2026 NPPES data Critical Care Medicine (Internal Medicine) Physician NPI 1548261274 MD
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ROBERT GRASSESCHI, MD

Critical Care Medicine (Internal Medicine) Physician in GREAT FALLS, Montana. 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
369
Medicare Part D claims · 53 beneficiaries · Critical Care Medicine (Internal Medicine) Physician avg: 1K
Generic prescribing
56%
generic claims · 44% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
80.4662/100
▼ 3 pts below national avg 83.1 · [object Object]
Industry payments
$96.1
5 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

ROBERT GRASSESCHI, MD reported a CMS MIPS final score of 80.4662/100 — below the 83.1 national average — and filed 369 Medicare Part D claims in 2023.

80.4662/100
MIPS score · -3 vs avg
369
Part D claims, 2023
56%
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.

ROBERT GRASSESCHI, MD's MIPS score vs every scored U.S. clinician

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

80 33rd percentile higher than 33% 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%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 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)

ROBERT GRASSESCHI, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — 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 ROBERT GRASSESCHI, MD?

Near national average

NPI registry status

Active

Issued 08/03/2005

NPI 1548261274

Primary specialty

Critical Care Medicine (Internal Medicine) Physician

Mid-sized

6,631 US NPIs in this specialty

Medicare Part D claims

369 65% vs specialty avg

2023 prescription claims

Specialty avg: 1,069

MIPS final score

80.4662/100 2.6337999999999937% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Montana

How Critical Care Medicine (Internal Medicine) Physician compares to other specialties among Montana providers

Montana providers

Critical Care Medicine (Internal Medicine) Physician share within Montana

1. Critical Care Medicine (Internal Medicine) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Critical Care Medicine (Internal Medicine) Physician share within Montana

Medicare quality performance — MIPS

ROBERT GRASSESCHI, MD's 2023 MIPS final score plotted against the Critical Care Medicine (Internal Medicine) Physician national average

Near national average
MIPS Final Score
80.4662/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Critical Care Medicine (Internal Medicine) Physician) — 80.4662/100 vs national avg 83.1

0%100%National avg83%80.5%
MIPS final score (Critical Care Medicine (Internal Medicine) Physician) — 80.4662/100 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).

ROBERT GRASSESCHI, MD is a Critical Care Medicine (Internal Medicine) Physician provider practicing in GREAT FALLS, Montana, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1548261274. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

ROBERT GRASSESCHI, MD appears in the CMS NPPES registry as a Critical Care Medicine (Internal Medicine) Physician provider holding MD credentials at 1401 25TH ST S STE 4, GREAT FALLS, MT, 59405, with a listed phone of (406) 455-4300. NPI 1548261274 was issued on 08/03/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GRASSESCHI 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 369 prescription claims written by this provider, covering 53 Medicare beneficiaries and totaling roughly $95K in drug spend, split 44% brand-name and 56% generic by claim count. 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 80.4662/100 for the 2023 performance year (Quality 93.1081, Cost 62.6125), compared with the national average of 83.1.

Critical Care Medicine (Internal Medicine) Physician is a mid-sized specialty nationwide, with 6,631 enrolled providers across 53 states and an average of 1,069 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

1401 25TH ST S STE 4
GREAT FALLS, MT 59405

Provider Details

NPI 1548261274
Specialty Critical Care Medicine (Internal Medicine) Physician
Credentials MD
Gender Male
NPI Issued 08/03/2005

CMS Quality Score (MIPS)

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

80.4662
Final Score
Avg: 83.1
93.1081
Quality
62.6125
Cost
75
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where ROBERT GRASSESCHI, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

BENEFIS HOSPITALS INC
★★☆☆☆ 2/5
GREAT FALLS, MT
Acute Care Hospitals
CMS CCN: 270012

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

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 ROBERT GRASSESCHI, MD. Source: openpaymentsdata.cms.gov.

Total received

$96

Largest payer

GlaxoSmithKline, LLC.

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.

Brand vs generic prescribing mix · Above average

ROBERT GRASSESCHI, MD — brand share 44.0%
Specialty average (est.)

44% brand-name claims vs 56% generic, on 369 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.

369
Total Claims
$95K
Total Drug Cost
53
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
485
Total Day Supply
13,237
Brand vs Generic
44% brand / 56% generic
Brand Drug Cost
$75K
Generic Drug Cost
$20K
Antibiotic Claims
47

Patient Demographics

Average Patient Age
72.4 years
Avg HCC Risk Score
2.09
Gender Split
57% female / 43% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Ventolin Hfa
Albuterol Sulfate
36
Azithromycin
35
Advair Diskus
Fluticasone Propion/Salmeterol
22
Azelastine Hcl
19
Albuterol Sulfate Hfa
Albuterol Sulfate
17
Anoro Ellipta
Umeclidinium Brm/Vilanterol Tr
17
Trelegy Ellipta
Fluticasone/Umeclidin/Vilanter
17
Prednisone
14
Pirfenidone
12
Spiriva Handihaler
Tiotropium Bromide
12

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

Critical Care Medicine (Internal Medicine) Physician Overview

How ROBERT GRASSESCHI, MD fits within the Critical Care Medicine (Internal Medicine) Physician landscape nationally.

6,631
Critical Care Medicine (Internal Medicine) Physician Providers in US
53
States with Critical Care Medicine (Internal Medicine) Physician
1,069
Avg Claims per Provider

ROBERT GRASSESCHI, MD's 369 claims are below the specialty average of 1,069.

Nearby Critical Care Medicine (Internal Medicine) Physician Providers in Montana

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

Compare Critical Care Medicine (Internal Medicine) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ROBERT GRASSESCHI, MD's specialty?
ROBERT GRASSESCHI, MD specializes in Critical Care Medicine (Internal Medicine) Physician and practices in GREAT FALLS, Montana. Credentials: MD.
How much does ROBERT GRASSESCHI, MD prescribe under Medicare Part D?
In 2023, ROBERT GRASSESCHI, MD wrote 369 Medicare Part D claims totaling $95K in drug costs for 53 beneficiaries.
What is ROBERT GRASSESCHI, MD's Medicare quality score?
ROBERT GRASSESCHI, MD has a CMS MIPS Final Score of 80.4662/100 (Quality: 93.1081, Cost: 62.6125). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ROBERT GRASSESCHI, MD located?
ROBERT GRASSESCHI, MD is located at 1401 25TH ST S STE 4, GREAT FALLS, MT, 59405. Phone: (406) 455-4300.
What is ROBERT GRASSESCHI, MD's NPI number?
ROBERT GRASSESCHI, MD's National Provider Identifier (NPI) is 1548261274, issued on 08/03/2005.
Does ROBERT GRASSESCHI, MD prescribe more brand-name or generic drugs?
ROBERT GRASSESCHI, MD's prescribing is 44% brand-name and 56% generic drugs by claim count, with $75K in brand drug costs.
How many Critical Care Medicine (Internal Medicine) Physician providers are there in the US?
There are 6,631 Critical Care Medicine (Internal Medicine) Physician providers across 53 states in the US. The average Critical Care Medicine (Internal Medicine) Physician provider writes 1,069 Medicare Part D claims per year.
What drugs does ROBERT GRASSESCHI, MD prescribe most often?
Based on 2023 Medicare Part D data, ROBERT GRASSESCHI, MD's most frequently prescribed drugs include Ventolin Hfa, Azithromycin, Advair Diskus. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ROBERT GRASSESCHI, MD accept Medicare?
ROBERT GRASSESCHI, MD appears in CMS Medicare data with 369 Part D claims and 53 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ROBERT GRASSESCHI, MD's credentials?
ROBERT GRASSESCHI, MD's NPI is 1548261274 with credentials MD. 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