RICHARD R. GRIMSLEY (MD) – Adult Reconstructive Orthopaedic Surgery Physician, NPI 1699779462

RICHARD R. GRIMSLEY (MD) is a healthcare provider. based in Jacksonville, Florida. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials MD. They hold a License No. ME67016 (FL). The NPI Number for RICHARD R. GRIMSLEY (MD) is 1699779462

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
RICHARD R. GRIMSLEY (MD)
NPI
1699779462
Phone
(904) 396-1725
Address
11945 SAN JOSE BLVD STE 300
Enumeration Date
9 June 2005
Last Update Date
28 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9048231447
Graduation Year
1988 (38 years ago)
PAC ID
4789697798
Group Practice PAC ID
0244688893
Professional Enrollment ID
I20060717000066
Address ID
FL320865784ST400XXBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,916 ORTHOPEDIC SURGERY in FL

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Provider Addresses for RICHARD R. GRIMSLEY (MD)

  • 11945 SAN JOSE BLVD STE 300

    JACKSONVILLE, FL 322231627

    Phone: (904) 396-1725

    Fax: (904) 396-4893

    Type: Mailing

  • Shircliff Way, Riverside, Jacksonville, Duval County, Florida, 32204, United States

    JACKSONVILLE, FL 322044753

    Phone: (904) 204-5000

    Fax: (904) 204-4000

    Type: Location

  • 120 Health Park Blvd Ste 1

    Saint Augustine, FL 320865798

    Phone: (386) 627-7318

    Fax: (638) 627-7319

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 61 Open Payments records for all available years, with a total value of $4,386.

Total Amount is formed as General ($4,386) + Research ($0) + Ownership ($0) = $4,386.

Last reported payment date: 2024-12-30 • Largest payer in this snapshot: Stryker Corporation ($1,471).

Total Amount

$4,386

General + Research + Ownership

Payments

61

Total payment records

General Amount

$4,386

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-30

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-07-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060717000066IOrthopedic SurgeryFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg783114$0
20610Aspiration and/or injection of fluid from large joint192131$0
99213Established patient office or other outpatient visit, 20-29 minutes142112$0
73560X-ray of knee, 1-2 views12880$0
73502X-ray of hip, 2-3 views11977$0
View full utilization report →

Insurance plans in this area (ZIP 32223)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0244688893View full group profile
NameSpecialtyState
Internal Medicine, Critical Care (Intensivists), Internal MedicineFL
Certified Registered Nurse Anesthetist (Crna)FL
Orthopedic Surgery, Sports MedicineFL
Diagnostic RadiologyFL
Diagnostic RadiologyWV
A N E S T H E S I O L O G YFL
Certified Registered Nurse Anesthetist (Crna)FL
Critical Care (Intensivists), Internal Medicine, Pulmonary DiseaseFL
Interventional Radiology, Diagnostic RadiologyFL
Certified Registered Nurse Anesthetist (Crna)FL

Reviews

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Frequently asked questions

What unique ID ties claims to RICHARD R. GRIMSLEY (MD)?
NPI 1699779462 is assigned to RICHARD R. GRIMSLEY (MD) under the national enumeration system.
Is RICHARD R. GRIMSLEY (MD) currently active in the NPI registry?
CMS-published data lists RICHARD R. GRIMSLEY (MD) as an active registrant.
What kind of provider is RICHARD R. GRIMSLEY (MD)?
The page reflects Adult Reconstructive Orthopaedic Surgery Physician for RICHARD R. GRIMSLEY (MD). Clinical services aligned with this taxonomy classification.
Where does public data place RICHARD R. GRIMSLEY (MD)?
The snapshot lists Jacksonville, Florida for RICHARD R. GRIMSLEY (MD); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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