Doctor profile · Federal record
Dr. Michael Grantham, MD
Diagnostic Radiology Physician (CMS: Diagnostic Radiology) · Body Imaging Physician · Neuroradiology Physician · Nuclear Radiology Physician · Pediatric Radiology Physician · Therapeutic Radiology Physician · Vascular & Interventional Radiology Physician · Diagnostic Ultrasound Physician · Mishawaka, IN
- NPI 1649264342
- Accepts Medicare
- 31 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
620 W Edison RD, Suite 110
Mishawaka, IN 465452784
(574) 258-1100
fax (574) 258-1101
Credentials & registration
- NPI registered
- September 2005 — 21 yrs on file
- Profile last updated
- May 16, 2013
- Year of graduation
- 1995 — 31 yrs since
- Specialty taxonomy
- 2085R0202X — NUCC code
- State license (1)
- Indiana #01051989
- Medicaid
- IN #200250020
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1649264342. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
4,389
Distinct HCPCS
10
Medicare allowed
$153,548
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
71045 |
X-ray of chest, 1 view | 1,217 | 886 | $8 | |
70450 |
Ct scan head or brain without contrast | 340 | 292 | $38 | |
74177 |
Ct scan of abdomen and pelvis with contrast | 217 | 215 | $82 | |
71046 |
X-ray of chest, 2 views | 163 | 156 | $10 | |
71275 |
Ct scan of blood vessels of chest with contrast | 140 | 137 | $80 | |
72125 |
Ct scan of upper spine without contrast | 96 | 95 | $44 | |
74176 |
Ct scan of abdomen and pelvis without contrast | 94 | 93 | $79 | |
72148 |
Mri scan of lower spinal canal without contrast | 88 | 88 | $66 | |
74018 |
X-ray of abdomen, 1 view | 68 | 59 | $8 | |
71046 |
X-ray of chest, 2 views | 66 | 66 | $10 |
In context: peer comparison
Among 11 peers in Mishawaka Diagnostic Radiology Physician, average services per provider: 105. This provider delivers 42× the peer median.Open Payments
Industry payments received
All-time total
$1,682
Transactions
10
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Ge Healthcare | 10 | $1,681.92 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
30
Patients
26
Total drug cost
$202
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Methylprednisolone | Generic | 30 | 26 | $202 |
Hospital affiliations
Frequently asked questions
What is Dr. Michael Grantham's medical specialty?
Dr. Michael Grantham practices Diagnostic Radiology Physician in Mishawaka, IN.
Where does Dr. Michael Grantham practice?
Dr. Michael Grantham practices at 620 W Edison RD, Mishawaka, IN 465452784. Office phone: 5742581100.
What is Dr. Michael Grantham's NPI?
Dr. Michael Grantham's National Provider Identifier (NPI) is 1649264342, issued by NPPES.
Does Dr. Michael Grantham accept Medicare assignment?
Yes. Dr. Michael Grantham accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Michael Grantham commonly perform?
Top Medicare-reported procedures in 2023: X-ray of chest, 1 view (HCPCS 71045); Ct scan head or brain without contrast (HCPCS 70450); Ct scan of abdomen and pelvis with contrast (HCPCS 74177). Source: CMS Medicare Physician & Other Practitioners file.