Active NPI 1760541304 Individual Practitioner Female Practitioner

Dr. Loretta Grumbles , MD

Internal Medicine • Galveston, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Loretta Grumbles, MD is a certified Internal Medicine practicing in Galveston, TX. With approximately 29 years of clinical experience since graduating from University Of Texas Medical Branch At Galveston in 1997, Dr. Grumbles delivers high-quality medical care to the local community at 1908 POST OFFICE ST.

Dr. Grumbles is affiliated with Coastal Health And Wellness and accepts Medicare assignment.

Frequently performed procedures and clinical services include residence visit for established patient with moderate level of medical decision making, per day, if using time, at least, physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp, residence visit for established patient with low level of medical decision making, per day, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1908 Post Office St

Galveston, TX 775502008

Telephone 4096823863

Fax 7135831053

Associated Practice Facility / Clinic

🏢 Grumbles Geriatric Home Visits Program, Pllc Facility NPI 1154076438

Medicare Profile & Education

Medical School

University Of Texas Medical Branch At Galveston

Graduation Year

1997

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Galveston, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

29 Yrs +15.0 yrs vs City Avg

City Avg: 14.0 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

222 Specialists

Practicing in Galveston, TX (9538 Statewide)

Telehealth Adoption Rate

4.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

3.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Grumbles (29 Years) 29 Yrs

Galveston Specialty Average (14.0 Years) 14.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	29	13	$131.59	$127.02
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	15	13	$42.98	$41.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	48	16	$129.55	$127.43
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	46	15	$84.06	$82.56
99344 New patient home visit, typically 1 hour	12	12	$181.71	$178.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	87	64	$107.28	$69.68
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	75	59	$141.28	$92.24
99306 Initial nursing facility visit, typically 45 minutes per day	67	62	$258.48	$168.48
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	45	42	$202.05	$131.37
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	14	13	$68.99	$44.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	185	93	$107.28	$71.22
99306 Initial nursing facility visit, typically 45 minutes per day	119	110	$258.48	$172.76
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	97	84	$141.75	$94.72
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	45	42	$202.05	$134.12
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	20	20	$68.99	$45.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99306 Initial nursing facility visit, typically 45 minutes per day	86	78	$258.48	$170.32
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	55	49	$107.91	$70.30
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	49	44	$141.75	$93.46
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	13	12	$68.99	$44.94
99318 Nursing facility annual assessment, typically 30 minutes	12	12	$148.94	$97.83

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	36	18	$267.58	$79.44
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	27	14	$105.00	$42.22
99336 Established patient assisted living visit, typically 40 minutes	27	13	$330.00	$137.52
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	17	11	$178.00	$73.61
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	16	$340.00	$129.47
99221 Initial hospital inpatient care per day, typically 30 minutes	16	16	$250.00	$93.01
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$498.00	$205.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	70	23	$105.00	$40.29
99336 Established patient assisted living visit, typically 40 minutes	61	23	$330.00	$129.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	41	14	$270.00	$79.39
99334 Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes	27	25	$150.00	$59.46
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	24	21	$135.00	$54.31
G0008 Administration of influenza virus vaccine	22	22	$25.00	$24.50
99335 Established patient assisted living visit, typically 25 minutes	16	12	$233.00	$96.02

Medical Specialties & State Licenses

CMS Verified: 2023-04-12

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License TX L0227

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Internal Medicine - Geriatric Medicine

NUCC Taxonomy Code: 207RG0300X

State License TX L0227

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

Internal Medicine - Hospice and Palliative Medicine

NUCC Taxonomy Code: 207RH0002X

State License TX L0227

An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.

Hospital & Practice Group Affiliations

Coastal Health And Wellness

4700 Broadway St, Galveston, TX 775514241

Phone: 4099382234

Coastal Health And Wellness

9850 C Emmett F Lowry Expy, Texas City, TX 775912122

Phone: 4099382234

Secondary Practice Locations

4700 Broadway St Ste F100

Galveston, TX 775514208

Phone: 4099382234

9850c Emmett F Lowry Expy Ste C103

Texas City, TX 775912122

Phone: 4099382234

Career & Practice History Timeline

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

12 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 06, 2023

Internal Medicine (License #L0227 in TX)

📍

Updated Practice Location February 22, 2022

Registered at 1908 POST OFFICE ST, GALVESTON, TX 775502008 (Tel: 4096823863)

📍

Updated Business Mailing Address February 22, 2022

Registered at PO BOX 2283, SUGAR LAND, TX 774872283 (Tel: 2817736631)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 22, 2022

Internal Medicine (License #L0227 in TX)

📍

Updated Practice Location August 13, 2020

Registered at 711 W BAY AREA BLVD STE 602, WEBSTER, TX 775984042 (Tel: 2813322626)

📍

Updated Business Mailing Address August 13, 2020

Registered at PO BOX 8074, PASADENA, TX 775088074 (Tel: 2813322626)

✅

NPI Profile Active April 13, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location April 13, 2010

Registered at 301 UNIVERSITY BLVD, GALVESTON, TX 775555302 (Tel: 4097722222)

📍

Updated Business Mailing Address April 13, 2010

Registered at 301 UNIVERSITY BLVD, GALVESTON, TX 775555302 (Tel: 4097722222)

👤

Provider Name / Credentials Updated April 13, 2010

Recorded as LORETTA GRUMBLES, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 13, 2010

Internal Medicine (License #L0227 in TX)

🟢

Initial NPI Registration & Enumeration December 08, 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: 1760541304

Entity Type:

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

Enumeration Date: December 08, 2006

Last Update: April 12, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 2283

Sugar Land, TX 774872283

Phone: 2817736631

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.