2026 NPPES data Specialist NPI 1881664795 M.D.
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Robert Grumbach, M.D.

Specialist in Rock Hill, South Carolina.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 69,608 in Specialist, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
490
Medicare Part D claims · 106 beneficiaries · Specialist avg: 1K
Generic prescribing
85%
generic claims · 15% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
83/100
▼ 0 pts below national avg 83.1 · Above neutral
Industry payments
$531.72
29 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Robert Grumbach, M.D. reported a CMS MIPS final score of 83/100 - below the 83.1 national average - and filed 490 Medicare Part D claims in 2023.

83/100
MIPS score · 0 vs avg
490
Part D claims, 2023
85%
generic prescribing
$531.72
industry payments (Sunshine Act)

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 Grumbach, M.D.'s MIPS score vs every scored U.S. clinician

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

83 42nd percentile higher than 42% 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+: 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

Where Robert Grumbach, M.D. sits

This provider among specialist peers

Across the 4,869 specialist providers who report both Medicare Part D prescribing and a MIPS quality score, Robert Grumbach, M.D. writes more Part D claims than 37% of them and scores higher on MIPS quality than 54% - placing this provider in the lower-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Part D claim volume vs MIPS quality, by specialty percentile

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.148.372.496.6Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 25Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 60Robert Grumbach, M.D.-Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 54
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one specialist peer from a representative sample of 60; the gold marker is Robert Grumbach, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

What does the federal data show about Robert Grumbach, M.D.?

Near national average

NPI registry status

Active

Issued 01/24/2006

NPI 1881664795

Primary specialty

Specialist

High-volume

69,608 US NPIs in this specialty

Medicare Part D claims

490 67% vs specialty avg

2023 prescription claims

Specialty avg: 1,474

MIPS final score

83/100 0.1 pts vs avg

Above neutral band

vs 83.1 national avg

Specialty distribution in South Carolina

How Specialist compares to other specialties among South Carolina providers

South Carolina providers
Pharmacist - 6.2%Pharmacist6.2%Mental Health Counselor - 5.1%Mental Health Counselor5.1%Family Nurse Practitioner - 4.6%Family Nurse Practitioner4.6%Physical Therapist - 4.5%Physical Therapist4.5%Behavior Technician - 3.8%Behavior Technician3.8%Speech-Language Pathologist - 3.7%Speech-Language Pathologist3.7%Specialist - 0.6%Specialist0.6%
Largest specialties in South Carolina (% of in-state providers)

Medicare quality performance, MIPS

Robert Grumbach, M.D.'s 2023 MIPS final score plotted against the Specialist national average

Near national average
MIPS Final Score
83/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Specialist) - 83/100 vs national avg 83.1

0%100%National avg83%83%
MIPS final score (Specialist) - 83/100 vs national avg 83.1
How MIPS and board certification work

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 Grumbach, M.D. appears in the CMS NPPES registry as a Specialist provider holding M.D. credentials at 222 HERLONG AVE S, Rock Hill, SC, 29732, with a listed phone of (803) 329-1234. NPI 1881664795 was issued on 01/24/2006.

Medicare Part D records for calendar year 2023 show 490 prescription claims written by this provider, covering 106 Medicare beneficiaries and totaling roughly $34K in drug spend, split 15% brand-name and 85% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 83/100 for the 2023 performance year (Quality 80.5, Cost 72.2), compared with the national average of 83.1.

Specialist is a high-volume specialty nationwide, with 69,608 enrolled providers across 55 states and an average of 1,474 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

222 HERLONG AVE S
Rock Hill, SC 29732

Provider Details

NPI 1881664795
Specialty Specialist
Credentials M.D.
Gender Male
NPI Issued 01/24/2006

CMS Quality Score (MIPS)

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

83.0384
Final Score
Avg: 83.1
80.4541
Quality
72.1739
Cost
89
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Robert Grumbach, M.D. 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.

Lexington Health Inc
West Columbia, SC

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 Grumbach, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$532

Largest payer

Astellas Pharma US 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.

Brand vs generic prescribing mix · Typical

Robert Grumbach, M.D. - brand share 15.0%
Specialist average

15% brand-name claims vs 85% generic, on 490 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.

490
Total Claims
$34K
Total Drug Cost
106
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
809
Total Day Supply
21,220
Brand vs Generic
15% brand / 85% generic
Brand Drug Cost
$22K
Generic Drug Cost
$12K
Antibiotic Claims
16

Patient Demographics

Average Patient Age
70.6 years
Avg HCC Risk Score
0.82
Gender Split
100% female / 0% male

Top Prescribed Drugs (Medicare Part D)

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

What Robert Grumbach, M.D. 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
Fluconazole
54
Clobetasol Propionate
33
Estradiol
22
Tolterodine Tartrate Er
Tolterodine Tartrate
21
Terconazole
20
Paroxetine Hcl
19
Alendronate Sodium
17
Medroxyprogesterone Acetate
14
Omeprazole
14
Sertraline Hcl
14

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

Specialist Overview

How Robert Grumbach, M.D. fits within the Specialist landscape nationally.

69,608
Specialist Providers in US
55
States with Specialist
1,474
Avg Claims per Provider

Robert Grumbach, M.D.'s 490 claims are below the specialty average of 1,474.

Nearby Specialist Providers in South Carolina

Other clinicians with the same primary specialty enrolled in South Carolina, drawn from the same CMS NPPES roster as Grumbach.

Compare Specialist nationally: see state-by-state distribution →

Before you book an appointment

Use this federal record as your verification checklist, not as a recommendation.

  • Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
  • Check the active license and any disciplinary history with the South Carolina medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Specialist peer on Medicare volume and prescribing patterns. Compare providers

Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.

Frequently Asked Questions

What is Robert Grumbach, M.D.'s specialty?
Robert Grumbach, M.D. specializes in Specialist and practices in Rock Hill, South Carolina. Credentials: M.D..
How much does Robert Grumbach, M.D. prescribe under Medicare Part D?
In 2023, Robert Grumbach, M.D. wrote 490 Medicare Part D claims totaling $34K in drug costs for 106 beneficiaries.
What is Robert Grumbach, M.D.'s Medicare quality score?
Robert Grumbach, M.D. has a CMS MIPS Final Score of 83/100 (Quality: 80.5, Cost: 72.2). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Robert Grumbach, M.D. located?
Robert Grumbach, M.D. is located at 222 HERLONG AVE S, Rock Hill, SC, 29732. Phone: (803) 329-1234.
What is Robert Grumbach, M.D.'s NPI number?
Robert Grumbach, M.D.'s National Provider Identifier (NPI) is 1881664795, issued on 01/24/2006.
Does Robert Grumbach, M.D. prescribe more brand-name or generic drugs?
Robert Grumbach, M.D.'s prescribing is 15% brand-name and 85% generic drugs by claim count, with $22K in brand drug costs.
How many Specialist providers are there in the US?
There are 69,608 Specialist providers across 55 states in the US. The average Specialist provider writes 1,474 Medicare Part D claims per year.
What drugs does Robert Grumbach, M.D. prescribe most often?
Based on 2023 Medicare Part D data, Robert Grumbach, M.D.'s most frequently prescribed drugs include Fluconazole, Clobetasol Propionate, Estradiol. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Robert Grumbach, M.D. accept Medicare?
Robert Grumbach, M.D. appears in CMS Medicare data with 490 Part D claims and 106 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Robert Grumbach, M.D.'s credentials?
Robert Grumbach, M.D.'s NPI is 1881664795 with credentials M.D.. 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

View source datasets and methodology notes
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

Compiled from official public sources by the PlainDoctor editorial team.

Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.