Grant Michael Wallenfelsz, MD
NPI 1194353318ActiveIndividual· Emergency Medicine· Agana Heights, GU
Emergency Medicine (MD) in Agana Heights, Guam, trained at Florida State University College of Medicine (class of 2020). Medicare paid $2,730 for services to 20 patients in 2024.
Overview
| NPI | 1194353318 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Apr 1, 2020 |
| Last updated in NPPES | Oct 2, 2025 |
| Certified by provider | Oct 2, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine Primary | 207P00000X | T3715 | TX |
| Emergency Medicine | 207P00000X | A187218 | CA |
| Emergency Medicine | 207P00000X | M-2480 | GU |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Emergency Medicine (CA); Practitioner - Emergency Medicine (GU) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 20 |
|---|---|
| Services billed | 34 across 7 procedure codes |
| Paid by Medicare | $2,730 |
Education and affiliations
| Medical school | Florida State University College of Medicine |
|---|---|
| Graduation year | 2020 |
| Medicare specialty | Emergency Medicine |
Medical group
- Guam Healthcare Development IncorporatedDededo, GU · 207 clinicians
Hospital affiliation
- Guam Regional Medical CityDededo, GU
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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