Matthew Grimes, M.D,
NPI 1386087740 · Urology Physician · Madison, WI
Enrolled with Medicare as Practitioner - Urology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Matthew Grimes, M.D, is a Urology Physician provider in Madison, WI (NPI 1386087740).
Provider details
- NPI number
- 1386087740
- Entity type
- Individual
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D,
- Sex
- Male
- Sole proprietor
- No
- License
- MD-44977 (IA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
13 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
5 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
722 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) |
|---|---|---|
| Non-Needle Measurement and Recording of Electrical Activity of Muscles at Bladder and Bowel Openings51784 | 93 | $17 |
| Complex Measurement of Pressure of Urine Flow in Bladder With Voiding Pressure Studies51728 | 89 | $94 |
| Insertion of Device Into Abdomen With Pressure and Urine Flow Rate Study51797 | 87 | $36 |
| Diagnostic Exam of Bladder and Urethra Using an Endoscope52000 | 81 | $71 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 78 | $61 |
| Electronic Assessment of Bladder Emptying51741 | 65 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 6 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Sulfamethoxazole/Trimethoprimbrand: Sulfamethoxazole-Trimethoprim | 37 | 37 |
| Tamsulosin Hcl | 32 | 13 |
| Mirabegronbrand: Myrbetriq | 29 | 13 |
| Oxybutynin Chloridebrand: Oxybutynin Chloride Er | 22 | — |
| Solifenacin Succinate | 16 | — |
| Nitrofurantoin Monohyd/M-Crystbrand: Nitrofurantoin Mono-Macro | 11 | 11 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they include 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 , 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.
$32 across 1 record (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
Additional practice locations (4)
- 200 Hawkins DrIowa City, IA 52242Phone: (319) 384-8904Fax: (319) 356-3900
- 200 Hawkins DrIowa City, IA 52242Phone: (319) 384-8904Fax: (319) 356-3900
- 200 Hawkins DrIowa City, IA 52242Phone: (319) 384-8904Fax: (319) 356-3900
- 200 Hawkins DrIowa City, IA 52242Phone: (319) 384-8904Fax: (319) 356-3900
Registry dates
- Enumerated
- 2013-04-16
- Last updated
- 2021-01-21
- Certified
- 2021-01-21
Frequently asked questions
- What is Matthew Grimes's NPI number?
- Matthew Grimes's National Provider Identifier (NPI) is 1386087740, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Matthew Grimes's specialty?
- Matthew Grimes is listed in the NPPES registry with a primary specialty of Urology Physician (Allopathic & Osteopathic Physicians).
- Where is Matthew Grimes located?
- Matthew Grimes's practice location on file with NPPES is 600 Highland Ave, Madison, WI 53792.
- What is Matthew Grimes's phone number?
- The practice phone number listed in the NPPES registry for Matthew Grimes is (608) 263-4757.
- Does Matthew Grimes accept Medicare?
- Matthew Grimes is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Matthew Grimes's NPI active?
- Yes — Matthew Grimes's NPI (1386087740) is active in the NPPES registry as of the last update on 2021-01-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.