Dustin Grimshaw
Physician Assistant • Clio, MI
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dustin Grimshaw has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dustin Grimshaw was a registered Physician Assistant practicing in Clio, MI. Throughout an active medical career spanning 7 years, Dustin Grimshaw provided care at the practice location at 11307 N LINDEN RD until profile deactivation on 2024-07-17.
Historical Medicare Part B clinical services included established patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.
Practice Location & Contact Primary Location
11307 N Linden Rd
Clio, MI 484208501
Specialty Benchmarks & Practice Insights
Comparative analytics for Physician Assistant in Clio, MI
Practicing in Clio, MI (7057 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Performed Procedures & Service Volume
Top Medicare Part B procedures performed by this practitioner
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
99213
Established patient office or other outpatient visit, typically 15 minutes
|
21 | 19 | $162.00 | $70.54 |
Medical Specialties & State Licenses
NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Physician Assistant
Physician Assistant (Certified)
Physician Assistant
Physician Assistant - Surgical
Physician Assistant
Physician Assistant (Certified)
Physician Assistant
Physician Assistant (Certified)
Physician Assistant
Physician Assistant (Certified)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on July 17, 2024
NPI status registered as active in NPPES database
Registered at 11307 N LINDEN RD, CLIO, MI 484208501 (Tel: 8105647995)
Registered at 10221 CARMER RD, FENTON, MI 484302405 (Tel: 8103479555)
Recorded as DUSTIN GRIMSHAW
Physician Assistant (License #5601008303 in MI)
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
Verified patient ratings, medical care experiences, and facility photos
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NPI Administrative Meta
Mailing Address
10221 Carmer Rd
Fenton, MI 484302405
Phone: 8103479555
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