ELLEN M. GRIMM (MD) – Nephrology Physician, NPI 1275500100

ELLEN M. GRIMM (MD) is a healthcare provider. based in Austin, Texas. specializing in NEPHROLOGY. They hold the professional credentials MD. They hold a License No. J4170 (TX). The NPI Number for ELLEN M. GRIMM (MD) is 1275500100

Main info

Female
34 Years Of Experience
Accepts Medicare Assignment
Name
ELLEN M. GRIMM (MD)
NPI
1275500100
Phone
(512) 805-0680
Address
12221 N MOPAC EXPY
Enumeration Date
28 February 2006
Last Update Date
1 February 2022

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Secondary Phone
5128782420
Graduation Year
1992 (34 years ago)
PAC ID
9638174493
Group Practice PAC ID
1254244551
Professional Enrollment ID
I20090130000095
Address ID
TX786667695SA1340XDRXX401
Telehealth
Yes

Contacts

Secure Messaging
ELLEN.GRIMM@hca8.eclinicaldirectplus.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

1,168 NEPHROLOGY in TX

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Provider Addresses for ELLEN M. GRIMM (MD)

  • 12221 N MOPAC EXPY

    AUSTIN, TX 787582401

    Phone: (512) 805-0680

    Fax: (512) 805-0682

    Type: Mailing

  • West Wonder World Drive, San Marcos, Hays County, Texas, 78666, United States

    SAN MARCOS, TX 786667566

    Phone: (512) 805-0680

    Fax: (512) 805-0682

    Type: Location

  • Mopac Expressway, Austin, Travis County, Texas, 78739, United States

    AUSTIN, TX 787582483

    Phone: (512) 805-0680

    Fax: (512) 805-0682

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $476.

Total Amount is formed as General ($476) + Research ($0) + Ownership ($0) = $476.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Fresenius USA Marketing, Inc. ($124).

Total Amount

$476

General + Research + Ownership

Payments

13

Total payment records

General Amount

$476

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2009-01-30

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
I20090130000095INephrologyTXTBD

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
90960Dialysis services, 4 or more physician visits per month (20 years or older)24237$0
99214Established patient office or other outpatient visit, 30-39 minutes16692$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes14866$0
90961Dialysis services, 2-3 physician visits per month (20 years or older)12735$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes7850$0
View full utilization report →

Insurance plans in this area (ZIP 78758)

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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: 1254244551View full group profile

Reviews

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Frequently asked questions

What federal number belongs to ELLEN M. GRIMM (MD)?
The federal identifier for ELLEN M. GRIMM (MD) is NPI 1275500100.
Is ELLEN M. GRIMM (MD)'s NPI currently valid?
The extract we use shows ELLEN M. GRIMM (MD) as active.
What kind of provider is ELLEN M. GRIMM (MD)?
The page reflects Nephrology Physician for ELLEN M. GRIMM (MD). Clinical services aligned with this taxonomy classification.
Does ELLEN M. GRIMM (MD) practice in Texas?
You will see Austin, Texas on file for ELLEN M. GRIMM (MD) alongside any extra practice locations.
What if Austin, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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