DR. MARK H. GRIMM (MD) – Pulmonary Disease Physician, NPI 1003967696

DR. MARK H. GRIMM (MD) is a healthcare provider. based in Springfield, Missouri. specializing in Pulmonary Disease Physician. They hold the professional credentials MD. They hold a License No. 103150 (MO). The NPI Number for DR. MARK H. GRIMM (MD) is 1003967696

Main info

Male
44 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARK H. GRIMM (MD)
NPI
1003967696
Phone
(417) 829-4620
Address
PO BOX 2580
Enumeration Date
12 January 2007
Last Update Date
13 May 2013

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1982 (44 years ago)
PAC ID
5193859049
Group Practice PAC ID
7416865845
Professional Enrollment ID
I20100816000070
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DR. MARK H. GRIMM (MD)

  • Springfield Post Office, 830-832, Stratford Road, Springfield, Greet, Birmingham, West Midlands, England, B11 4SH, United Kingdom

    SPRINGFIELD, MO 658012580

    Phone: (417) 829-4620

    Type: Mailing

  • Smith Glynn Callaway, 3231, South National Avenue, Springfield, Greene County, Missouri, 65807, United States

    SPRINGFIELD, MO 658077304

    Phone: (417) 888-5696

    Fax: (417) 888-6711

    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: 2010-08-16

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
I20100816000070IPulmonary DiseaseMOTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 65801)

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Provider's Procedures

DR. MARK H. GRIMM (MD) performs procedures in Pulmonary Disease Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PULMONARY DISEASEMO94060Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration150150

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: 7416865845View full group profile

Reviews

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Frequently asked questions

Can I use this page to confirm DR. MARK H. GRIMM (MD)'s NPI?
Yes. DR. MARK H. GRIMM (MD) is listed with NPI 1003967696 in the public NPI dataset.
Can I rely on DR. MARK H. GRIMM (MD) being an active provider?
As of the registry snapshot, DR. MARK H. GRIMM (MD) is marked active.
What is DR. MARK H. GRIMM (MD)'s primary classification?
Pulmonary Disease Physician is the headline specialty for DR. MARK H. GRIMM (MD) here. Clinical services aligned with this taxonomy classification.
What area does DR. MARK H. GRIMM (MD) serve?
DR. MARK H. GRIMM (MD)'s listing highlights Springfield, Missouri; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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