Michelle Mccuan Grimes , PA-C
Physician Assistant • Austin, TX
4315 James Casey St, Suite 300
Austin, TX 787453365
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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Michelle Grimes is listed in NPPES under Physician Assistant.
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NPI assigned on May 7, 2010; this date does not establish years in practice.
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Published CMS data list 2,115 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 95004 — Test for allergy using allergenic extract: 608 service units.
- 95024 — Test for allergy using allergenic extract injected into skin: 580 service units.
- 95117 — Professional service for multiple injections of allergen: 214 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 16 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 222 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Omeprazole — 28 prescription fills, including refills.
- Famotidine — 26 prescription fills, including refills.
- Clotrimazole-Betamethasone (Clotrimazole/Betamethasone Dip) — 22 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 11 records in the table · Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 90% of clinicians listed under Physician Assistant in Austin, TX (2024, 233 clinicians with data). Median for this group: 206. Middle half: 77 to 676.
More Medicare Part B services than 90% of clinicians listed under Physician Assistant in Texas (2024, 4,400 clinicians with data). Median for this group: 211. Middle half: 76 to 593.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 152 in 2020 to 2,115 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
4315 James Casey St
Suite 300
Austin, TX 787453365
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 1 group name: Butler And Burns Ear Nose And Throat Associates. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2009
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
357 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $53,631 in 2024
The total amount Medicare approved for these services in 2024. 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 – by Provider and Service, 2024.
Paid by Medicare
About $38,392 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, 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 – by Provider and Service, 2024.
30-day fills
276 standardized 30-day fills in 2024
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
$93,584 in 2024
The total cost of these prescriptions in 2024, 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 – by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $1,365.26 across 40 records.
By nature of payment
- Food and Beverage: $1,365.26 across 40 records.
Reporting-company totals (3 largest of 10)
- Sanofi and Genzyme US Companies: $382.21 across 13 records.
- Regeneron Pharmaceuticals, Inc.: $290.14 across 9 records.
- AstraZeneca Pharmaceuticals LP: $208.85 across 3 records.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
17 years (graduated 2009)
CMS Doctors and Clinicians data list 2009 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2010
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.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
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, “Does your provider accept Medicare as full payment?”
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)
Michelle 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 Michelle 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 Austin and Texas
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 90% of clinicians listed under Physician Assistant in Austin, TX (2024, 233 clinicians with data). Median for this group: 206. Middle half: 77 to 676.
More Medicare Part B services than 90% of clinicians listed under Physician Assistant in Texas (2024, 4,400 clinicians with data). Median for this group: 211. Middle half: 76 to 593.
Medicare-allowed amount
A higher Medicare-allowed amount than 85% of clinicians listed under Physician Assistant in Austin, TX (2024, 233 clinicians with data). Median for this group: $15,429. Middle half: $6,251 to $34,330.
A higher Medicare-allowed amount than 80% of clinicians listed under Physician Assistant in Texas (2024, 4,400 clinicians with data). Median for this group: $15,434. Middle half: $6,111 to $35,691.
Paid by Medicare
A higher Medicare payment amount than 80% of clinicians listed under Physician Assistant in Austin, TX (2024, 233 clinicians with data). Median for this group: $10,844. Middle half: $4,337 to $25,803.
A higher Medicare payment amount than 80% of clinicians listed under Physician Assistant in Texas (2024, 4,400 clinicians with data). Median for this group: $11,276. Middle half: $4,395 to $26,238.
Medicare Part D prescriptions
More Part D prescriptions than 60% of clinicians listed under Physician Assistant in Austin, TX (2024, 281 clinicians with data). Median for this group: 126. Middle half: 44 to 481.
Close to the middle for clinicians listed under Physician Assistant in Texas (2024, 4,882 clinicians with data). Median for this group: 261. Middle half: 73 to 938.
Part D drug cost
A higher Part D drug cost than 85% of clinicians listed under Physician Assistant in Austin, TX (2024, 281 clinicians with data). Median for this group: $2,243. Middle half: $383 to $31,479.
A higher Part D drug cost than 70% of clinicians listed under Physician Assistant in Texas (2024, 4,882 clinicians with data). Median for this group: $7,999. Middle half: $749 to $103,240.
607 active clinicians are listed under Physician Assistant with a practice address in Austin, TX (11,008 in Texas).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Austin
15.7% of these 607 clinicians have the CMS telehealth indicator.
47.6% of these 607 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 increased 1291% from 152 in 2020 to 2,115 in 2024.
- 2020: 152
- 2021: 473
- 2022: 477
- 2023: 991
- 2024: 2,115
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Medicare-allowed amount
Medicare-allowed amount increased 452% from $9,722 in 2020 to $53,631 in 2024.
- 2020: $9,722
- 2021: $28,945
- 2022: $32,456
- 2023: $47,325
- 2024: $53,631
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Paid by Medicare
Paid by Medicare increased 443% from $7,067 in 2020 to $38,392 in 2024.
- 2020: $7,067
- 2021: $20,417
- 2022: $22,461
- 2023: $33,446
- 2024: $38,392
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 363% from 48 in 2020 to 222 in 2024.
- 2020: 48
- 2021: 108
- 2022: 197
- 2023: 183
- 2024: 222
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30-day fills
30-day fills increased 344% from 62 in 2020 to 276 in 2024.
- 2020: 62
- 2021: 157
- 2022: 250
- 2023: 233
- 2024: 276
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Part D drug cost
Part D drug cost went from $926 in 2020 to $93,584 in 2024.
- 2020: $926
- 2021: $3,539
- 2022: $5,692
- 2023: $63,844
- 2024: $93,584
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $968.87 in 2021 to $1,365.26 in 2025.
- 2021: $968.87
- 2022: $1,072.44
- 2023: $1,036.15
- 2024: $1,142.40
- 2025: $1,365.26
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · 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 2025 (payments made January 1 – December 31, 2025): 40 records totaling $1,365.26.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| AERIN MEDICAL INC. |
Food and Beverage
In-kind items and services
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VIVAER STYLUS | General | $147.63 |
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
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— | General | $124.92 |
| Sanofi and Genzyme US Companies |
Food and Beverage
In-kind items and services
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DUPIXENT | General | $84.52 |
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
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TEZSPIRE | General | $61.06 |
| Smith+Nephew, Inc. |
Food and Beverage
In-kind items and services
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— | General | $37.88 |
| Regeneron Pharmaceuticals, Inc. |
Food and Beverage
In-kind items and services
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DUPIXENT | General | $34.98 |
| Regeneron Pharmaceuticals, Inc. |
Food and Beverage
In-kind items and services
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DUPIXENT | General | $34.24 |
| Regeneron Pharmaceuticals, Inc. |
Food and Beverage
In-kind items and services
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DUPIXENT | General | $34.12 |
| Regeneron Pharmaceuticals, Inc. |
Food and Beverage
In-kind items and services
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DUPIXENT | General | $33.19 |
| Regeneron Pharmaceuticals, Inc. |
Food and Beverage
In-kind items and services
|
DUPIXENT | General | $32.10 |
| Regeneron Pharmaceuticals, Inc. |
Food and Beverage
In-kind items and services
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DUPIXENT | General | $31.86 |
| Regeneron Pharmaceuticals, Inc. |
Food and Beverage
In-kind items and services
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DUPIXENT | General | $31.66 |
| Sanofi and Genzyme US Companies |
Food and Beverage
In-kind items and services
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DUPIXENT | General | $30.07 |
| Sanofi and Genzyme US Companies |
Food and Beverage
In-kind items and services
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DUPIXENT | General | $29.50 |
| Sanofi and Genzyme US Companies |
Food and Beverage
In-kind items and services
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DUPIXENT | General | $29.23 |
| Regeneron Pharmaceuticals, Inc. |
Food and Beverage
In-kind items and services
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DUPIXENT | General | $29.01 |
| Regeneron Pharmaceuticals, Inc. |
Food and Beverage
In-kind items and services
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DUPIXENT | General | $28.98 |
| Sanofi and Genzyme US Companies |
Food and Beverage
In-kind items and services
|
DUPIXENT | General | $28.62 |
| Sanofi and Genzyme US Companies |
Food and Beverage
In-kind items and services
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DUPIXENT | General | $28.49 |
| Optinose US, Inc. |
Food and Beverage
In-kind items and services
|
Xhance | General | $28.48 |
| Sanofi and Genzyme US Companies |
Food and Beverage
In-kind items and services
|
DUPIXENT | General | $28.15 |
| Sanofi and Genzyme US Companies |
Food and Beverage
In-kind items and services
|
DUPIXENT | General | $28.14 |
| Optinose US, Inc. |
Food and Beverage
In-kind items and services
|
Xhance | General | $28.04 |
| Sanofi and Genzyme US Companies |
Food and Beverage
In-kind items and services
|
DUPIXENT | General | $26.38 |
| Sanofi and Genzyme US Companies |
Food and Beverage
In-kind items and services
|
DUPIXENT | General | $26.35 |
(top 25 shown)
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 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 – by Provider and Service data, 2017–2024; 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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95004
Test for allergy using allergenic extract
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608 | 16 | $13.81 | $3.14 |
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95024
Test for allergy using allergenic extract injected into skin
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580 | 15 | $27.00 | $6.92 |
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95117
Professional service for multiple injections of allergen
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214 | 46 | $37.00 | $10.29 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
|
201 | 164 | $280.00 | $76.87 |
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95165
Professional service for preparation and provision of 1 or more antigens
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132 | 13 | $50.00 | $12.63 |
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99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
|
89 | 89 | $343.00 | $93.78 |
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69210
Removal of impacted ear wax
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70 | 58 | $146.00 | $39.03 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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56 | 45 | $395.00 | $107.23 |
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G0268
Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing
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34 | 34 | $161.00 | $42.01 |
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92504
Exam of ear using a microscope
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32 | 25 | $93.00 | $25.01 |
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31575
Diagnostic exam of voice box using a flexible endoscope
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21 | 20 | $412.00 | $106.51 |
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99212
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
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21 | 20 | $180.00 | $48.14 |
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99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
|
18 | 18 | $510.00 | $141.11 |
|
95992
Repositioning exercises of head for treatment of dizziness, each day
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15 | 14 | $134.00 | $35.84 |
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31231
Diagnostic exam of nasal passages using an endoscope
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13 | 11 | $608.00 | $161.26 |
|
99202
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more
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11 | 11 | $225.00 | $59.48 |
Source: CMS Part B by Provider and Service, 2024; 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 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Omeprazole | Omeprazole | 28 | 1,375 | $184.65 | — |
| Famotidine | Famotidine | 26 | 1,122 | $297.48 | — |
| Clotrimazole-Betamethasone | Clotrimazole/Betamethasone Dip | 22 | 399 | $211.61 | 19 |
| Dupixent Pen | Dupilumab | 22 | 616 | $90,270.07 | — |
| Fluticasone Propionate | Fluticasone Propionate | 21 | 960 | $197.84 | 14 |
| Ofloxacin | Ofloxacin | 20 | 261 | $766.82 | 15 |
| Mupirocin | Mupirocin | 19 | 352 | $180.76 | 15 |
| Ipratropium Bromide | Ipratropium Bromide | 19 | 526 | $628.89 | 13 |
| Doxycycline Hyclate | Doxycycline Hyclate | 15 | 170 | $152.73 | 14 |
| Azelastine Hcl | Azelastine Hcl | 15 | 710 | $571.59 | — |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 15 | 150 | $121.06 | 15 |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 363A00000X
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
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20110819000274
TX
5597935049
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Butler And Burns Ear Nose And Throat Associates
623 Hwy 71 W, Bastrop, TX 786024166
Phone: 5124447944
Butler And Burns Ear Nose And Throat Associates
441 Hwy 71 W, Bastrop, TX 786023937
Phone: 5123040338
Butler And Burns Ear Nose And Throat Associates
6503 Menchaca Rd, Austin, TX 787454932
Phone: 5124447944
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Otolaryngology
Doctor of Medicine (M.D.)
Audiologist
Doctor of Audiology
Audiologist
Doctor of Audiology
Physician Assistant
Physician Assistant
Otolaryngology
Doctor of Medicine (M.D.)
Audiologist
Doctor of Audiology
Career & Practice History
NPI enumerated May 07, 2010.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.
NPI Administrative Meta
Other Physician Assistants in Austin
- Holly Matthews, PA-C
- Kanika Bhansali, PA-C
- Jessica Horwath, PA-C
- Noet Avila
- William Fox, PA-C
- Morgan Kraus, PA-C
Mailing Address
4315 James Casey St, Suite 300
Austin, TX 787453365
Phone: 5124447944