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 this city , 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 |