MRS. TERESA G GRIMES (PA-C) – Physician Assistant, NPI 1619024494
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,678 PHYSICIAN ASSISTANT in WI
Loading map...
Provider Addresses for MRS. TERESA G GRIMES (PA-C)
Shorewood Meadows Drive, Town of Lake Mills, Jefferson County, Wisconsin, 53551, United States
LAKE MILLS, WI 535519730
Phone: (920) 648-4380
Type: Mailing
132, Hospital Drive, Watertown, Dodge County, Wisconsin, 53098, United States
WATERTOWN, WI 530983304
Phone: (920) 261-2020
Fax: (920) 261-0457
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 15 Open Payments records for all available years, with a total value of $246.
Total Amount is formed as General ($246) + Research ($0) + Ownership ($0) = $246.
Last reported payment date: 2024-11-16 • Largest payer in this snapshot: Supernus Pharmaceuticals, Inc. ($144).
Total Amount
$246
General + Research + Ownership
Payments
15
Total payment records
General Amount
$246
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Supernus Pharmaceuticals, Inc. | $144 |
| ABBVIE INC. | $62 |
| Vanda Pharmaceuticals Inc. | $24 |
| E.R. Squibb & Sons, L.L.C. | $16 |
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: 2008-11-12
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20081112000752 | I | Physician Assistant | WI | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 327 | 101 | $0 |
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | 325 | 101 | $0 |
Insurance plans in this area (ZIP 53551)
Loading plans...
Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | WI | 90836 | Psychotherapy, 45 minutes with patient and/or family member | 11 | 11 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | WI | |
| Clinical Social Worker | WI | |
| Clinical Social Worker | WI | |
| Clinical Social Worker | WI | |
| Clinical Psychologist | WI | |
| Clinical Social Worker | WI |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.