DR. NICHOLAS GLEN GRANT (M.D.) – Anatomic Pathology & Clinical Pathology Physician, NPI 1205096096

DR. NICHOLAS GLEN GRANT (M.D.) is a healthcare provider. based in Dallas, Texas. specializing in PATHOLOGY. They hold the professional credentials M.D.. They hold a License No. P6401 (TX). The NPI Number for DR. NICHOLAS GLEN GRANT (M.D.) is 1205096096

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
DR. NICHOLAS GLEN GRANT (M.D.)
NPI
1205096096
Phone
Not provided
Address
PO BOX 845347
Enumeration Date
15 June 2008
Last Update Date
13 August 2013

Doctor Profile

Medical School Name
UNIVERSITY OF COLORADO SCHOOL OF MEDICINE, DENVER
Secondary Phone
2084891431
Graduation Year
2008 (18 years ago)
PAC ID
3375784713
Group Practice PAC ID
6002708773
Professional Enrollment ID
I20150716002997
Address ID
ID836873402NA1200XBLVD300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

1,395 PATHOLOGY in TX

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Provider Addresses for DR. NICHOLAS GLEN GRANT (M.D.)

  • Band Box Place, Dallas, Dallas County, Texas, 75244, United States

    DALLAS, TX 752845347

    Phone:

    Type: Mailing

  • University of Texas Southwestern Medical Center, 5323, Harry Hines Boulevard, Dallas, TX, Dallas, Dallas County, Texas, 75390, United States

    DALLAS, TX 753907201

    Phone: (214) 590-8630

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $80.

Total Amount is formed as General ($80) + Research ($0) + Ownership ($0) = $80.

Last reported payment date: 2024-10-31 • Largest payer in this snapshot: Takeda Pharmaceuticals U.S.A., Inc. ($42).

Total Amount

$80

General + Research + Ownership

Payments

4

Total payment records

General Amount

$80

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-31

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2015-07-16

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
I20150716002997IPathologyIDTBD

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
88305Pathology examination of tissue using a microscope, intermediate complexity2,9771,536$0
88342Special stained specimen slides to examine tissue, initial procedure343317$0
88312Special stained specimen slides to identify organisms including interpretation and report229208$0
88313Special stained specimen slides to examine tissue including interpretation and report165157$0
88341Special stained specimen slides to examine tissue, each additional procedure7928$0
View full utilization report →

Insurance plans in this area (ZIP 75284)

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Provider's Procedures

DR. NICHOLAS GLEN GRANT (M.D.) performs procedures in PATHOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PATHOLOGYTX88304Pathology examination of tissue using a microscope, moderately low complexity1814
PATHOLOGYTX88312Special stained specimen slides to identify organisms including interpretation and report3027
PATHOLOGYTX88342Tissue or cell analysis by immunologic technique8366

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: 6002708773View full group profile
NameSpecialtyState
Nurse PractitionerID
Gastroenterology, Internal MedicineID
Internal Medicine, GastroenterologyID
Nurse PractitionerWA
-ID
Nurse PractitionerID
Gastroenterology, Internal MedicineID
Physician AssistantID
Gastroenterology, Internal MedicineID
Nurse PractitionerID

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Frequently asked questions

How is DR. NICHOLAS GLEN GRANT (M.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. NICHOLAS GLEN GRANT (M.D.) with NPI 1205096096.
Does the file indicate DR. NICHOLAS GLEN GRANT (M.D.) is practicing under active NPI?
Directory data currently reports DR. NICHOLAS GLEN GRANT (M.D.) as active.
What taxonomy line describes DR. NICHOLAS GLEN GRANT (M.D.)?
For research purposes, treat DR. NICHOLAS GLEN GRANT (M.D.) as Anatomic Pathology & Clinical Pathology Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does DR. NICHOLAS GLEN GRANT (M.D.) serve?
DR. NICHOLAS GLEN GRANT (M.D.)'s listing highlights Dallas, Texas; more addresses can appear in NPPES.
Is the information about DR. NICHOLAS GLEN GRANT (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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