Active NPI 1710903646 Individual Practitioner Male Practitioner

Dr. Mark Grimes , MD

Emergency Medicine • Ashland, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Mark Grimes, MD is a certified Emergency Medicine practicing in Ashland, OH. With approximately 26 years of clinical experience since graduating from Wright State University Boonshoft School Of Medicine in 2000, Dr. Grimes delivers high-quality medical care to the local community at 1025 CENTER ST.

Dr. Grimes is affiliated with Mid-Ohio Emergency Group, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include emergency department visit with moderate level of medical decision making, emergency department visit for life threatening or functioning severity, routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1025 Center St

Ashland, OH 448054011

Telephone 4192890491

Associated Practice Facility / Clinic

🏢 Samaritan Regional Health System Facility NPI 1902882939

Medicare Profile & Education

Medical School

Wright State University Boonshoft School Of Medicine

Graduation Year

2000

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Emergency Medicine in Ashland, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

26 Yrs +2.7 yrs vs City Avg

City Avg: 23.3 Yrs

State Avg: 21.5 Yrs

Regional Practice Density

4 Specialists

Practicing in Ashland, OH (3084 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

91.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Grimes (26 Years) 26 Yrs

Ashland Specialty Average (23.3 Years) 23.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	129	121	$1429.67	$120.95
99285 Emergency department visit for life threatening or functioning severity	105	99	$2098.30	$175.76
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	60	53	$109.00	$8.08
99291 Critical care, first 30-74 minutes	15	14	$2765.20	$212.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	174	165	$1332.72	$117.93
99285 Emergency department visit for life threatening or functioning severity	105	102	$1885.27	$170.87
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	49	47	$103.00	$7.85
99291 Critical care, first 30-74 minutes	37	35	$2165.46	$203.01
99283 Emergency department visit with low level of medical decision making	15	15	$716.20	$70.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	158	148	$1635.07	$177.36
99284 Emergency department visit with moderate level of medical decision making	103	100	$1098.86	$121.32
99283 Emergency department visit with low level of medical decision making	71	66	$690.99	$72.32
99291 Critical care, first 30-74 minutes	38	38	$1954.84	$215.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	261	252	$1451.21	$179.63
99284 Emergency department visit with moderate level of medical decision making	152	148	$974.93	$122.98
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	84	82	$72.00	$8.15
99291 Critical care, first 30-74 minutes	72	71	$1865.47	$213.13
99283 Emergency department visit with low level of medical decision making	44	44	$581.27	$72.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	268	242	$1459.84	$173.56
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	135	122	$72.00	$8.39
99284 Emergency department visit with moderate level of medical decision making	111	107	$993.38	$116.45
99291 Critical care, first 30-74 minutes	96	93	$1879.75	$219.26
99283 Emergency department visit with low level of medical decision making	31	30	$529.90	$65.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	360	336	$1305.37	$170.37
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	212	194	$65.39	$8.33
99284 Emergency department visit with moderate level of medical decision making	143	139	$876.20	$114.34
99291 Critical care, first 30-74 minutes	76	72	$1663.47	$218.98
99283 Emergency department visit with low level of medical decision making	64	64	$508.02	$61.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	382	362	$670.16	$171.13
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	265	252	$71.00	$8.29
99284 Emergency department visit with moderate level of medical decision making	130	129	$449.68	$116.18
99291 Critical care, first 30-74 minutes	74	72	$1300.00	$216.81
99283 Emergency department visit with low level of medical decision making	46	46	$314.15	$61.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	629	572	$1114.68	$170.72
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	450	405	$65.29	$8.29
99291 Critical care, first 30-74 minutes	190	180	$1359.72	$218.95
99284 Emergency department visit with moderate level of medical decision making	169	164	$753.23	$115.55
99283 Emergency department visit with low level of medical decision making	65	62	$482.43	$60.90

Medical Specialties & State Licenses

Emergency Medicine Primary Specialty

NUCC Taxonomy Code: 207P00000X

State License OH 35-080305

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

2313651 (OH)

Hospital & Practice Group Affiliations

Mid-Ohio Emergency Group, Llc

199 W Main St, Shelby, OH 448751490

Phone: 4193425015

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

23 Associated Practitioners

Becki Stewart , RPH

Pharmacist

NPI 1013211531

Registered Pharmacist

Charles Kail , RPH

Pharmacist

NPI 1083918569

Registered Pharmacist

William Mcpherson , RPH

Pharmacist

NPI 1114221710

Registered Pharmacist

Dr. John Scott , PharmD, RPH

Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI 1174282974

Doctor of Pharmacy (Pharm.D.), Registered Pharmacist

Dr. Tracy Crum , DNP, CNP

Nurse Practitioner - Family

NPI 1245792498

Doctor of Nursing Practice, Certified Nurse Practitioner

Dr. Thomas Weeks , PharmD

Pharmacist

NPI 1285594762

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active February 20, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location February 20, 2008

Registered at 1025 CENTER ST, ASHLAND, OH 448054011 (Tel: 4192890491)

📍

Updated Business Mailing Address February 20, 2008

Registered at 75 REMIT DR 1056, CHICAGO, IL 606751056 (Tel: 8669165259)

👤

Provider Name / Credentials Updated February 20, 2008

Recorded as MARK GRIMES, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 20, 2008

Emergency Medicine (License #35-080305 in OH)

🟢

Initial NPI Registration & Enumeration July 14, 2006

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

NPI Number: 1710903646

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 14, 2006

Last Update: February 20, 2008

Sole Proprietor: No

Update or Correct Profile

Mailing Address

75 Remit Dr 1056

Chicago, IL 606751056

Phone: 8669165259

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.