Tate Grimes


Address: 908 W Terrell N Ave, Fort Worth, TX 76104-3034

Tate Grimes (NPI# 1477588200, PAC ID# 8820043953) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is SLEEP MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1477588200
PAC ID by PECOS 8820043953
Professional Enrollment ID I20050323000140
Full Name Tate Grimes
Address 908 W Terrell N Ave
Fort Worth
TX 76104-3034
Gender M
Credential MD
Medical School UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Graduation Year 1997
Primary Specialty SLEEP MEDICINE
Secondary Specialties FAMILY MEDICINE
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
908 W Terrell N, Fort Worth, TX 76104-3034 8178200427 WELLNESS IN SLEEP PA
908 W Terrell N Ave, Fort Worth, TX 76104-3034

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
MIPS_EC_276_overall Sleep Apnea: Assessment of Sleep Symptoms 100%
MIPS_EC_276_overall Sleep Apnea: Assessment of Sleep Symptoms 100%
MIPS_EC_277_overall Sleep Apnea: Severity Assessment at Initial Diagnosis 100%
MIPS_EC_277_overall Sleep Apnea: Severity Assessment at Initial Diagnosis 100%

Organization Information

Office Location

Street Address 908 W TERRELL N AVE
City FORT WORTH
State TX
Zip 76104-3034

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Bryan J Skulpoonkitti Anesthesiology Institute of Spine and Pain Solutions Pllc 416 S Henderson St, Fort Worth, TX 76104-1017
Jonathan D Riddle Certified Registered Nurse Anesthetist (crna) 412 S Henderson St, Fort Worth Vascular Surgical, Fort Worth, TX 76104-1017
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Competitor

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City FORT WORTH
Zip Code 76104
Specialty SLEEP MEDICINE
City + Specialty FORT WORTH + SLEEP MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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