Individual provider Active NPI

Gary J Grunow, MD

  • Family Medicine Physician
  • Mineral Point, WI
National Provider Identifier
1851386718
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35674 Issued in WI
Practice address
104 High St
Mineral Point, WI 53565-1289
Phone
(608) 987-2346
Fax
(608) 987-2390
NPI assigned
Sep 16, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35674 WI Primary

Addresses

Primary practice location

104 High St
Mineral Point, WI 53565-1289

Mailing address

104 High St
Mineral Point, WI 53565-1289
Phone (608) 987-2346

Other identifiers 1

IdentifierTypeStateIssuer
32065100MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100820000316 WI Practitioner - Family Practice 8729055330 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Wisconsin School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upland Hills Health IncGroup PAC ID 3072415553, 97 clinicians

Practice addresses (Care Compare)

104 High St
Mineral Point, WI 53565-1289
Phone (608) 987-2346

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.64 of 100Reported as group
Quality
97.3
Promoting interoperability
100
Improvement activities
40
Cost
74.83

Merit-based Incentive Payment System (MIPS)

Final score
80.26 of 100Reported as group
Quality
92.24
Promoting interoperability
100
Improvement activities
40
Cost
41.97

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Upland Hills Health, Inc. CurrentSince Dec 1, 2025 Accepting new patients
Upland Hills Health, Inc CurrentSince Oct 1, 2018 Accepting new patients
Upland Hills Health Inc Current Accepting new patients
Upland Hills Health, Inc CurrentSince Oct 1, 2018 Accepting new patients
Upland Hills Health Inc Current Accepting new patients
Upland Hills Health, Inc. Past Accepting new patients

Locations

103 Quail Ridge Dr
Barneveld, WI 53507
Phone (608) 924-1088

1204 Joseph St
Dodgeville, WI 53533
Phone (608) 574-5044

800 Compassion Way
Dodgeville, WI 53533
Phone (608) 930-7200

1883 Springdale St
Mount Horeb, WI 53572
Phone (608) 437-8040

Interoperability endpoints

  • Direct secure messaging: gary.grunow@mpmc.directbygreenway.com
  • Direct secure messaging: ggrunow260135@direct-ehr-ssmhc.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1126828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851386718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 HIGH ST",
            "city": "MINERAL POINT",
            "state": "WI",
            "postal_code": "535651289",
            "telephone_number": "608-987-2346",
            "fax_number": "608-987-2390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 HIGH ST",
            "city": "MINERAL POINT",
            "state": "WI",
            "postal_code": "535651289",
            "telephone_number": "608-987-2346",
            "fax_number": "608-987-2390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUNOW",
        "first_name": "GARY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "35674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32065100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mineral Point, WI

Sources for this page

Verify at the official NPI Registry.