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MR. RICKY D GRISSON II M.D.
NPI 1093910606
Pathology - Clinical Pathology/Laboratory Medicine in Providence, RI

Active since June 15, 2007PECOS Enrolled
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905(401) 444-6779 Get Directions Write a Review

NPPES record last updated: October 7, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Ricky D Grisson Ii M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. RICKY D GRISSON II M.D. (NPI 1093910606) is an individual clinical pathology/laboratory medicine provider in Providence, Rhode Island, licensed in Rhode Island (MD15414) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS and is a graduate of Harvard Medical School (2007).

NPPES Registry Identity

NPI1093910606
Entity TypeIndividualMale
Primary Taxonomy207ZP0105X
Provider Legal NameMR. RICKY D GRISSON IICredential: M.D.
Location Address117 ELLENFIELD ST STE 101Providence, RI 02905-4541
Mailing AddressMassachusetts General Hospital, 55 Fruit StreetBoston, MA 02114 · (617) 726-2967
Phone(401) 444-6779
Sole ProprietorNo
Medical School CMSHarvard Medical SchoolGraduated 2007
Enumeration DateJune 15, 2007
Last NPPES UpdateOctober 7, 2020
NPPES CertifiedOctober 7, 2020
✔ NPI 1093910606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPathology · Clinical Pathology/Laboratory MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0105X
Licenses✔ Licensed in RI · MD15414✔ Licensed in CA · A121170
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Also ListedPathology · Anatomic Pathology & Clinical PathologyTaxonomy 207ZP0102X · License L-232504 (MA)
117 ELLENFIELD ST STE 101, Providence, RI 02905
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Ricky D Grisson Ii M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7911288253
PECOS Enrollment IDI20260521004263
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Immunologic analysis technique on serum (immunofixation) 86334
Immunofixation is a lab test that helps identify proteins called immunoglobulins in your blood serum. These proteins are part of your immune system. Changes in their levels can indicate certain diseases. The test is simple and only requires a blood sample.
528 services438 patients
Protein measurement, serum 84165
A serum protein measurement is a blood test that determines the levels of proteins in your blood. It is used to evaluate your overall health, and diagnose nutritional problems, kidney disease, liver disease, or immune disorders.
504 services399 patients
Protein measurement, body fluid 84166
A protein measurement of body fluid is a test that gauges the amount of proteins in your fluids. This analysis helps in detecting various health conditions. It's done via a simple sample collection process, usually from blood or urine, in a safe and painless manner.
25 services25 patients
Immunologic analysis technique on body fluid, other fluids with concentration 86335
Immunologic analysis is a diagnostic method that assesses your body fluids to detect health issues. It involves concentrating these fluids to enhance detection of specific proteins or cells. It helps identify immune system responses, aiding in accurate diagnosis and treatment.
24 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02905 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.17 typical visit price
range $58.57 – $177.03
Typical copayment $33.54 (range $14.64 – $44.25)
Most-billed visit code 99204
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ricky Grisson's NPI number?

The NPI number for Ricky Grisson is 1093910606. It was assigned to this individual provider in the NPPES registry on June 15, 2007.

Where is Ricky Grisson located?

Ricky Grisson practices at 117 Ellenfield St Ste 101, Providence, RI 02905. The listed phone number is (401) 444-6779.

What is Ricky Grisson's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Clinical Pathology/Laboratory Medicine, with taxonomy code 207ZP0105X.

Is Ricky Grisson enrolled in Medicare?

Yes. Ricky Grisson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ricky Grisson was last updated on October 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.