Gretchen Champion, M.D.
NPI 1104869866 · Otolaryngology Physician · Allen, TX
Enrolled with Medicare as Practitioner - Otolaryngology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Gretchen Champion, M.D. is a Otolaryngology Physician provider in Allen, TX (NPI 1104869866).
Provider details
- NPI number
- 1104869866
- Entity type
- Individual
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- M0684 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
520 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Professional Service for Multiple Injections of Allergen95117 | 154 | $11 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 116 | $87 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 65 | $121 |
| Diagnostic Exam of Nasal Passages Using an Endoscope31231 | 57 | $172 |
| Removal of Impacted Ear Wax69210 | 34 | $41 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 34 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 3 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Ipratropium Bromide | 45 | 24 |
| Azelastine Hcl | 31 | 12 |
| Omeprazole | 30 | 12 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$127 across 6 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-06-13
- Last updated
- 2007-08-23
Frequently asked questions
- What is Gretchen Champion's NPI number?
- Gretchen Champion's National Provider Identifier (NPI) is 1104869866, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Gretchen Champion's specialty?
- Gretchen Champion is listed in the NPPES registry with a primary specialty of Otolaryngology Physician (Allopathic & Osteopathic Physicians).
- Where is Gretchen Champion located?
- Gretchen Champion's practice location on file with NPPES is 1105 North Central Expressway, Suite 210, Allen, TX 75013.
- What is Gretchen Champion's phone number?
- The practice phone number listed in the NPPES registry for Gretchen Champion is (972) 747-4646.
- Does Gretchen Champion accept Medicare?
- Gretchen Champion is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Gretchen Champion's NPI active?
- Yes — Gretchen Champion's NPI (1104869866) is active in the NPPES registry as of the last update on 2007-08-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.