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PHILLIP THOMAS GRISDELA JR. MD
NPI 1326508805
Orthopaedic Surgery - Orthopaedic Trauma in Camp Lejeune, NC

Active since March 21, 2019PECOS EnrolledAccepts Medicare Assignment
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547(910) 450-4357 Get Directions Write a Review

NPPES record last updated: December 19, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 19, 2025, Aug 15, 2025, Aug 1, 2024 and 2 more (5 updates tracked since 2019).

About Phillip Thomas Grisdela Jr. Md NPPES

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

PHILLIP THOMAS GRISDELA JR. MD (NPI 1326508805) is an individual orthopaedic trauma provider in Camp Lejeune, North Carolina, licensed in North Carolina (2025-02933) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Ecu Health Medical Center, and maintains a secondary practice location in Greenville.

NPPES Registry Identity

NPI1326508805
Entity TypeIndividualMale
Primary Taxonomy207XX0801X
Provider Legal NamePHILLIP THOMAS GRISDELA JR.Credential: MD
Location Address100 BREWSTER BLVDCamp Lejeune, NC 28547-2575
Mailing Address100 Brewster BlvdCamp Lejeune, NC 28547-2575
Phone(910) 450-4357
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 21, 2019
Last NPPES UpdateDecember 19, 20255 updates tracked since enumeration
NPPES CertifiedDecember 19, 2025
✔ NPI 1326508805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic TraumaAllopathic & Osteopathic Physicians
Taxonomy Code207XX0801X
Licenses✔ Licensed in NC · 2025-02933✔ Licensed in CA · A194489
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic trauma surgeons deal with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of post-traumatic deformities and nonunions, acute and delayed reconstruction of pelvic and acetabular fractures, as well as osteotomy in the adult hip for treatment of hip arthritis.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License A194489 (CA)
100 BREWSTER BLVD, Camp Lejeune, NC 28547
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Secondary Practice Location 1

Location 12100 Stantonsburg RdGreenville, NC 27834-2818 · Phone (252) 847-4100

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Cigna Healthcare.Insurance ›

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

Phillip Thomas Grisdela Jr. 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.

PECOS PAC ID3375873045
PECOS Enrollment IDI20260220002135
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Phillip Grisdela reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Vidant Medical Group LLC
41 mi
Ambulatory Surgical
701 DOCTORS DR STE N
Kinston, NC 28501
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,653 clinicians in this Medicare group
NPI 1376049619 (252) 559-2200
Usc Care Medical Group, Inc
2,316 mi
General Practice
1520 SAN PABLO ST
Los Angeles, CA 90033
  • Reassigned Medicare billing, California enrollment
  • 2,445 clinicians in this Medicare group
NPI 1902846306 (323) 442-5955

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Ecu Health Medical Center

Acute Care Hospitals · Greenville, NC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340040
Location2100 Stantonsburg RdGreenville, NC 27834 · Pitt County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JUSTIN THOMAS DAUGHTRY D.O.
Emergency Medicine
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547
Onslow County (910) 450-4841
MR. JASON HUSON GIECKO
Military Health Care Provider (Independent Duty Corpsman)
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547
Onslow County (910) 451-5125
MRS. HOLLY F CARTER LPT
Physical Therapist
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547
Onslow County (910) 449-2538
JEREMY MOORE CRNA
Nurse Anesthetist, Certified Registered
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547
Onslow County (910) 450-4357
DANIELLE BERNAL MD
Surgery
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547
Onslow County (910) 450-4860
ZAINAB AL CHALABI SAVARD APRN
Nurse Practitioner (Adult Health)
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547
Onslow County (910) 449-2779
SAMANTHA ELIZABETH KING MD
Military Health Care Provider
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547
Onslow County (910) 450-4408
MATTHEW PATRICK SULLIVAN MD
Emergency Medicine
100 BREWSTER BLVD, NAVAL HOSPITAL
CAMP LEJEUNE, NC 28547
Onslow County (910) 450-4159

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 Phillip Grisdela's NPI number?

The NPI number for Phillip Grisdela is 1326508805. It was assigned to this individual provider in the NPPES registry on March 21, 2019.

Where is Phillip Grisdela located?

Phillip Grisdela practices at 100 Brewster Blvd, Camp Lejeune, NC 28547. The listed phone number is (910) 450-4357.

What is Phillip Grisdela's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Trauma, with taxonomy code 207XX0801X.

Is Phillip Grisdela enrolled in Medicare?

Yes. Phillip Grisdela 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 Phillip Grisdela's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Phillip Grisdela reassigns Medicare benefits to 2 organizations: Vidant Medical Group LLC (Kinston, NC) and Usc Care Medical Group, Inc (Los Angeles, CA). 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 Phillip Grisdela's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Phillip Grisdela accept?

Health plans from Blue Cross and Blue Shield of NC and Cigna Healthcare list Phillip Grisdela 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 Phillip Grisdela affiliated with any hospitals?

According to CMS data, Phillip Grisdela is affiliated with Ecu Health Medical Center.

When was this NPI record last updated?

The NPPES record for Phillip Grisdela was last updated on December 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.