MRS. HILARY C. GRISSOM (M.D.) – Ophthalmology Physician, NPI 1124241997

MRS. HILARY C. GRISSOM (M.D.) is a healthcare provider. based in Jackson, Tennessee. specializing in OPHTHALMOLOGY. They hold the professional credentials M.D.. They hold a License No. 43415 (TN). The NPI Number for MRS. HILARY C. GRISSOM (M.D.) is 1124241997

Main info

Female
Sole Proprietor
22 Years Of Experience
Accepts Medicare Assignment
Name
MRS. HILARY C. GRISSOM (M.D.)
NPI
1124241997
Phone
(731) 424-2414
Address
668 SKYLINE DRIVE
Enumeration Date
10 April 2007
Last Update Date
1 August 2008

Doctor Profile

Medical School Name
UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Secondary Phone
7314242414
Graduation Year
2004 (22 years ago)
PAC ID
5294800751
Group Practice PAC ID
0042253882
Professional Enrollment ID
I20080818000553
Address ID
TN383053780JA1340XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

429 OPHTHALMOLOGY in TN

Provider Addresses for MRS. HILARY C. GRISSOM (M.D.)

  • 668 SKYLINE DRIVE

    JACKSON, TN 38301

    Phone: (731) 424-2414

    Fax: (731) 424-4444

    Type: Mailing

  • 668 SKYLINE DR

    JACKSON, TN 38301

    Phone: (731) 424-2414

    Fax: (731) 424-4444

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 15 Open Payments records for all available years, with a total value of $365.

Total Amount is formed as General ($365) + Research ($0) + Ownership ($0) = $365.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Alcon Vision LLC ($274).

Total Amount

$365

General + Research + Ownership

Payments

15

Total payment records

General Amount

$365

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2008-08-18

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
I20080818000553IOphthalmologyTNTBD

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
92014Established patient complete exam of visual system1,015989$0
99214Established patient office or other outpatient visit, 30-39 minutes333290$0
99213Established patient office or other outpatient visit, 20-29 minutes283208$0
92136Measurement of corneal curvature and depth of eye278102$0
92134Imaging of retina245223$0
View full utilization report →

Insurance plans in this area (ZIP 38301)

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Provider's Procedures

MRS. HILARY C. GRISSOM (M.D.) performs procedures in OPHTHALMOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPHTHALMOLOGYTN92083Measurement of field of vision during daylight conditions2220
OPHTHALMOLOGYTN92134Diagnostic imaging of retina7356

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: 0042253882View full group profile
NameSpecialtyState
O P H T H A L M O L O G YTN
O P T O M E T R YTN
-TN
O P T O M E T R YTN
O P T O M E T R YTN
-TN
O P H T H A L M O L O G YTN
O P H T H A L M O L O G YAR
O P H T H A L M O L O G YTN

Reviews

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Frequently asked questions

How is MRS. HILARY C. GRISSOM (M.D.) identified in CMS data?
CMS-hosted NPPES data lists MRS. HILARY C. GRISSOM (M.D.) with NPI 1124241997.
Is MRS. HILARY C. GRISSOM (M.D.) listed as active for patients and plans?
The listing shows MRS. HILARY C. GRISSOM (M.D.) as active in the NPI system.
What healthcare role does MRS. HILARY C. GRISSOM (M.D.) hold?
Scheduling teams often label MRS. HILARY C. GRISSOM (M.D.) under Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
Does MRS. HILARY C. GRISSOM (M.D.) list a practice location?
Patients near Jackson, Tennessee may find MRS. HILARY C. GRISSOM (M.D.) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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