Active NPI 1740321090 Individual Practitioner Female Practitioner

Brook Ashlee Gram , PA-C

Physician Assistant • Beloit, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Brook Gram, PA-C is a certified Physician Assistant practicing in Beloit, OH. With approximately 20 years of clinical experience since completing medical education in 2006, Brook Gram delivers high-quality medical care to the local community at 18586 5TH ST.

Brook Gram is affiliated with David J Corallo and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

18586 5th St

Beloit, OH 446099799

Telephone 3309383333

Fax 3309389375

Associated Practice Facility / Clinic

🏢 Marco R. Corallo, D.o., Llc Facility NPI 1770624058

Medicare Profile & Education

Medical School

Other

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Beloit, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

20 Yrs +5.5 yrs vs City Avg

City Avg: 14.5 Yrs

State Avg: 9.7 Yrs

Regional Practice Density

2 Specialists

Practicing in Beloit, OH (5376 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

46.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gram (20 Years) 20 Yrs

Beloit Specialty Average (14.5 Years) 14.5 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
99213 Established patient office or other outpatient visit, typically 15 minutes	244	190	$120.02	$72.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	52	52	$180.00	$88.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	427	253	$150.00	$101.75
99213 Established patient office or other outpatient visit, typically 15 minutes	75	56	$120.00	$71.80
95251 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report	26	24	$80.00	$26.11
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes	12	11	$80.00	$38.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	426	195	$150.00	$103.32
99213 Established patient office or other outpatient visit, typically 15 minutes	97	64	$120.00	$74.66
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$230.00	$138.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	458	203	$150.00	$104.97
99213 Established patient office or other outpatient visit, typically 15 minutes	80	48	$120.00	$75.65
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$230.00	$139.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$175.00	$93.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	495	253	$147.82	$88.54
82962 Blood glucose (sugar) test performed by hand-held instrument	79	79	$44.41	$3.17
99213 Established patient office or other outpatient visit, typically 15 minutes	54	41	$118.78	$61.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	591	317	$120.00	$87.36
82962 Blood glucose (sugar) test performed by hand-held instrument	461	257	$32.00	$3.15
83036 Hemoglobin A1C level	91	64	$60.00	$10.45
99213 Established patient office or other outpatient visit, typically 15 minutes	57	43	$87.00	$57.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	536	256	$120.00	$85.19
82962 Blood glucose (sugar) test performed by hand-held instrument	453	216	$32.00	$3.17
83036 Hemoglobin A1C level	99	75	$60.00	$11.75
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$192.00	$127.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	556	285	$120.00	$86.40
82962 Blood glucose (sugar) test performed by hand-held instrument	478	241	$32.00	$3.12
83036 Hemoglobin A1C level	162	106	$60.00	$13.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$192.00	$128.75

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OH 2565

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Pa Certification

1076079 (OH)

Commercial Insurance / Payer ID State Medical Board

2565 (OH)

Hospital & Practice Group Affiliations

David J Corallo

18586 5th St, Beloit, OH 446099799

David J Corallo

18586 W 5th St, Beloit, OH 446099799

David J Corallo

18586 5th St, Beloit, OH 446099799

Phone: 3309383333

Practice Associates & Co-Workers

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

5 Associated Practitioners

Dr. David Corallo , DO

Dermatology

NPI 1225126212

Doctor of Osteopathic Medicine (D.O.)

Leslee Ruszkowski

Podiatrist

NPI 1285601757

Dr. Marco Corallo , DO

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1568550549

Doctor of Osteopathic Medicine (D.O.)

Nicole Didonato , PA

Physician Assistant

NPI 1760909436

Physician Assistant

Melissa Covert , MSN, APRN, FNP-BC

Nurse Practitioner

NPI 1912541103

Master of Science in Nursing, Advanced Practice Registered Nurse, Family Nurse Practitioner (Board Certified)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active November 06, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location November 06, 2009

Registered at 18586 5TH ST, BELOIT, OH 446099799 (Tel: 3309383333)

📍

Updated Business Mailing Address November 06, 2009

Registered at 2242 PARKWAY BLVD, ALLIANCE, OH 446014650 (Tel: 3308237855)

👤

Provider Name / Credentials Updated November 06, 2009

Recorded as BROOK GRAM, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 06, 2009

Physician Assistant (License #2565 in OH)

🟢

Initial NPI Registration & Enumeration February 09, 2007

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: 1740321090

Entity Type:

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

Enumeration Date: February 09, 2007

Last Update: November 06, 2009

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2242 Parkway Blvd

Alliance, OH 446014650

Phone: 3308237855

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.