DR. KENNY M. GRIDER (D.O.) – Orthopaedic Surgery Physician, NPI 1245216191

DR. KENNY M. GRIDER (D.O.) is a healthcare provider. based in Durant, Oklahoma. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials D.O.. They hold a License No. DO3262 (OK). The NPI Number for DR. KENNY M. GRIDER (D.O.) is 1245216191

Main info

Male
Sole Proprietor
36 Years Of Experience
Accepts Medicare Assignment
Name
DR. KENNY M. GRIDER (D.O.)
NPI
1245216191
Phone
(580) 920-0300
Address
1805 W UNIVERSITY BLVD
Enumeration Date
21 December 2005
Last Update Date
15 September 2020

Doctor Profile

Medical School Name
OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
5809243080
Graduation Year
1990 (36 years ago)
PAC ID
5294823977
Group Practice PAC ID
3375638976
Professional Enrollment ID
I20071113000694
Address ID
OK747013006DU1800XBLVD400

Contacts

Secure Messaging
kenny.grider.1@4696.direct.athenahealth.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

328 ORTHOPEDIC SURGERY in OK

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Provider Addresses for DR. KENNY M. GRIDER (D.O.)

  • 1805, West University Boulevard, Durant, Bryan County, Oklahoma, 74701, United States

    DURANT, OK 747013011

    Phone: (580) 920-0300

    Fax: (580) 920-0581

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $314.

Total Amount is formed as General ($314) + Research ($0) + Ownership ($0) = $314.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Stryker Corporation ($189).

Total Amount

$314

General + Research + Ownership

Payments

10

Total payment records

General Amount

$314

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

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: 2007-11-13

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
I20071113000694IOrthopedic SurgeryOKTBD

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 mg52837$0
99213Established patient office or other outpatient visit, 20-29 minutes14899$0
20610Aspiration and/or injection of fluid from large joint12772$0
J1040Injection, methylprednisolone acetate, 80 mg12762$0
99203New patient office or other outpatient visit, 30-44 minutes8585$0
View full utilization report →

Insurance plans in this area (ZIP 74701)

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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: 3375638976View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YOK
-OK
Nurse PractitionerOK
-OK
P O D I A T R YTX
O B S T E T R I C S/ G Y N E C O L O G YOK
Internal MedicineTX
U R O L O G YOK
-OK
Orthopedic SurgeryTN

Reviews

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Frequently asked questions

What is the registry number for DR. KENNY M. GRIDER (D.O.)?
The registry entry for DR. KENNY M. GRIDER (D.O.) shows NPI 1245216191.
Is DR. KENNY M. GRIDER (D.O.)'s NPI status active today?
Active status means DR. KENNY M. GRIDER (D.O.)'s NPI record is not deactivated in the public file.
What does the directory say DR. KENNY M. GRIDER (D.O.) does?
Insurance directories may phrase it differently, but here DR. KENNY M. GRIDER (D.O.) maps to Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
Can patients visit DR. KENNY M. GRIDER (D.O.) in Durant, Oklahoma?
For routing, start with Durant, Oklahoma for DR. KENNY M. GRIDER (D.O.), then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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