KLAUS GRIM – Physician Assistant, NPI 1366919110

KLAUS GRIM is a healthcare provider. based in Medford, Massachusetts. specializing in PHYSICIAN ASSISTANT. The NPI Number for KLAUS GRIM is 1366919110

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
KLAUS GRIM
NPI
1366919110
Phone
(781) 306-6100
Address
170 Governors Ave
Enumeration Date
30 October 2018
Last Update Date
30 October 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7812135500
Graduation Year
2018 (8 years ago)
PAC ID
8123365004
Group Practice PAC ID
1153557616
Professional Enrollment ID
I20190130002738
Address ID
MA018673270RE30XXXRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:7State licenses:0Digital endpointsOther names

5,093 PHYSICIAN ASSISTANT in MA

Provider Addresses for KLAUS GRIM

  • 170 Governors Ave

    Medford, MA 021551643

    Phone: (781) 306-6100

    Type: Location

  • 30 New Crossing Rd

    Reading, MA 018673270

    Phone: (781) 213-5500

    Type: Location

  • 17, Hodgkins Drive, Ipswich, Essex County, Massachusetts, 01938-2132, United States

    IPSWICH, MA 019381630

    Phone:

    Type: Mailing

  • Melrose-Wakefield Hospital, 585, Lebanon Street, Wyoming, Melrose, Middlesex County, Massachusetts, 02176, United States

    MELROSE, MA 021763225

    Phone: (781) 979-3000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2019-01-30

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
I20190130002738IPhysician AssistantMATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes9996$0
99285Emergency department visit with high level of medical decision making8887$0
93042Electrocardiogram (ecg) 1 to 3 leads with review by physician only8584$0
99284Emergency department visit with moderate level of medical decision making7167$0
99215Established patient office or other outpatient visit, 40-54 minutes2524$0
View full utilization report →

Insurance plans in this area (ZIP 02155)

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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: 1153557616View full group profile
NameSpecialtyState
Physician AssistantMA
Emergency MedicineMA
Physician AssistantMA
Emergency MedicineMA
-MA
Physician AssistantMA
-MA
Physician AssistantMA
Physician AssistantMA
Emergency MedicineMA

Reviews

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Frequently asked questions

Is KLAUS GRIM listed with a National Provider Identifier?
Yes — KLAUS GRIM has NPI 1366919110 on file in the registry.
Is KLAUS GRIM shown as active in public data?
Registry records indicate KLAUS GRIM maintains an active NPI.
What expertise is attributed to KLAUS GRIM?
KLAUS GRIM's specialty line reads Physician Assistant. Clinical services aligned with this taxonomy classification.
What practice footprint exists for KLAUS GRIM?
Travel planning: use Medford, Massachusetts as the reference point for KLAUS GRIM, then confirm.
Can I trust this NPI listing for KLAUS GRIM?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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