2026 NPPES data Urology Physician NPI 1821157033 D.O.
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JOHN GRIMALDI, D.O.

Urology Physician in CHULA VISTA, California. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
5K
Medicare Part D claims · 1K beneficiaries · Urology Physician avg: 1K
Generic prescribing
99%
generic claims · 1% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
75/100
▼ 8 pts below national avg 83.1 · [object Object]
Industry payments
$229.49
6 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

JOHN GRIMALDI, D.O. reported a CMS MIPS final score of 75/100 — below the 83.1 national average — and filed 5,265 Medicare Part D claims in 2023.

75/100
MIPS score · -8 vs avg
5K
Part D claims, 2023
99%
generic prescribing
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

JOHN GRIMALDI, D.O.'s MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

75 15th percentile higher than 15% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Board certification likely (heuristic — not verified)

JOHN GRIMALDI, D.O. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about JOHN GRIMALDI, D.O.?

Below national average

NPI registry status

Active

Issued 12/06/2006

NPI 1821157033

Primary specialty

Urology Physician

Mid-sized

13,350 US NPIs in this specialty

Medicare Part D claims

5,265 311% vs specialty avg

2023 prescription claims

Specialty avg: 1,280

MIPS final score

75/100 8.099999999999994% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in California

How Urology Physician compares to other specialties among California providers

California providers

Urology Physician share within California

1. Urology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Urology Physician share within California

Medicare quality performance — MIPS

JOHN GRIMALDI, D.O.'s 2023 MIPS final score plotted against the Urology Physician national average

Below national average
MIPS Final Score
75/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Urology Physician) — 75/100 vs national avg 83.1

0%100%National avg83%75%
MIPS final score (Urology Physician) — 75/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

JOHN GRIMALDI, D.O. appears in the CMS NPPES registry as a Urology Physician provider holding D.O. credentials at 450 4TH AVE, CHULA VISTA, CA, 91910, with a listed phone of (619) 420-0201. NPI 1821157033 was issued on 12/06/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GRIMALDI most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 5,265 prescription claims written by this provider, covering 1,214 Medicare beneficiaries and totaling roughly $296K in drug spend, split 1% brand-name and 99% generic by claim count, with an opioid prescribing rate of 10.4%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 75/100 for the 2023 performance year, compared with the national average of 83.1.

Urology Physician is a mid-sized specialty nationwide, with 13,350 enrolled providers across 54 states and an average of 1,280 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

450 4TH AVE
CHULA VISTA, CA 91910

Provider Details

NPI 1821157033
Specialty Urology Physician
Credentials D.O.
Gender Male
NPI Issued 12/06/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

75
Final Score
Avg: 83.1

Reporting: Individual

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for JOHN GRIMALDI, D.O.. Source: openpaymentsdata.cms.gov.

Total received

$229

Largest payer

Medtronic, Inc.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context — California MBC 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~150K California medical licensees in 2023 — they are NOT specific to JOHN GRIMALDI, D.O.. To verify JOHN GRIMALDI, D.O.'s current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

JOHN GRIMALDI, D.O. — brand share 1.0%
Specialty average (est.)

1% brand-name claims vs 99% generic, on 5,265 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

5,265
Total Claims
$296K
Total Drug Cost
1,214
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
9,314
Total Day Supply
212,183
Brand vs Generic
1% brand / 99% generic
Brand Drug Cost
$130K
Generic Drug Cost
$165K
Opioid Claims
550 (10.4% rate)
Antibiotic Claims
929

Patient Demographics

Average Patient Age
74.5 years
Avg HCC Risk Score
1.83
Gender Split
25% female / 75% male
Age Distribution
<65: 78, 65-74: 536, 75-84: 455, 85+: 145

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What JOHN GRIMALDI, D.O. prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Tamsulosin Hcl
1,019
Sulfamethoxazole-Trimethoprim
Sulfamethoxazole/Trimethoprim
688
Estradiol
582
Zolpidem Tartrate
542
Ibuprofen
528
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
478
Finasteride
370
Oxybutynin Chloride
267
Bicalutamide
83
Ciprofloxacin Hcl
80

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Urology Physician Overview

How JOHN GRIMALDI, D.O. fits within the Urology Physician landscape nationally.

13,350
Urology Physician Providers in US
54
States with Urology Physician
1,280
Avg Claims per Provider

JOHN GRIMALDI, D.O.'s 5,265 claims are above the specialty average of 1,280.

Nearby Urology Physician Providers in California

Other clinicians with the same primary specialty enrolled in California, drawn from the same CMS NPPES roster as GRIMALDI.

Compare Urology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JOHN GRIMALDI, D.O.'s specialty?
JOHN GRIMALDI, D.O. specializes in Urology Physician and practices in CHULA VISTA, California. Credentials: D.O..
How much does JOHN GRIMALDI, D.O. prescribe under Medicare Part D?
In 2023, JOHN GRIMALDI, D.O. wrote 5,265 Medicare Part D claims totaling $296K in drug costs for 1,214 beneficiaries.
What is JOHN GRIMALDI, D.O.'s Medicare quality score?
JOHN GRIMALDI, D.O. has a CMS MIPS Final Score of 75/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JOHN GRIMALDI, D.O. located?
JOHN GRIMALDI, D.O. is located at 450 4TH AVE, CHULA VISTA, CA, 91910. Phone: (619) 420-0201.
What is JOHN GRIMALDI, D.O.'s NPI number?
JOHN GRIMALDI, D.O.'s National Provider Identifier (NPI) is 1821157033, issued on 12/06/2006.
Does JOHN GRIMALDI, D.O. prescribe more brand-name or generic drugs?
JOHN GRIMALDI, D.O.'s prescribing is 1% brand-name and 99% generic drugs by claim count, with $130K in brand drug costs.
Does JOHN GRIMALDI, D.O. prescribe opioids?
Yes, JOHN GRIMALDI, D.O. had 550 opioid claims in 2023 with an opioid prescribing rate of 10.4%.
How many Urology Physician providers are there in the US?
There are 13,350 Urology Physician providers across 54 states in the US. The average Urology Physician provider writes 1,280 Medicare Part D claims per year.
What drugs does JOHN GRIMALDI, D.O. prescribe most often?
Based on 2023 Medicare Part D data, JOHN GRIMALDI, D.O.'s most frequently prescribed drugs include Tamsulosin Hcl, Sulfamethoxazole-Trimethoprim, Estradiol. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JOHN GRIMALDI, D.O. accept Medicare?
JOHN GRIMALDI, D.O. appears in CMS Medicare data with 5,265 Part D claims and 1,214 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOHN GRIMALDI, D.O.'s credentials?
JOHN GRIMALDI, D.O.'s NPI is 1821157033 with credentials D.O.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology