Active NPI 1366766875 Individual Practitioner Female Practitioner

Debra Lynn Grunden , NURSE

Nurse Practitioner • Terrell, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Debra Grunden, NURSE is a certified Nurse Practitioner practicing in Terrell, TX. With approximately 17 years of clinical experience since completing medical education in 2009, Debra Grunden delivers high-quality medical care to the local community at 200 N VIRGINIA ST.

Debra Grunden is affiliated with Community Health Service Agency, Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of needle into vein for collection of blood sample, detection test by immunoassay with direct visual observation for influenza virus. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

200 N Virginia St

Terrell, TX 751602732

Telephone 9725517500

Fax 9725247418

Associated Practice Facility / Clinic

🏢 Healthtexas Provider Network Facility NPI 1063417699

Medicare Profile & Education

Medical School

Other

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Terrell, TX

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

17 Yrs -0.5 yrs vs City Avg

City Avg: 17.5 Yrs

State Avg: 9.7 Yrs

Regional Practice Density

2 Specialists

Practicing in Terrell, TX (4894 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

47.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Grunden (17 Years) 17 Yrs

Terrell Specialty Average (17.5 Years) 17.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)

Reporting Year:

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	88	73	$170.00	$90.63
36415 Insertion of needle into vein for collection of blood sample	46	44	$17.00	$2.96
87804 Detection test by immunoassay with direct visual observation for influenza virus	28	14	$60.00	$16.22
99213 Established patient office or other outpatient visit, typically 15 minutes	23	23	$105.00	$62.32
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	12	12	$160.00	$96.45

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	325	175	$170.00	$89.32
36415 Insertion of needle into vein for collection of blood sample	168	99	$17.00	$2.94
99213 Established patient office or other outpatient visit, typically 15 minutes	58	55	$105.00	$59.09
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	56	56	$160.00	$96.49
J1100 Injection, dexamethasone sodium phosphate, 1 mg	52	12	$0.30	$0.10
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	50	12	$10.00	$1.64
81003 Automated urinalysis test	30	26	$20.00	$2.44
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	22	21	$65.00	$13.78
87804 Detection test by immunoassay with direct visual observation for influenza virus	22	11	$60.00	$15.19
G0008 Administration of influenza virus vaccine	19	19	$26.50	$15.90
90682 Influenza vaccine, quadrivalent derived from recombinant dna	18	18	$61.50	$54.89

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	383	209	$170.00	$86.83
36415 Insertion of needle into vein for collection of blood sample	184	108	$17.00	$2.94
J1100 Injection, dexamethasone sodium phosphate, 1 mg	78	20	$0.30	$0.11
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	74	19	$10.00	$1.77
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	53	53	$157.61	$95.47
81003 Automated urinalysis test	42	36	$20.00	$2.71
G0008 Administration of influenza virus vaccine	36	34	$26.50	$19.51
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	31	31	$65.00	$16.68
90682 Influenza vaccine, quadrivalent derived from recombinant dna	30	30	$60.00	$52.30
99213 Established patient office or other outpatient visit, typically 15 minutes	24	21	$105.00	$59.85

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	337	223	$170.00	$86.17
36415 Insertion of needle into vein for collection of blood sample	156	99	$17.00	$2.94
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	110	26	$10.00	$1.81
J1100 Injection, dexamethasone sodium phosphate, 1 mg	106	25	$0.30	$0.11
99213 Established patient office or other outpatient visit, typically 15 minutes	43	42	$105.00	$58.86
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	41	41	$117.83	$93.92
81003 Automated urinalysis test	35	29	$20.00	$3.02
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	31	27	$65.00	$20.50
G0008 Administration of influenza virus vaccine	23	23	$26.50	$23.91
90662 Influenza vaccine split virus, preservative free	18	18	$45.50	$44.14
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	14	14	$176.70	$139.03

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License TX 776939

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Hospital & Practice Group Affiliations

Community Health Service Agency, Inc.

2600 Commerce Way, Kaufman, TX 751427325

Phone: 9727503177

Community Health Service Agency, Inc.

91 W Side Sq, Cooper, TX 754321725

Phone: 9033950586

Practice Associates & Co-Workers

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

7 Associated Practitioners

Dr. Tyson Barnes , MD

Family Medicine

NPI 1336169655

Doctor of Medicine (M.D.)

Mary Carver , MSN

Nurse Practitioner - Adult Health

NPI 1366463887

Master of Science in Nursing

Dr. Charles Risinger , MD

Family Medicine

NPI 1386665982

Doctor of Medicine (M.D.)

Dr. Martin Hurst , MD

Internal Medicine

NPI 1548281231

Doctor of Medicine (M.D.)

Dr. Nuggehalli Satyu , MD

Family Medicine

NPI 1821015587

Doctor of Medicine (M.D.)

Judy Candler , MSN, GNP

Nurse Practitioner - Adult Health

NPI 1851318539

Master of Science in Nursing, GNP

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active April 12, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location April 12, 2013

Registered at 200 N VIRGINIA ST, TERRELL, TX 751602732 (Tel: 9725517500)

📍

Updated Business Mailing Address April 12, 2013

Registered at 200 N VIRGINIA ST, TERRELL, TX 751602732 (Tel: 9725517500)

👤

Provider Name / Credentials Updated April 12, 2013

Recorded as DEBRA GRUNDEN, NURSE

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 12, 2013

Nurse Practitioner (License #776939 in TX)

🟢

Initial NPI Registration & Enumeration March 26, 2010

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: 1366766875

Entity Type:

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

Enumeration Date: March 26, 2010

Last Update: April 12, 2013

Sole Proprietor: No

Update or Correct Profile

Mailing Address

200 N Virginia St

Terrell, TX 751602732

Phone: 9725517500

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.