DR. NICOLAS ENRIQUE GRISONI (MD) – Orthopaedic Surgery of the Spine Physician, NPI 1104959220

DR. NICOLAS ENRIQUE GRISONI (MD) is a healthcare provider. based in Dayton, Ohio. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials MD. They hold a License No. 72936 (AZ). The NPI Number for DR. NICOLAS ENRIQUE GRISONI (MD) is 1104959220

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. NICOLAS ENRIQUE GRISONI (MD)
NPI
1104959220
Phone
(937) 298-4417
Address
3205 WOODMAN DR
Enumeration Date
14 March 2007
Last Update Date
7 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6026313161
Graduation Year
2001 (25 years ago)
PAC ID
5092808089
Group Practice PAC ID
7719014505
Professional Enrollment ID
I20240515003395
Address ID
AZ850202476PH9327XSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness75
Years active:19State licenses:2Digital endpointsOther names

1,346 ORTHOPEDIC SURGERY in OH

Provider Addresses for DR. NICOLAS ENRIQUE GRISONI (MD)

  • 3205 WOODMAN DR

    DAYTON, OH 454201143

    Phone: (937) 298-4417

    Fax: (937) 298-8260

    Type: Mailing

  • 4160 LITTLE YORK RD STE 10

    DAYTON, OH 454145803

    Phone: (937) 415-9100

    Fax: (937) 415-9137

    Type: Mailing

  • PO BOX 80217

    PHOENIX, AZ 850600217

    Phone: (602) 385-2115

    Fax: (602) 772-3801

    Type: Mailing

  • 9327 N 3RD ST STE 300

    PHOENIX, AZ 850202476

    Phone: (602) 648-5444

    Fax: (602) 772-3801

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 28 Open Payments records for all available years, with a total value of $1,969.

Total Amount is formed as General ($1,969) + Research ($0) + Ownership ($0) = $1,969.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Globus Medical, Inc. ($428).

Total Amount

$1,969

General + Research + Ownership

Payments

28

Total payment records

General Amount

$1,969

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

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: 2024-05-15

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100419000031IOrthopedic SurgeryOHTBD
I20240515003395IOrthopedic SurgeryAZTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes239200$0
J1100Injection, dexamethasone sodium phosphate, 1 mg19521$0
99213Established patient office or other outpatient visit, 20-29 minutes8174$0
72110X-ray of lower and sacral spine, minimum of 4 views7772$0
72148Mri scan of lower spinal canal without contrast5959$0
View full utilization report →

Insurance plans in this area (ZIP 45420)

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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: 7719014505View full group profile
NameSpecialtyState
Orthopedic SurgeryAZ
Physician AssistantAZ
Physical Therapist In Private PracticeAZ
Orthopedic SurgeryUT
Physician AssistantAZ
Physical Therapist In Private PracticeMT
Physical Therapist In Private PracticeIL
-AZ
-AZ
Physical Therapist In Private PracticeUT

Reviews

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Frequently asked questions

What NPI should I save for DR. NICOLAS ENRIQUE GRISONI (MD)?
Save NPI 1104959220 if you need a stable reference for DR. NICOLAS ENRIQUE GRISONI (MD).
Is DR. NICOLAS ENRIQUE GRISONI (MD) currently active in the NPI registry?
CMS-published data lists DR. NICOLAS ENRIQUE GRISONI (MD) as an active registrant.
What kind of provider is DR. NICOLAS ENRIQUE GRISONI (MD)?
The page reflects Orthopaedic Surgery of the Spine Physician for DR. NICOLAS ENRIQUE GRISONI (MD). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. NICOLAS ENRIQUE GRISONI (MD)?
The page summarizes Dayton, Ohio for DR. NICOLAS ENRIQUE GRISONI (MD); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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