Dr. Kevin L Grimes , MD
Surgery โข Cincinnati, OH
234 Goodman St
Cincinnati, OH 452192364
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on June 24, 2008; this date does not establish years in practice.
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Published CMS data list 13 Original Medicare Part B services in 2023.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2023. Published rows only; this is not a quality measure.
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Published Part B service records, 2023:
- 43235 โ Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope: 13 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2023. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2022 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2023). CPT notice
See the full table ยท Guide: How to read Medicare Part B data
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Published CMS data list 132 Medicare Part D prescriptions, including refills, in 2023.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2023. Published rows only; this is not a quality measure.
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Published Part D records, 2023:
- Pantoprazole Sodium โ 46 prescription fills, including refills.
- Ondansetron Odt (Ondansetron) โ 23 prescription fills, including refills.
- Omeprazole โ 20 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2023. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 6 records in the table ยท Guide: How to read Medicare Part D prescriber data
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Medicare Part B services went from 13 in 2019 to 13 in 2023.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2019โ2023.
Practice Location & Contact Primary Location
234 Goodman St
Cincinnati, OH 452192364
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 1 additional practice-address record in Cleveland, OH. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
What Public CMS Data Show
Surgery: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare-allowed amount
About $1,535 in 2023
The total amount Medicare approved for these services in 2023. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2023.
Paid by Medicare
About $1,149 in 2023
The part of the Medicare-allowed amount that Medicare itself paid in 2023, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2023.
30-day fills
209 standardized 30-day fills in 2023
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$2,977 in 2023
The total cost of these prescriptions in 2023, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2023.
Industry payments (Open Payments)
Fewer than 11 payment records totaling $79.83 in 2023
Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.
It shows reported financial ties between this clinician and companies. You can ask your clinician about them.
These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.
General: payments not tied to research, such as meals, travel, consulting or speaking fees.
A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.
Source: CMS Open Payments, program year 2023.
NPI first issued
2008
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Grimes has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Grimes as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Cincinnati and Ohio
Billing and prescribing volume is not a quality rating.
Medicare Part B
Comparisons use 2024 data. The latest CMS data for Dr. Grimes are from 2023.
Medicare Part D
Comparisons use 2024 data. The latest CMS data for Dr. Grimes are from 2023.
89 active clinicians are listed under Surgery with a practice address in Cincinnati, OH (1,249 in Ohio).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Cincinnati
3.4% of these 89 clinicians have the CMS telehealth indicator.
52.8% of these 89 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services went from 13 in 2019 to 13 in 2023.
- 2019: 13
- 2020: 73
- 2021: 67
- 2022: 120
- 2023: 13
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Medicare-allowed amount
Medicare-allowed amount decreased 41% from $2,593 in 2019 to $1,535 in 2023.
- 2019: $2,593
- 2020: $23,027
- 2021: $9,928
- 2022: $33,953
- 2023: $1,535
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Paid by Medicare
Paid by Medicare decreased 44% from $2,066 in 2019 to $1,149 in 2023.
- 2019: $2,066
- 2020: $17,023
- 2021: $7,413
- 2022: $26,562
- 2023: $1,149
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 144% from 54 in 2018 to 132 in 2023.
- 2018: 54
- 2020: 128
- 2021: 235
- 2022: 208
- 2023: 132
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30-day fills
30-day fills increased 274% from 56 in 2018 to 209 in 2023.
- 2018: 56
- 2020: 152
- 2021: 282
- 2022: 281
- 2023: 209
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Part D drug cost
Part D drug cost went from $404 in 2018 to $2,977 in 2023.
- 2018: $404
- 2020: $1,641
- 2021: $4,707
- 2022: $3,805
- 2023: $2,977
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Industry payments (Open Payments)
CMS data for industry payments (Open Payments) are available for 2023 only.
Sources: CMS Medicare Physician & Other Practitioners (2023), CMS Medicare Part D Prescribers (2023), CMS Open Payments (2023), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2023 (payments made January 1 โ December 31, 2023): fewer than 11 records totaling $79.83.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Intuitive Surgical, Inc. |
Food and Beverage
In-kind items and services
|
Da Vinci Surgical System | General | $79.83 |
Source: CMS Open Payments, program year 2023, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ2022 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2017โ2023; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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43235
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope
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13 | 12 | $503.00 | $118.08 |
Source: CMS Part B by Provider and Service, 2023; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2023.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Pantoprazole Sodium | Pantoprazole Sodium | 46 | 3,029 | $694.06 | 20 |
| Ondansetron Odt | Ondansetron | 23 | 196 | $359.76 | 23 |
| Omeprazole | Omeprazole | 20 | 1,260 | $183.83 | โ |
| Naloxone Hcl | Naloxone Hcl | 18 | 81 | $1,547.84 | 18 |
| Nystatin | Nystatin | 14 | 84 | $126.53 | 13 |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 11 | 73 | $64.87 | 11 |
Source: CMS Part D by Provider and Drug, 2023; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 208600000X
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
NUCC Taxonomy Code: 390200000X
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - GENERAL SURGERY
I20150807014725
OH
8325352040
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Secondary Practice Locations
2500 Metrohealth Dr
Cleveland, OH 441091900
Phone: 2167787800
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Nurse Practitioner - Family
Surgery - Surgical Critical Care
Doctor of Medicine (M.D.)
Nurse Practitioner
Certified Nurse Practitioner
Urology
Doctor of Medicine (M.D.)
Nurse Practitioner - Gerontology
Physician Assistant
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 234 GOODMAN ST, CINCINNATI, OH 452192364 (Tel: 5134758787)
Registered at 2830 VICTORY PKWY, CINCINNATI, OH 452061785 (Tel: 5135855506)
NPI status registered as active in NPPES database
Registered at 2500 METROHEALTH DR, CLEVELAND, OH 441091900 (Tel: 2167787800)
Registered at 2500 METROHEALTH DR, CLEVELAND, OH 441091900 (Tel: 2167787800)
Recorded as KEVIN GRIMES, M.D.
Student in an Organized Health Care Education/Training Program (license number reported to NPPES: NV LL1858)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Surgery Specialists in Cincinnati
- Tammy Holm
- Dr. Justin Gibler, MD
- Dr. Thomas Maynard, MD
- Matthew Fulton
- Dr. Mahendra Matta, MD
- Dr. Abigail Tremelling, MD
Mailing Address
2830 Victory Pkwy
Cincinnati, OH 452061785
Phone: 5135855506