Active NPI 1275598013 Individual Practitioner Male Practitioner

Dr. Eric R Grimes , MD

Otolaryngology • Mansfield, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Eric Grimes, MD is a certified Otolaryngology practicing in Mansfield, OH. With approximately 26 years of clinical experience since graduating from Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University in 2000, Dr. Grimes delivers high-quality medical care to the local community at 335 GLESSNER AVE FL 5.

Dr. Grimes is affiliated with Ohiohealth Corporation and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, removal of impacted ear wax, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

335 Glessner Ave Fl 5

Mansfield, OH 449032269

Telephone 4197565500

Associated Practice Facility / Clinic

🏢 Ent Central Llc Facility NPI 1316225618

Medicare Profile & Education

Medical School

Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University

Graduation Year

2000

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Otolaryngology in Mansfield, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

26 Yrs -6.0 yrs vs City Avg

City Avg: 32.0 Yrs

State Avg: 26.0 Yrs

Regional Practice Density

2 Specialists

Practicing in Mansfield, OH (468 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

61.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Grimes (26 Years) 26 Yrs

Mansfield Specialty Average (32.0 Years) 32.0 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	157	121	$126.00	$84.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	119	94	$187.00	$120.13
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	99	81	$76.00	$52.93
69210 Removal of impacted ear wax	75	58	$148.00	$45.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	75	75	$291.00	$154.42
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	62	62	$189.00	$105.09
31575 Diagnostic exam of voice box using a flexible endoscope	50	45	$340.00	$117.58
69220 Removal of skin debris and drainage of mastoid cavity	14	11	$403.00	$71.58
69433 Incision of eardrum with insertion of eardrum tube under local or topical anesthesia	13	13	$850.15	$223.17
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$245.00	$124.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	139	110	$126.00	$85.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	101	80	$187.00	$120.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	75	75	$189.00	$106.04
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	72	72	$291.00	$157.69
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	60	49	$76.00	$53.51
69210 Removal of impacted ear wax	50	44	$148.00	$45.42
31575 Diagnostic exam of voice box using a flexible endoscope	28	25	$340.00	$120.08
69220 Removal of skin debris and drainage of mastoid cavity	14	11	$403.00	$74.80
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$245.00	$126.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	192	141	$124.63	$87.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	97	97	$165.80	$109.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	45	37	$183.36	$124.00
31575 Diagnostic exam of voice box using a flexible endoscope	33	29	$210.05	$124.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$263.30	$162.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	293	207	$114.55	$88.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	163	163	$160.05	$108.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	100	81	$163.34	$123.96
31575 Diagnostic exam of voice box using a flexible endoscope	44	38	$174.91	$123.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$243.57	$160.54
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	14	$65.87	$54.37
69433 Incision of eardrum with insertion of eardrum tube under local or topical anesthesia	13	11	$352.89	$210.01
30901 Simple control of nose bleed	13	13	$197.61	$144.95
69210 Removal of impacted ear wax	13	13	$79.40	$43.11
69220 Removal of skin debris and drainage of mastoid cavity	13	11	$154.77	$77.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	261	175	$106.96	$70.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	129	129	$158.43	$102.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	82	60	$157.20	$99.36
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$242.40	$154.23
31575 Diagnostic exam of voice box using a flexible endoscope	16	14	$166.07	$118.12
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	15	$63.66	$42.68
69433 Incision of eardrum with insertion of eardrum tube under local or topical anesthesia	13	12	$344.68	$205.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	269	170	$106.73	$69.24
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	171	171	$158.77	$104.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	69	52	$157.21	$101.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	45	45	$242.21	$158.59
31575 Diagnostic exam of voice box using a flexible endoscope	32	30	$169.95	$111.10
69220 Removal of skin debris and drainage of mastoid cavity	24	14	$145.94	$80.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	159	100	$106.40	$69.61
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	108	108	$157.65	$103.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	45	36	$156.80	$102.15
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$240.50	$159.05
31575 Diagnostic exam of voice box using a flexible endoscope	22	21	$164.34	$107.16
69220 Removal of skin debris and drainage of mastoid cavity	22	15	$148.52	$83.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	112	98	$142.53	$69.80
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	68	68	$204.02	$103.99
99213 Established patient office or other outpatient visit, typically 15 minutes	48	46	$70.00	$49.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	26	$197.55	$103.04
92557 Comprehensive hearing and speech recognition test	26	26	$189.06	$36.74
31575 Diagnostic exam of voice box using a flexible endoscope	15	14	$258.48	$108.30
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$290.75	$158.12

Medical Specialties & State Licenses

CMS Verified: 2022-09-20

Otolaryngology Primary Specialty

NUCC Taxonomy Code: 207Y00000X

State License OH 3586045

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

2572265 (OH)

Hospital & Practice Group Affiliations

Ohiohealth Corporation

1720 Ohiohealth Way, Ashland, OH 448059253

Ohiohealth Corporation

335 Glessner Ave, Mansfield, OH 449032269

Ohiohealth Corporation

393 E Town St, Columbus, OH 432154799

Practice Associates & Co-Workers

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

4 Associated Practitioners

Garrison Trainer , CNP

Nurse Practitioner - Family

NPI 1205390721

Certified Nurse Practitioner

Melinda Henry , MA, CCC-A

Audiologist

NPI 1457514077

Master of Arts, CCCA

Rachel Hamilton , CNP

Nurse Practitioner - Family

NPI 1598279739

Certified Nurse Practitioner

Dr. Mykola Prykhodko , MD

Otolaryngology

NPI 1679766034

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

17 Historical Events

📍

Updated Practice Location September 20, 2022

Registered at 335 GLESSNER AVE FL 5, MANSFIELD, OH 449032269 (Tel: 4197565500)

📍

Updated Business Mailing Address September 20, 2022

Registered at PO BOX 7527, DUBLIN, OH 430170727

📍

Updated Practice Location April 18, 2022

Registered at 218 S MYRTLE AVE, WILLARD, OH 448901408 (Tel: 4199645380)

📍

Updated Business Mailing Address December 29, 2021

Registered at 3540 BURBANK RD # 108, WOOSTER, OH 446918539 (Tel: 3306218013)

📍

Updated Practice Location May 14, 2018

Registered at 128 E MILLTOWN RD STE 102, WOOSTER, OH 44691 (Tel: 3306218013)

📍

Updated Business Mailing Address May 14, 2018

Registered at 128 E MILLTOWN RD STE 102, WOOSTER, OH 446911276 (Tel: 3306218013)

✅

NPI Profile Active June 13, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location June 13, 2017

Registered at 832 S MAIN ST STE 5, ORRVILLE, OH 446672208 (Tel: 4195667198)

📍

Updated Business Mailing Address June 13, 2017

Registered at 832 S MAIN ST STE 5, ORRVILLE, OH 44667 (Tel: 4195667198)

👤

Provider Name / Credentials Updated June 13, 2017

Recorded as ERIC GRIMES, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 13, 2017

Otolaryngology (License #3586045 in OH)

✅

NPI Profile Active July 18, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location July 18, 2011

Registered at 2981 W 4TH ST, ONTARIO, OH 449061267 (Tel: 4197751091)

📍

Updated Business Mailing Address July 18, 2011

Registered at 2981 W 4TH ST, ONTARIO, OH 449061267 (Tel: 4197751091)

👤

Provider Name / Credentials Updated July 18, 2011

Recorded as ERIC GRIMES, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 18, 2011

Otolaryngology (License #3586045 in OH)

🟢

Initial NPI Registration & Enumeration April 17, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1275598013

Entity Type:

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

Enumeration Date: April 17, 2006

Last Update: September 20, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 7527

Dublin, OH 430170727

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.