Dr. James Gratton, MD

  • Brownsville, TX
  • Emergency medicine physician
NPI1306279864PAC ID1557655362
Medicare services, 2024
257
Medicare patients, 2024
218
Part D claims, 2024
634
MIPS score, 2024
86
Hospital affiliations
4
Practice address
100 a Alton Gloor, Brownsville, TX 78526
Practice phone
Call (956) 350-7000
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

Valley Regional Medical Center

Hospital · Brownsville, Texas

See all 21 affiliations

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Dr. James Gratton is an emergency medicine physician in Brownsville, Texas

Dr. Gratton practices at Valley Regional Medical Center in Brownsville, Texas, part of HCA Healthcare.

Dr. Gratton's NPI, 1306279864, was assigned on August 19, 2013. Dr. Gratton graduated from Ross University School of Medicine in 2012. Dr. Gratton holds Puerto Rico license 29593-R.

NPI and contact details
Medicare PAC ID
1557655362
NPI enumeration date
August 19, 2013
NPI status
Active
Accepts Medicare assignment
Yes
Practice phone
(956) 350-7000
Professional email
Get email
Personal email
Get email
Mobile number
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Sex
Male
Estimated age
40
Medical school graduation
2012

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)

Dr. James Gratton practices at Valley Regional Medical Center in Brownsville, Texas

Dr. Gratton's primary practice is Valley Regional Medical Center, at 100 a Alton Gloor, Brownsville, TX 78526 in Cameron County. The practice phone is (956) 350-7000.

Source: Dmand AI Affiliation Data

Dr. James Gratton is affiliated with 9 sites of care and 12 medical groups

Dr. Gratton's primary practice is Valley Regional Medical Center in Brownsville, Texas, part of HCA Healthcare. Dr. Gratton is also affiliated with South Texas Health System Edinburg. The medical group on file is Emergency Medicine Services of TX, PLLC. Dmand AI also links Dr. Gratton to 2 more hospitals, 11 medical groups and 5 group practices and clinics, each named with a free account.

See all 21 affiliations for Dr. Gratton

Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data

Dmand AI tracks the EHR system at Dr. James Gratton's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Gratton practices, 9 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Valley Regional Medical CenterAvailable with a free account
+8 more sites and 11 medical groupsAvailable with a free account

Source: Dmand AI Technology Install Data

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Dr. James Gratton is one of 4,831 emergency medicine physicians in Texas

Emergency medicine is Dr. Gratton's primary specialty in the NPI Registry, under taxonomy code 207P00000X. Dr. Gratton is board certified in emergency medicine by the American Board of Emergency Medicine. Dmand AI has Dr. Gratton's licenses on file in 4 states: Puerto Rico, Texas, West Virginia and Louisiana.

Specialties and state licenses

  • Emergency medicine, Puerto RicoPrimaryLicense 29593-R · taxonomy 207P00000X
  • Texas license2017 to 2025
  • West Virginia license2016 to 2024
  • Louisiana license2016 to 2017

Emergency medicine physicians near Dr. Gratton

Counts of emergency medicine physicians with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Dr. James Gratton billed Medicare for 257 services in 2024

CMS data shows 257 Medicare services from Dr. Gratton across 3 procedure codes in 2024, for 218 Medicare patients. Medicare paid $26,836 for them. Every service was in a facility, such as a hospital, rather than an office.

Medicare services, 2024257
Medicare patients218
Paid by Medicare$26,836
Procedure codes3

Dr. Gratton's Medicare services by type, 2023 to 2024

  • 2023
  • 2024
Office and hospital visits
2023: 2372024: 2188%
Tests and treatments
2023: 992024: 3961%

Dr. Gratton compared with the Texas median for emergency medicine physicians, 2024

  • Dr. Gratton
  • Texas median
Medicare services
257vs 22514% above
Medicare patients
218vs 2066% above
Part D claims
518vs 747.0 times

Medians across 4,588 emergency medicine physicians in Texas with Dmand AI profiles that report each measure.

Dr. Gratton's most billed Medicare procedure codes, 2024

CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.

See all procedures by Dr. Gratton

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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks

Dr. James Gratton treated 218 Medicare patients in 2024, average age 74

CMS counts 218 Medicare patients who saw Dr. Gratton in 2024. The largest group is 75 to 84, with 75 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 50% are also on Medicaid. Their average risk score is 2.57, 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. Gratton's median patient age at 51, with 55% women.

Medicare patients, 2024218
Average age74
Average risk score2.57
Also on Medicaid50%

Dr. Gratton's Medicare patients by age, 2024

Dr. Gratton's Medicare patients by sex, 2024

  • Women10850%
  • Men11050%

Chronic conditions among Dr. Gratton's Medicare patients, 2024

  1. High blood pressure75%
  2. High cholesterol75%
  3. Diabetes58%
  4. Chronic kidney disease52%
  5. Arthritis48%
  6. Ischemic heart disease41%
  7. Mood disorders36%
  8. Depression33%

Share of Medicare patients with each condition. A patient can have several.

Dr. Gratton's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 51

Patient panel by sex, all payers

  • Women55%
  • Men45%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Dr. James Gratton wrote 634 Medicare Part D claims in 2024

In 2024, Dr. Gratton wrote 634 Medicare Part D claims for 379 patients. 94% of them were for generic drugs. CMS names the drug for 518 of them, across 9 drugs with 11 or more claims each, at $3,156 in total drug cost. In 2023, CMS named 562 claims across 12 drugs.

Part D claims, 2024634
Drugs named by CMS9
Total drug cost$3,156
Part D patients379

Dr. Gratton's Part D claims by kind of drug, 2024

  • Generic595 claims94%
  • Brand-name39 claims6%

Dr. Gratton's most prescribed drugs by claims, 2024

CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.

Drug classes CMS tracks in Dr. Gratton's Part D claims, 2024

  • Antibiotics19%121 of 634 claims

Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.

Part D claims for drugs CMS names, 2023 to 2024

  • 2023
  • 2024
Claims for drugs CMS names
2023: 5622024: 5188%

Drugs named by CMS: 9 in 2024, 12 in 2023.

See all prescribing by Dr. Gratton

Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data

Dr. James Gratton scored 86 out of 100 in Medicare's MIPS program for 2024

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 86 out of 100 for Dr. Gratton for performance year 2024, reported as part of a group. Dr. Gratton accepts Medicare assignment, so Medicare's approved amount is taken as full payment.

Accepts Medicare assignment
Yes

Dr. Gratton's MIPS scores, performance year 2024

  • 86of 100Final score
  • 73.3of 100Quality
  • 40of 100Improvement Activities

Each score is out of 100. The final score weighs the categories CMS scored for this clinician.

Sources: Doctors and Clinicians National Downloadable File (CMS); and Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026

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Dr. James Gratton received $15 in industry payments in 2021

CMS Open Payments shows 1 general payment to Dr. Gratton from 1 drug or device company in 2021. Food and beverage make up the largest share, 100% of the total. Acist Medical Systems, Inc. paid the most, $15.

Companies that paid Dr. Gratton the most, 2021 to 2021

Share is of all general payments to this clinician.

See all payments to Dr. Gratton

Source: Open Payments (CMS), 2025 data, released July 7, 2026

Dr. James Gratton graduated from Ross University School of Medicine

Dr. Gratton graduated from Ross University School of Medicine in 2012.

  1. Medical schoolRoss University School of Medicine
  2. Board certified in emergency medicineAmerican Board of Emergency Medicine

Source: Dmand AI Professional Profile Data

Dr. James Gratton accepts plans from 23 insurance carriers

Dr. Gratton is in network with 23 carriers, including Aetna, Blue Cross Blue Shield of Michigan and Elevance. PPO plans come from the most carriers, 12. Check the plan with the practice before a visit.

  • Aetna
  • Blue Cross Blue Shield of Michigan
  • Elevance
  • United Healthcare
  • HCSC
  • Alliant Health Plans
  • Blue Cross Blue Shield of Massachusetts
  • Molina
  • +15 more carriersWith a free account

Plan types Dr. Gratton accepts, by number of carriers

  1. PPO12
  2. HMO10
  3. Medicare8
  4. POS5
  5. Medicaid4
  6. EPO3

Source: Dmand AI Insurance Network Data

Sources for Dr. James Gratton's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneDmand AI Affiliation Data
Primary practice, affiliations and health systemDmand AI Affiliation DataDmand AI Org Hierarchy Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)
Industry paymentsOpen Payments (CMS) (opens in a new tab)
Training, board certification and membershipsDmand AI Professional Profile Data
Insurance carriers and plan typesDmand AI Insurance Network Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Dr. James Gratton

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Dr. James Gratton's NPI number?

Dr. James Gratton's NPI number is 1306279864. It was assigned on August 19, 2013, and it is active in the NPI Registry.

What kind of doctor is Dr. James Gratton?

Dr. James Gratton is an emergency medicine physician in Brownsville, Texas. The primary specialty in the NPI Registry is Emergency Medicine Physician (taxonomy code 207P00000X).

Where does Dr. James Gratton practice?

Dr. Gratton practices at 100 a Alton Gloor, Brownsville, TX 78526. Dr. Gratton's primary practice is Valley Regional Medical Center in Brownsville, Texas, part of HCA Healthcare. Dmand AI also links Dr. Gratton to 2 hospitals, 11 medical groups and 5 group practices and clinics.

What is Dr. James Gratton's office phone number?

The practice phone on file for Dr. Gratton is (956) 350-7000.

What is Dr. James Gratton's medical license number?

Dr. Gratton holds Puerto Rico license 29593-R, one of the licenses on file in 4 states.

Which states has Dr. James Gratton been licensed in?

Dmand AI has state licenses on file for Dr. Gratton in Puerto Rico, Texas (2017 to 2025), West Virginia (2016 to 2024) and Louisiana (2016 to 2017).

Which hospitals is Dr. James Gratton affiliated with?

Dr. Gratton practices at Valley Regional Medical Center in Brownsville, Texas. Dr. Gratton is also affiliated with South Texas Health System Edinburg. Dmand AI links Dr. Gratton to 2 more hospitals.

What medical group is Dr. James Gratton part of?

Dr. Gratton is linked to Emergency Medicine Services of TX, PLLC. Dmand AI links Dr. Gratton to 11 more medical groups.

Does Dr. James Gratton accept Medicare?

Yes. CMS data shows Dr. Gratton billed Medicare for 257 services in 2024, and Dr. Gratton accepts Medicare assignment.

What is Dr. James Gratton's MIPS score?

Dr. Gratton's MIPS final score for performance year 2024 is 86 out of 100, reported as part of a group.

Show 8 more questionsShow fewer questions

How many Medicare patients does Dr. James Gratton see?

CMS counts 218 Medicare patients who saw Dr. Gratton in 2024, with an average age of 74.

Is Dr. James Gratton board certified?

Yes. Dr. Gratton is board certified in emergency medicine by the American Board of Emergency Medicine.

What services does Dr. James Gratton bill to Medicare?

In 2024, Dr. Gratton's most billed Medicare services were emergency department visit (99285), emergency department visit (99284) and heart test or procedure (93010).

Where did Dr. James Gratton go to medical school?

Dr. Gratton graduated from Ross University School of Medicine in 2012.

What drugs does Dr. James Gratton prescribe most?

In 2024 Medicare Part D data, Dr. Gratton's most prescribed drugs by claims were Ibuprofen, Famotidine and Cephalexin.

Has Dr. James Gratton received payments from drug or device companies?

CMS Open Payments shows $15 in general payments to Dr. Gratton from 1 company from 2021 to 2021. The largest total came from Acist Medical Systems, Inc.

How long has Dr. James Gratton been practicing?

Dr. Gratton graduated from medical school in 2012, 14 years ago.

What insurance does Dr. James Gratton accept?

Dr. Gratton is in network with 23 carriers, including Aetna, Blue Cross Blue Shield of Michigan and Elevance. PPO plans come from the most carriers, 12. Check the plan with the practice before a visit.

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