Active NPI 1104023381 Individual Practitioner Male Practitioner

Nicholas Patrick Grimm , PA-C

Physician Assistant • Marinette, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Nicholas Grimm, PA-C is a certified Physician Assistant practicing in Marinette, WI. With approximately 19 years of clinical experience since completing medical education in 2007, Nicholas Grimm delivers high-quality medical care to the local community at 3515 MURRAY ST.

Nicholas Grimm is affiliated with Forefront Dermatology Sc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, destruction of precancer skin growth, 2-14 growths, destruction of skin growth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3515 Murray St

Marinette, WI 541433367

Telephone 7157320699

Fax 7157323522

Associated Practice Facility / Clinic

🏢 Forefront Dermatology, S.c. Facility NPI 1417105545

Medicare Profile & Education

Medical School

Other

Graduation Year

2007

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Marinette, WI

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

19 Yrs +7.0 yrs vs City Avg

City Avg: 12.0 Yrs

State Avg: 14.1 Yrs

Regional Practice Density

11 Specialists

Practicing in Marinette, WI (3517 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

76.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Grimm (19 Years) 19 Yrs

Marinette Specialty Average (12.0 Years) 12.0 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	1,196	871	$263.00	$74.30
17003 Destruction of precancer skin growth, 2-14 growths	1,071	229	$84.00	$5.50
17000 Destruction of skin growth	473	369	$303.63	$44.77
11102 Tangential biopsy of single skin lesion	415	358	$378.00	$78.22
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	193	30	$16.33	$0.98
11103 Biopsy of related skin growth, each additional growth	149	90	$205.00	$41.22
17110 Destruction of up to 14 skin growths	138	124	$419.00	$90.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	110	110	$321.00	$90.68
99202 New patient office or other outpatient visit, typically 20 minutes	79	79	$223.46	$59.01
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	73	31	$71.76	$11.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	72	68	$372.00	$105.44
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	43	37	$936.14	$107.15
11104 Punch biopsy, first skin growth	38	36	$475.00	$102.07
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	38	36	$1002.00	$241.79
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	31	23	$695.89	$123.12
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	31	23	$570.30	$96.59
11200 Removal of skin tag, 1-15 skin tags	29	27	$369.36	$60.32
17004 Destruction of precancer skin growth, 15 or more growths	21	15	$734.31	$137.19
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	18	17	$671.43	$215.64
69100 Biopsy of ear	18	18	$677.59	$62.67
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	17	13	$258.55	$63.08
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	15	11	$465.28	$388.71
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	14	11	$495.00	$112.13
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$147.53	$46.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,140	253	$84.00	$5.47
99213 Established patient office or other outpatient visit, typically 15 minutes	1,082	816	$263.00	$72.69
17000 Destruction of skin growth	537	407	$303.63	$43.79
11102 Tangential biopsy of single skin lesion	407	359	$378.00	$79.02
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	208	31	$16.33	$1.06
17110 Destruction of up to 14 skin growths	165	136	$419.00	$91.73
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	162	154	$147.53	$45.65
11103 Biopsy of related skin growth, each additional growth	139	93	$205.00	$40.90
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	134	134	$321.00	$89.37
99202 New patient office or other outpatient visit, typically 20 minutes	102	102	$223.46	$58.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	84	76	$372.00	$101.95
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	69	31	$71.76	$11.50
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	47	43	$1002.00	$244.29
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	46	39	$936.14	$99.20
11104 Punch biopsy, first skin growth	38	38	$475.00	$102.26
69100 Biopsy of ear	31	28	$677.59	$69.51
11200 Removal of skin tag, 1-15 skin tags	25	25	$369.36	$54.70
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	20	16	$465.28	$384.85
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	19	17	$695.89	$114.39
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	17	15	$495.00	$114.48
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	14	14	$617.67	$79.45
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	14	14	$671.43	$213.92
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	13	13	$570.30	$97.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	946	253	$75.35	$5.56
99213 Established patient office or other outpatient visit, typically 15 minutes	765	655	$203.23	$73.56
17000 Destruction of skin growth	500	416	$306.24	$45.19
11102 Tangential biopsy of single skin lesion	363	335	$298.70	$82.02
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	325	285	$148.60	$45.50
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	276	37	$16.06	$1.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	175	175	$297.03	$89.47
11103 Biopsy of related skin growth, each additional growth	133	85	$159.67	$41.72
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	100	40	$73.17	$11.68
17110 Destruction of up to 14 skin growths	80	75	$355.26	$89.14
11104 Punch biopsy, first skin growth	71	68	$385.67	$103.29
99202 New patient office or other outpatient visit, typically 20 minutes	63	63	$226.21	$58.82
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	62	59	$928.70	$248.17
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	49	42	$960.00	$103.66
69100 Biopsy of ear	21	19	$677.59	$63.84
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	19	14	$465.28	$387.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	19	$273.20	$104.36
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	17	16	$703.48	$128.18
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	15	14	$495.00	$117.85
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	14	14	$629.19	$70.26
11200 Removal of skin tag, 1-15 skin tags	12	11	$373.25	$57.90
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	12	12	$671.43	$215.95
Q0112 All potassium hydroxide (koh) preparations	11	11	$59.68	$5.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	512	377	$307.00	$73.77
17003 Destruction of precancer skin growth, 2-14 growths	377	101	$95.00	$5.40
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	285	38	$11.00	$1.31
17000 Destruction of skin growth	211	168	$332.00	$47.40
11102 Tangential biopsy of single skin lesion	154	141	$452.00	$84.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	101	101	$441.00	$90.62
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	94	32	$99.00	$11.64
11103 Biopsy of related skin growth, each additional growth	77	38	$240.00	$43.52
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	61	57	$185.00	$45.09
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	41	32	$1115.00	$100.77
11104 Punch biopsy, first skin growth	40	37	$569.00	$105.80
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	36	33	$1364.00	$248.25
99202 New patient office or other outpatient visit, typically 20 minutes	24	24	$310.00	$59.47
17110 Destruction of up to 14 skin growths	23	16	$499.00	$91.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	19	$446.00	$106.36
11900 Injection into skin growth, 1-7 growths	15	11	$250.00	$35.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	345	93	$95.00	$5.07
99213 Established patient office or other outpatient visit, typically 15 minutes	342	268	$301.00	$61.10
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	210	30	$11.00	$1.41
17000 Destruction of skin growth	197	161	$332.00	$45.66
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	179	158	$182.00	$37.37
11102 Tangential biopsy of single skin lesion	174	156	$405.00	$80.75
99202 New patient office or other outpatient visit, typically 20 minutes	125	125	$309.00	$62.31
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	87	27	$99.00	$11.15
11103 Biopsy of related skin growth, each additional growth	68	45	$219.00	$43.93
11104 Punch biopsy, first skin growth	34	32	$509.00	$102.95
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	27	27	$1328.00	$210.91
17110 Destruction of up to 14 skin growths	21	14	$486.00	$84.45
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	15	14	$1087.00	$102.81
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	14	14	$1037.00	$194.04
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	13	13	$1241.00	$130.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	508	120	$95.00	$4.56
99213 Established patient office or other outpatient visit, typically 15 minutes	441	317	$285.00	$60.69
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	316	34	$11.00	$1.55
99202 New patient office or other outpatient visit, typically 20 minutes	283	283	$300.00	$61.65
17000 Destruction of skin growth	254	189	$332.00	$46.75
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	222	189	$175.00	$36.98
11102 Tangential biopsy of single skin lesion	192	181	$341.00	$78.63
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	91	34	$99.00	$13.60
11103 Biopsy of related skin growth, each additional growth	70	46	$170.00	$43.78
11104 Punch biopsy, first skin growth	39	39	$429.00	$102.12
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	30	30	$1264.00	$178.81
17110 Destruction of up to 14 skin growths	29	23	$463.00	$84.07
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	15	15	$1181.00	$143.12
11604 Removal of cancer skin growth of body, arms, or legs, 3.1-4.0 cm	15	13	$1343.00	$239.78
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	14	14	$987.00	$145.49
87210 Smear for infectious agents	12	12	$46.00	$5.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	354	269	$267.55	$58.69
17003 Destruction of precancer skin growth, 2-14 growths	325	85	$95.00	$4.19
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	233	26	$10.00	$1.76
99202 New patient office or other outpatient visit, typically 20 minutes	203	203	$273.00	$59.94
17000 Destruction of skin growth	180	146	$325.00	$46.76
11100 Biopsy of single growth of skin and/or tissue	164	158	$419.00	$83.24
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	61	27	$93.00	$16.76
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	56	51	$165.34	$35.52
11101 Biopsy of each additional growth of skin and/or tissue	42	26	$183.00	$26.24
17110 Destruction of up to 14 skin growths	33	21	$449.00	$88.26
99201 New patient office or other outpatient visit, typically 10 minutes	18	18	$204.00	$36.00
87210 Smear for infectious agents	14	14	$45.00	$5.39
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	13	11	$1147.00	$193.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	274	66	$94.64	$4.50
99213 Established patient office or other outpatient visit, typically 15 minutes	213	172	$255.61	$58.29
11100 Biopsy of single growth of skin and/or tissue	156	150	$362.00	$80.71
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	146	18	$9.00	$1.75
17000 Destruction of skin growth	143	117	$317.59	$47.39
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	94	82	$159.53	$35.10
99202 New patient office or other outpatient visit, typically 20 minutes	74	74	$262.00	$59.67
11101 Biopsy of each additional growth of skin and/or tissue	52	38	$179.00	$25.82
17110 Destruction of up to 14 skin growths	34	26	$388.24	$82.14
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	33	15	$88.00	$20.05
87210 Smear for infectious agents	14	13	$44.00	$5.74

Medical Specialties & State Licenses

CMS Verified: 2024-08-26

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WI 2166-023

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 State License

2166-023 (WI)

Hospital & Practice Group Affiliations

Forefront Dermatology Sc

3515 Murray St, Marinette, WI 541433367

Phone: 7157320699

Forefront Dermatology Sc

N4531 State Hwy 22, Shawano, WI 541666173

Phone: 7155245995

Forefront Dermatology Sc

1400 Scheuring Rd, De Pere, WI 541151067

Phone: 9209640229

Secondary Practice Locations

715 Superior Rd Ste 120

Green Bay, WI 543117595

Phone: 9204069803

N4531 State Highway 22 Ste 5

Shawano, WI 541666173

Phone: 7155245995

Practice Associates & Co-Workers

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

1 Associated Practitioners

Jonathan Hayward , PA-C

Physician Assistant

NPI 1851334395

Physician Assistant (Certified)

Career & Practice History Timeline

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

14 Historical Events

👤

Provider Name / Credentials Updated August 04, 2024

Recorded as NICHOLAS GRIMM, PA-C

📍

Updated Practice Location March 09, 2022

Registered at 3515 MURRAY ST, MARINETTE, WI 541433367 (Tel: 7157320699)

📍

Updated Business Mailing Address March 09, 2022

Registered at 801 YORK ST, MANITOWOC, WI 542204630 (Tel: 9206639008)

✅

NPI Profile Active January 24, 2018

NPI status registered as active in NPPES database

📍

Updated Practice Location January 24, 2018

Registered at 2605 DEVELOPMENT DR, GREEN BAY, WI 543114240 (Tel: 9202888240)

📍

Updated Business Mailing Address January 24, 2018

Registered at 164 N BROADWAY, GREEN BAY, WI 543032728 (Tel: 9202888240)

👤

Provider Name / Credentials Updated January 24, 2018

Recorded as NICHOLAS GRIMM, PA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 24, 2018

Physician Assistant (License #2166-023 in WI)

✅

NPI Profile Active April 22, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location April 22, 2016

Registered at 2225 KAFTAN WAY, DE PERE, WI 541154052 (Tel: 9202888240)

📍

Updated Business Mailing Address April 22, 2016

Registered at 164 N BROADWAY, GREEN BAY, WI 543032728 (Tel: 9202888240)

👤

Provider Name / Credentials Updated April 22, 2016

Recorded as NICHOLAS GRIMM, PA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 22, 2016

Physician Assistant (License #2166-023 in WI)

🟢

Initial NPI Registration & Enumeration June 29, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Nicholas Grimm. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1104023381

Entity Type:

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

Enumeration Date: June 29, 2007

Last Update: August 26, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

801 York St

Manitowoc, WI 542204630

Phone: 9206639008

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.