D.) across health systems?
The NPI 1417260340 uniquely identifies DR. ELLEN MARIE GRUBB (O.D.) in U.S. healthcare data.
Is DR. ELLEN MARIE GRUBB (O.D.)'s NPI status active today?
Active status means DR. ELLEN MARIE GRUBB (O.D.)'s NPI record is not deactivated in the public file.
What type of care does DR. ELLEN MARIE GRUBB (O.D.) provide?
DR. ELLEN MARIE GRUBB (O.D.)'s profile centers on Optometrist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. ELLEN MARIE GRUBB (O.D.)?
DR. ELLEN MARIE GRUBB (O.D.) is associated with Mt Sterling, Kentucky in the same public data insurers reference.
Can I export DR. ELLEN MARIE GRUBB (O.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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