DR. ANDREW SCOTT JR. GRIVAS – Family Medicine Physician, NPI 1285658815
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,190 INTERNAL MEDICINE in MO
Provider Addresses for DR. ANDREW SCOTT JR. GRIVAS
1674 SOUTH ODELL AVE SUITE B
MARSHALL, MO 65340
Phone: (660) 229-0858
Type: Mailing
1674 S ODELL AVE STE B
MARSHALL, MO 653403365
Phone: (660) 229-0858
Type: Location
1406 MISSOURI BLVD STE I
JEFFERSON CITY, MO 651091737
Phone: (855) 976-1888
Type: Location
435 Lifestyle Lane
Wildwood, GA 30757
Phone: (706) 820-1493
Fax: (706) 820-1474
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2013-08-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120328000334 | I | Internal Medicine | GA | TBD |
| I20130802000821 | I | Internal Medicine | MO | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 31 | 21 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 25 | 15 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 13 | 13 | $0 |
Insurance plans in this area (ZIP 65340)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | TN | |
| - | NC | |
| Endocrinology, General Practice, Internal Medicine, Preventive Medicine | GA | |
| - | CA |
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