Dr. David Roger Grech, MD

Dr. Grech practices at First Coast Heart & Vascular Center, P.a. in Palm Coast, Florida.

Dr. Grech's NPI, 1336128792, was assigned on January 13, 2006. Dr. Grech graduated from University Of Michigan Medical School in 1986. Dr. Grech holds Florida license ME99750.

Dr. Grech's primary practice is First Coast Heart & Vascular Center, P.a., at 14 Office Park Dr, Palm Coast, FL 32137. The practice phone is (904) 423-0010.

Dr. Grech's primary practice is First Coast Heart & Vascular Center, P.a. in Palm Coast, Florida. Dr. Grech is also affiliated with AdventHealth Palm Coast. The medical group on file is UF Health Physicians. Dmand AI also links Dr. Grech to 3 more hospitals, 2 medical groups and 1 group practice or clinic, each named with a free account.

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Grech practices, 6 sites in all. Vendor and product names are available with a free account.

Cardiovascular disease is Dr. Grech's primary specialty in the NPI Registry, under taxonomy code 207RC0000X. Dr. Grech is board certified in cardiovascular disease by the American Board of Internal Medicine. Dmand AI has Dr. Grech's licenses on file in 3 states: Florida, Ohio and Rhode Island.

Dmand AI lists aneurysm, aortic atherosclerois, arterial blot clot /embolism, atrial fibrillation and flutter, cardiomyopathy, cerebrovascular disease, chronic hypertension and chronic skin ulcer among the conditions Dr. Grech treats.

CMS data shows 3,542 Medicare services from Dr. Grech across 29 procedure codes in 2024, for 1,609 Medicare patients. Medicare paid $287,473 for them.

CMS counts 1,609 Medicare patients who saw Dr. Grech in 2024. The largest group is 75 to 84, with 684 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 8% are also on Medicaid. Their average risk score is 1.54, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.

Across all payers, Dmand AI patient panel data puts Dr. Grech's median patient age at 75, with 46% women.

In 2024, Dr. Grech wrote 4,051 Medicare Part D claims for 816 patients. 83% of them were for generic drugs. CMS names the drug for 3,785 of them, across 54 drugs with 11 or more claims each, at $766,094 in total drug cost. In 2023, CMS named 3,721 claims across 49 drugs.

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 82 out of 100 for Dr. Grech for performance year 2024, reported through an alternative payment model (APM). Dr. Grech accepts Medicare assignment, so Medicare's approved amount is taken as full payment.

CMS Open Payments shows 288 general payments to Dr. Grech from 41 drug and device companies from 2016 to 2025. Food and beverage make up the largest share, 99% of the total. Bristol-Myers Squibb Company paid the most, $1,195.

Dmand AI lists 1 award for Dr. Grech, most recently CMS Stage 1 2012 in 2012.

Dr. Grech graduated from University Of Michigan Medical School in 1986. Dr. Grech is a member of ACC.

Dr. Grech is in network with 16 carriers, including Elevance, Aetna and Excellus BlueCross BlueShield. Medicare plans come from the most carriers, 11. Check the plan with the practice before a visit.