KIMBERLY GRILLO MCLEAN (D.O.) – Orthopaedic Surgery Physician, NPI 1942513353

KIMBERLY GRILLO MCLEAN (D.O.) is a healthcare provider. based in Pontiac, Michigan. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials D.O.. They hold a License No. 01923 (MI). The NPI Number for KIMBERLY GRILLO MCLEAN (D.O.) is 1942513353

Main info

Female
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY GRILLO MCLEAN (D.O.)
NPI
1942513353
Phone
(248) 338-5392
Address
50 N PERRY ST
Enumeration Date
15 July 2010
Last Update Date
13 September 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2697814271
Graduation Year
2015 (11 years ago)
PAC ID
0840434080
Group Practice PAC ID
1254228745
Professional Enrollment ID
I20160817001968
Address ID
MI490681143MA200XXSTXX400
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

1,082 ORTHOPEDIC SURGERY in MI

Provider Addresses for KIMBERLY GRILLO MCLEAN (D.O.)

  • 50 N PERRY ST

    PONTIAC, MI 483422217

    Phone: (248) 338-5392

    Type: Location

  • 4125 BINGHAMPTON CT

    CLARKSTON, MI 483485078

    Phone:

    Type: Mailing

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: 2016-08-17

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
I20160817001968IOrthopedic SurgeryMITBD

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
20610Aspiration and/or injection of fluid from large joint21996$0
99213Established patient office or other outpatient visit, 20-29 minutes145111$0
99214Established patient office or other outpatient visit, 30-39 minutes9770$0
73564X-ray of knee, 4 or more views5843$0
73030X-ray of shoulder, minimum of 2 views5235$0
View full utilization report →

Insurance plans in this area (ZIP 48342)

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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: 1254228745View full group profile
NameSpecialtyState
Nurse PractitionerMI
Family PracticeMI
G A S T R O E N T E R O L O G YMI
-MI
General SurgeryMI
Nurse PractitionerMI
Nurse PractitionerMI
Physician AssistantMI
-MI
-MI

Reviews

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Frequently asked questions

Can I verify KIMBERLY GRILLO MCLEAN (D.O.) with an NPI only?
You can start verification with NPI 1942513353 for KIMBERLY GRILLO MCLEAN (D.O.), then check state licensing separately.
Is KIMBERLY GRILLO MCLEAN (D.O.) still practicing?
KIMBERLY GRILLO MCLEAN (D.O.) is currently listed as active in the public NPI registry.
What is KIMBERLY GRILLO MCLEAN (D.O.)'s primary classification?
Orthopaedic Surgery Physician is the headline specialty for KIMBERLY GRILLO MCLEAN (D.O.) here. Clinical services aligned with this taxonomy classification.
Where should I expect KIMBERLY GRILLO MCLEAN (D.O.) on a map?
Expect Pontiac, Michigan as a primary anchor for KIMBERLY GRILLO MCLEAN (D.O.) unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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