DR. LARRY A. GRISSOM (M.D.) – Diagnostic Radiology Physician, NPI 1164400644

DR. LARRY A. GRISSOM (M.D.) is a healthcare provider. based in Houston, Texas. specializing in Diagnostic Radiology Physician. They hold the professional credentials M.D.. They hold a License No. F1605 (TX). The NPI Number for DR. LARRY A. GRISSOM (M.D.) is 1164400644

Main info

Male
48 Years Of Experience
Accepts Medicare Assignment
Name
DR. LARRY A. GRISSOM (M.D.)
NPI
1164400644
Phone
(281) 440-5158
Address
800 PEAKWOOD DR
Enumeration Date
5 January 2006
Last Update Date
29 July 2008

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Secondary Phone
2814405158
Graduation Year
1978 (48 years ago)
PAC ID
9931209996
Group Practice PAC ID
5092799775
Professional Enrollment ID
I20071113000771
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for DR. LARRY A. GRISSOM (M.D.)

  • 800 PEAKWOOD DR

    SUITE 5E

    HOUSTON, TX 770902900

    Phone: (281) 440-5158

    Fax: (281) 440-8549

    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)

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: 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
I20071113000771IDiagnostic RadiologyTXTBD

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
77067Screening mammography364364$0
77063Screening 3d breast mammography363363$0
77080Dxa bone density measurement of hip, pelvis, spine103103$0
G0279Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)6060$0
76641Complete ultrasound scan of 1 breast5150$0
View full utilization report →

Insurance plans in this area (ZIP 77090)

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Provider's Procedures

DR. LARRY A. GRISSOM (M.D.) performs procedures in Diagnostic Radiology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYTX71010X-ray of chest, 1 view, front315299
DIAGNOSTIC RADIOLOGYTX71250CT scan chest5252
DIAGNOSTIC RADIOLOGYTX73630X-ray of foot, minimum of 3 views1313

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: 5092799775View full group profile
NameSpecialtyState
Diagnostic RadiologyTX
Diagnostic RadiologyTX
Interventional RadiologyMA
Physician AssistantFL
Physician AssistantTX
Diagnostic RadiologyTX
Diagnostic RadiologyTX
Diagnostic RadiologyTX
Diagnostic RadiologyTX
Interventional RadiologyTX

Reviews

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Frequently asked questions

Can I cross-check DR. LARRY A. GRISSOM (M.D.) using NPI 1164400644?
NPI 1164400644 belongs to DR. LARRY A. GRISSOM (M.D.); compare other details if you need extra assurance.
Active or inactive — what applies to DR. LARRY A. GRISSOM (M.D.)?
You should see DR. LARRY A. GRISSOM (M.D.) as active in CMS-hosted NPPES data.
What kind of doctor is DR. LARRY A. GRISSOM (M.D.)?
DR. LARRY A. GRISSOM (M.D.) is associated with Diagnostic Radiology Physician in the directory — Clinical services aligned with this taxonomy classification.
Is DR. LARRY A. GRISSOM (M.D.) associated with Houston?
Public fields place DR. LARRY A. GRISSOM (M.D.) around Houston, Texas. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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