Brian A Grus, MD

Internal Medicine

(636) 344-2400O Fallon, MO
Telehealth Available
NPI Active per CMS — Q2 2026|Medicare Enrolled|Order & Refer

Brian a Grus, MD practices as part of a group internist practice in O Fallon, MO. He graduated from Perelman School of Med at the University of Pennsylvania in 1992 and has 34+ years of clinical experience. He regularly sees Medicare patients with hypertension, high cholesterol, and arthritis (per CMS claims data).

At a glance

  • Prescribes opioids less than 27% of reporting doctors in Missouri
  • Uses generic medications more than 54% of reporting doctors in Missouri
  • Virtual visits available — no app or travel required
1 of 239 Internal Medicine providers in MOSee all Internal Medicine in O Fallon34+ years experienceNPI since 2006

Older · 1902dNPPES updated 2021-02-19 · verify on CMS

Contact & Location

Practice Location

20 Progress Point Pkwy Ste 108, O Fallon, MO 63368-2207

CMS Clinical Data

How Does This Doctor Compare?

Based on Medicare data, this doctor prescribes opioid pain medications conservatively, favors affordable generic drugs over brand-name ones.

Opioid Rx

↓ Lower = better

2.9%

Missouri avg: 4.4 · US avg: 5.1

Higher than most doctors nationally(-2.2 pts)

2.9% of this doctor's prescriptions are opioid pain medications. Lower means more cautious prescribing.

Generic Rx

↑ Higher = better

88.6%

Missouri avg: 83.4 · US avg: 82.8

Higher than most doctors nationally(+5.8 pts)

Typical range among reporting doctors in Missouri

How often this doctor prescribes affordable generic drugs instead of expensive brand-name ones.

Medicare Patients

467

Unique beneficiaries

Standard volume

Prescription Recipients

1,079

Patients prescribed

Prescriptions Written

13,997

Total claims

Total Medicare drug cost: $1.14M

Percentile rankings compared against 912 reporting peers in Missouri.

Data Note: Sourced from CMS Medicare Provider Utilization & Payment Data. Percentile rankings compare this provider against all peers with reported data in the same state. Updated annually to reflect the latest federal reporting cycle.

Patient Condition Panel

What This Doctor Treats Most

Based on Medicare claims data — here's what patients commonly see this doctor for

Based on Medicare data, this doctor primarily manages Hypertension, High Cholesterol, and Arthritis.

Hypertension
Lower than avg (-2%)68%

High blood pressure — a leading risk factor for heart disease and stroke

US avg: 70.2%

↓ Fewer patients than average (-2%) — less common here

High Cholesterol
Lower than avg (-12%)58%

Elevated cholesterol or triglycerides that increase heart disease risk

US avg: 70.4%

↓ Fewer patients than average (-12%) — less common here

Arthritis
Lower than avg (-7%)42%

Joint inflammation causing pain, swelling, and stiffness

US avg: 49.3%

↓ Fewer patients than average (-7%) — less common here

Diabetes
Lower than avg (-6%)28%

A condition where the body cannot properly regulate blood sugar levels

US avg: 34.5%

↓ Fewer patients than average (-6%) — less common here

Heart Failure
Higher than avg (+3%)25%

The heart cannot pump blood efficiently enough to meet the body's needs

US avg: 22.5%

↑ More patients than average (+3%) — a focus area for this doctor

Ischemic Heart Disease
Lower than avg (-8%)24%

Reduced blood flow to the heart muscle, commonly known as coronary artery disease

US avg: 31.7%

↓ Fewer patients than average (-8%) — less common here

Mood Disorders
24%

Conditions affecting emotional state, including depression and bipolar disorder

Chronic Kidney Disease
Lower than avg (-8%)22%

Gradual loss of kidney function over time, often linked to diabetes or hypertension

US avg: 29.6%

↓ Fewer patients than average (-8%) — less common here

GeneralBehavioralNational avg

Percentage of this provider's Medicare patients diagnosed with each condition. Source: CMS Utilization Data.

Industry Payment Transparency

$53 received from industry

3 transactions reported in 2024 ·Low tier

View on CMS Open Payments →

Payments include consulting fees, speaking honoraria, food & beverage, travel, research support, and ownership interests from drug and medical device manufacturers. Disclosure is required by the federal Physician Payments Sunshine Act. These payments do not necessarily indicate conflicts of interest. National median: $338 across 136 000 tracked providers.

Tiers — Low: under $500 · Moderate: $500-5 000 · High: $5 000-25 000 · Very High: $25 000+. Source: CMS Open Payments 2024, attributed to Brian a Grus's NPI.

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Background & Specialty

Education, training, and specialty classification from CMS NPPES and Medicare records.

Career Journey
  1. Graduated medical school · 1992

    Perelman School of Medicine at the University of Pennsylvania

  2. Board certified · Feb 18, 2021

    CMS-verified certification date

  3. 34 years in practice

    Senior practitioner

Internal MedicineAllopathic & Osteopathic Physicians

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Taxonomy: 207R00000X

Education & Training

Perelman School of Med at the University of Pennsylvania (Class of 1992)

Virtual Internal Medicine Care With Brian a Grus

NPPES records indicate this provider offers telehealth services. Contact the office to confirm availability and scheduling.

Schedule a virtual visit with Brian a Grus for blood pressure monitoring, cholesterol management, arthritis follow-ups — no travel to O Fallon required. The office sends a secure video link before your appointment. Most visits take 15–30 minutes. Medicare enrolled per CMS records.

Frequently Asked Questions

Common questions about Brian a Grus

Dr. Grus is listed as active in the NPI registry with telehealth listed in O Fallon, MO. NPI status alone doesn't confirm open availability — call the office to confirm. Phone: (636) 344-2400.

Verified across 5 federal data sources

Sourced from CMS NPPES · OIG LEIE · CMS Medicare Part D · CMS Open Payments 2024 · CMS Physician Comparator. See Data Methodology.

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Medical Disclaimer: NPI Telehealth is a provider directory for informational purposes only. This page does not constitute medical advice, diagnosis, or treatment recommendations. Provider data is sourced from the CMS NPPES federal registry and public Medicare datasets. NPI Telehealth does not verify clinical qualifications beyond federal records. Data may not reflect real-time availability — always contact the provider's office directly to confirm details before seeking care.

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