MARK L. GRIM (M.D.) – Anesthesiology Physician, NPI 1609843911

MARK L. GRIM (M.D.) is a healthcare provider. based in Duluth, Minnesota. specializing in ANESTHESIOLOGY. They hold the professional credentials M.D.. They hold a License No. 46550 (MN). The NPI Number for MARK L. GRIM (M.D.) is 1609843911

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
MARK L. GRIM (M.D.)
NPI
1609843911
Phone
(218) 786-8364
Address
400 EAST 3RD STREET
Enumeration Date
6 March 2006
Last Update Date
9 October 2008

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
2187868364
Graduation Year
2000 (26 years ago)
PAC ID
8729065180
Group Practice PAC ID
2567374283
Professional Enrollment ID
I20080430000570
Address ID
MN558051913DU502XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

969 ANESTHESIOLOGY in MN

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Provider Addresses for MARK L. GRIM (M.D.)

  • 400, East 3rd Street, Duluth, Saint Louis County, Minnesota, 55805, United States

    DULUTH, MN 55805

    Phone: (218) 786-8364

    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)

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: 2008-04-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20040702000529IAnesthesiologyMNTBD
I20080430000570IAnesthesiologyWITBD

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
00142Anesthesia for lens surgery1717$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1515$0
00811Anesthesia for other procedure on large bowel using an endoscope1111$0
View full utilization report →

Insurance plans in this area (ZIP 55805)

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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: 2567374283View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMT
-ND
Physician AssistantMN
Nurse PractitionerSD
-MN
Qualified AudiologistMN
-MN
-MN
P A T H O L O G YWV
Family PracticeMN

Reviews

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Frequently asked questions

How do I look up MARK L. GRIM (M.D.) by NPI?
Use NPI 1609843911 when you need to reference MARK L. GRIM (M.D.) in forms, claims, or directories.
Is MARK L. GRIM (M.D.) active in the national directory?
MARK L. GRIM (M.D.)'s public NPI profile is in an active state.
Can you summarize MARK L. GRIM (M.D.)'s specialty in plain language?
Clinically, the directory lists MARK L. GRIM (M.D.) with Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Where does public data place MARK L. GRIM (M.D.)?
The snapshot lists Duluth, Minnesota for MARK L. GRIM (M.D.); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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