EDWARD ALLAN GRIMBALL MD
NPI 1144211541
Internal Medicine in Somerset, KY
About Edward Allan Grimball Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EDWARD ALLAN GRIMBALL MD (NPI 1144211541) is an individual internal medicine provider in Somerset, Kentucky, licensed in Kentucky (29702) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Lake Cumberland Regional Hospital, and is a graduate of Medical University Of South Carolina College Of Medicine.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 10
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Edward Allan Grimball Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Edward Grimball reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Hazard, KY 41701
- Reassigned Medicare billing, Kentucky enrollment
- 153 clinicians in this Medicare group
Maysville, KY 41056
- Reassigned Medicare billing, Kentucky enrollment
- 828 clinicians in this Medicare group
Paducah, KY 42003
- Reassigned Medicare billing, Kentucky enrollment
- 220 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 6
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Lake Cumberland Regional Hospital
Acute Care Hospitals · Somerset, KYKnox County Hospital
Critical Access Hospitals · Barbourville, KYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 42503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SOMERSET, KY 42503
SOMERSET, KY 42503
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 Edward Grimball's NPI number?
The NPI number for Edward Grimball is 1144211541. It was assigned to this individual provider in the NPPES registry on November 3, 2005.
Where is Edward Grimball located?
Edward Grimball practices at 402 Bogle St Ste 3, Somerset, KY 42503. The listed phone number is (606) 451-9953.
What is Edward Grimball's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Edward Grimball enrolled in Medicare?
Yes. Edward Grimball is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Edward Grimball's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Edward Grimball reassigns Medicare benefits to 3 organizations: Southern Medical Partners, LLC (Hazard, KY), Southeastern Emergency Physicians LLC (Maysville, KY) and Green Valley Emergency Physicians, LLC (Paducah, KY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Edward Grimball's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Edward Grimball affiliated with any hospitals?
According to CMS data, Edward Grimball is affiliated with Lake Cumberland Regional Hospital and Knox County Hospital.
When was this NPI record last updated?
The NPPES record for Edward Grimball was last updated on April 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Edward Allan Grimball, MD · NPI 1144211541
Internal Medicine physician in Somerset, Kentucky. Individual provider, active in the CMS NPPES registry since November 3, 2005.
## Identity
- **NPI:** 1144211541 (Entity type: Individual)
- **Enumerated:** November 3, 2005
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 29702 (Kentucky)
- **Sole proprietor:** No
## Practice location
- **Address:** 402 BOGLE ST, STE 3, Somerset, KY 42503-2870
- **Phone:** (606) 451-9953 · **Fax:** (606) 451-1533
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Southern Medical Partners, LLC (NPI 1538109962, Hazard, KY); Southeastern Emergency Physicians LLC (NPI 1356379382, Maysville, KY); Green Valley Emergency Physicians, LLC (NPI 1720755739, Paducah, KY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Medical University Of South Carolina College Of Medicine
## Record status
- **NPPES last updated:** April 9, 2015
- **Other identifiers:** Medicare UPIN F67443 (KY); Other 1101698818 (KY); Other 37J8 (KY); and 7 more
---
Source: [NPI Profile](https://npiprofile.com/npi/1144211541) · Data from the CMS NPPES public registry.