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LEX KIYOSHI GRIMLEY PA-C
NPI 1164728960
Physician Assistant in Murray, UT

Active since January 27, 2011PECOS EnrolledAccepts Medicare Assignment
5169 COTTONWOOD ST STE 520, MURRAY, UT 84107(801) 507-3500 Get Directions Write a Review

NPPES record last updated: January 27, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lex Kiyoshi Grimley Pa-c NPPES

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

LEX KIYOSHI GRIMLEY PA-C (NPI 1164728960) is an individual physician assistant in Murray, Utah, licensed in Utah (7796272-1206) and active in the NPI registry since January 2011. He is enrolled in Medicare PECOS, is affiliated with Intermountain Medical Center, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1164728960
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameLEX KIYOSHI GRIMLEYCredential: PA-C
Location Address5169 COTTONWOOD ST STE 520Murray, UT 84107-6767
Mailing Address2097 N Sweet Corn DrSaratoga Springs, UT 84045-8239 · (801) 471-4743
Phone(801) 507-3500
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJanuary 27, 2011
✔ NPI 1164728960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in UT · 7796272-1206
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
5169 COTTONWOOD ST STE 520, Murray, UT 84107
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lex Kiyoshi Grimley Pa-c 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.

PECOS PAC ID3375728835
PECOS Enrollment IDI20110427000034
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 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
219 services186 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016
An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.
34 services34 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
30 services30 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Intermountain Medical Center

Acute Care Hospitals · Murray, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460010
Location5121 South Cottonwood StreetMurray, UT 84107 · Salt Lake County
Emergency services Birthing friendly

Riverton Hospital

Acute Care Hospitals · Riverton, UT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460058
Location3741 West 12600 SouthRiverton, UT 84065 · Salt Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84107 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
Most-billed visit code 99213
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 Lex Grimley's NPI number?

The NPI number for Lex Grimley is 1164728960. It was assigned to this individual provider in the NPPES registry on January 27, 2011.

Where is Lex Grimley located?

Lex Grimley practices at 5169 Cottonwood St Ste 520, Murray, UT 84107. The listed phone number is (801) 507-3500.

What is Lex Grimley's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Lex Grimley enrolled in Medicare?

Yes. Lex Grimley 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.

What insurance does Lex Grimley accept?

Health plans from Select Health list Lex Grimley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Lex Grimley affiliated with any hospitals?

According to CMS data, Lex Grimley is affiliated with Intermountain Medical Center and Riverton Hospital.

When was this NPI record last updated?

The NPPES record for Lex Grimley was last updated on January 27, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.