Kristy Mcdonald-Grimm, M.D.
NPI 1235356759 · Hematology & Oncology Physician · Douglasville, GA
Enrolled with Medicare as Practitioner - Hematology/Oncology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kristy Mcdonald-Grimm, M.D. is a Hematology & Oncology Physician provider in Douglasville, GA (NPI 1235356759).
Provider details
- NPI number
- 1235356759
- Entity type
- Individual
- Primary specialty
- Hematology & Oncology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 069069 (GA)
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
19 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
199 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 89 | $65 |
| Established Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 10 Minutes Or More99212 | 81 | $35 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 29 | $96 |
Typical Medicare-allowed amounts for these services range $35–$96 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 22 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Letrozole | 98 | 30 |
| Anastrozole | 77 | 27 |
| Rivaroxabanbrand: Xarelto | 61 | 12 |
| Apixabanbrand: Eliquis | 47 | — |
| Oxycodone Hcl | 34 | 12 |
| Dexamethasone | 32 | — |
| Acyclovir | 31 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$850 across 36 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
- 2007-04-18
- Last updated
- 2020-12-01
- Certified
- 2020-12-01
Frequently asked questions
- What is Kristy Mcdonald-Grimm's NPI number?
- Kristy Mcdonald-Grimm's National Provider Identifier (NPI) is 1235356759, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kristy Mcdonald-Grimm's specialty?
- Kristy Mcdonald-Grimm is listed in the NPPES registry with a primary specialty of Hematology & Oncology Physician (Allopathic & Osteopathic Physicians).
- Where is Kristy Mcdonald-Grimm located?
- Kristy Mcdonald-Grimm's practice location on file with NPPES is 4586 Timber Ridge Dr, Douglasville, GA 30135.
- What is Kristy Mcdonald-Grimm's phone number?
- The practice phone number listed in the NPPES registry for Kristy Mcdonald-Grimm is (770) 942-0457.
- Does Kristy Mcdonald-Grimm accept Medicare?
- Kristy Mcdonald-Grimm is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kristy Mcdonald-Grimm's NPI active?
- Yes — Kristy Mcdonald-Grimm's NPI (1235356759) is active in the NPPES registry as of the last update on 2020-12-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.