SANDRA ELAINE GRUMMERT (MD) – Family Medicine Physician, NPI 1205948494

SANDRA ELAINE GRUMMERT (MD) is a healthcare provider. based in Alamogordo, New Mexico. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 99219 (NM). The NPI Number for SANDRA ELAINE GRUMMERT (MD) is 1205948494

Main info

Female
58 Years Of Experience
Accepts Medicare Assignment
Name
SANDRA ELAINE GRUMMERT (MD)
NPI
1205948494
Phone
(575) 439-6100
Address
2669 SCENIC DR
Enumeration Date
31 August 2006
Last Update Date
24 September 2012

Doctor Profile

Medical School Name
UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Secondary Phone
5054396100
Graduation Year
1968 (58 years ago)
PAC ID
4789619545
Group Practice PAC ID
3173516606
Professional Enrollment ID
I20051221000623
Address ID
NM883108700AL2669XDRXX300
Telehealth
Yes
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

999 FAMILY PRACTICE in NM

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Provider Addresses for SANDRA ELAINE GRUMMERT (MD)

  • Scenic Drive, Alamogordo, Otero County, New Mexico, 88310-4860, United States

    ALAMOGORDO, NM 883108700

    Phone: (575) 439-6100

    Type: Mailing

  • 923, East 9th Street, Alamogordo, Otero County, New Mexico, 88310, United States

    SUITE A

    ALAMOGORDO, NM 883106431

    Phone: (575) 446-5900

    Fax: (575) 443-5134

    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: 2005-12-21

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
I20051221000623IFamily PracticeNMTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes549236$0
99214Established patient office or other outpatient visit, 30-39 minutes340190$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg12123$0
J1100Injection, dexamethasone sodium phosphate, 1 mg11323$0
83037Hemoglobin a1c level, by device for home use9657$0
View full utilization report →

Insurance plans in this area (ZIP 88310)

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Provider's Procedures

SANDRA ELAINE GRUMMERT (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINENM90670Pneumococcal vaccine for injection into muscle1919

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: 3173516606View full group profile
NameSpecialtyState
Nurse PractitionerNM
Certified Registered Nurse Anesthetist (Crna)NV
Internal Medicine, GastroenterologyNM
General SurgeryNM
O B S T E T R I C S/ G Y N E C O L O G YNM
Nurse PractitionerTX
Family PracticeNM
General SurgeryMI
-NM
Cardiovascular Disease (Cardiology), Internal Medicine, Peripheral Vascular DiseaseNM

Reviews

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Frequently asked questions

What is the standard ID for SANDRA ELAINE GRUMMERT (MD) in the U.S.?
In the U.S., SANDRA ELAINE GRUMMERT (MD) is identified by NPI 1205948494.
Is SANDRA ELAINE GRUMMERT (MD)'s NPI status active today?
Active status means SANDRA ELAINE GRUMMERT (MD)'s NPI record is not deactivated in the public file.
Which specialty label fits SANDRA ELAINE GRUMMERT (MD)?
NPPES ties SANDRA ELAINE GRUMMERT (MD) to Family Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to SANDRA ELAINE GRUMMERT (MD)?
The directory associates SANDRA ELAINE GRUMMERT (MD) with Alamogordo, New Mexico. Check all listed addresses for suites or satellite offices.
Can I export SANDRA ELAINE GRUMMERT (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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