What is Derald Grice's specialty?

Derald Grice (NPI 1780656256) is a Medicare-billing provider whose primary specialty is Physical Medicine and Rehabilitation in Charlottesville, VA.

Where does Derald Grice practice?

Derald Grice practices in Charlottesville, VA, based on the location reported in the CMS Medicare provider datasets for NPI 1780656256.

How much does Medicare pay Derald Grice?

Derald Grice (NPI 1780656256) received approximately $116K in total Medicare Part B payments, serving 427 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1780656256

Derald GriceMD

Physical Medicine and RehabilitationCharlottesville, VAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

727

Unique beneficiaries

—

Total services

1,176

Distinct HCPCS

Medicare payment

$108K

Peer benchmark

Total Medicare services vs. 206 Physical Medicine and Rehabilitation providers in VA — above median (cohort median 1,250).

PRESCRIBING · PART D · 2024

Total Rx claims

632

Beneficiaries

—

Total drug cost

$13K

Distinct drugs

Brand share

6.3%

Top prescribed drugs

Tramadol Hcl143 claims

Gabapentin135 claims

Diclofenac Sodium56 claims

Meloxicam53 claims

Baclofen50 claims

QUALITY · MIPS · 2024

Final MIPS score

86.5

Quality

79.8

Cost

75.1

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.48%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2025

No data available for this provider in 2025.

REFERRAL NETWORK

Where Derald Grice's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 13 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
UVA ENCOMPASS HEALTH REHABILITATION HOSPITAL, LLC	64	126
Mark Anderson Diagnostic Radiology · Charlottesville, VA	54	125
MARTHA JEFFERSON HOSPITAL	45	146
AUGUSTA HEALTH CARE, INC	26	97
Geoffrey Smith Physical Medicine and Rehabilitation · Rochester, MN	25	148
NPI 1124029327	24	109
SEFCZEK, ROBERT	20	57
David Rubendall Physical Medicine and Rehabilitation · Charlottesville, VA	20	66
HOWARD, SARA	19	37
Susan Miller Physical Medicine and Rehabilitation · Charlottesville, VA	19	69
BAKER, NINA	14	111
Jay Fertile Diagnostic Radiology · Charlottesville, VA	14	36

Refers patients to

Outbound — where patients go next

No outbound pairs above the suppression threshold.

Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history

Healthparse Signals

Monitor this provider for changes — dated NPI change events