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DAXTON THANE GRIGSBY PA
NPI 1407584717
Physician Assistant in Tahlequah, OK

Active since August 13, 2022PECOS EnrolledAccepts Medicare Assignment
19600 E ROSS ST, TAHLEQUAH, OK 74464(539) 234-1000 Get Directions Write a Review

NPPES record last updated: July 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Daxton Thane Grigsby Pa NPPES

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

DAXTON THANE GRIGSBY PA (NPI 1407584717) is an individual physician assistant in Tahlequah, Oklahoma, licensed in Oklahoma (5469) and active in the NPI registry since August 2022. He is enrolled in Medicare PECOS, is affiliated with Cherokee Nation W W Hastings Indian Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1407584717
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameDAXTON THANE GRIGSBYCredential: PA
Location Address19600 E ROSS STTahlequah, OK 74464-0545
Mailing Address4502 E 41st StTulsa, OK 74135-2536 · (918) 660-3842
Phone(539) 234-1000
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 13, 2022
Last NPPES UpdateJuly 15, 2025
NPPES CertifiedJuly 15, 2025
✔ NPI 1407584717 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 OK · 5469
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.
19600 E ROSS ST, Tahlequah, OK 74464
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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

Daxton Thane Grigsby Pa 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 ID1355863671
PECOS Enrollment IDI20250317001512
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.

Hospital Affiliations CMS Care Compare

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

Cherokee Nation W W Hastings Indian Hospital

Acute Care Hospitals · Tahlequah, OK
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number370171
Location100 S Bliss AvenueTahlequah, OK 74464 · Cherokee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74464 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
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.

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.

LINDSEY MICHELLE STROTHER PA
Physician Assistant
19600 E ROSS ST
TAHLEQUAH, OK 74464
Cherokee County (919) 434-8500
DR. SARAH ANNE PEARSON DO
Student in an Organized Health Care Education/Training Program
19600 E ROSS ST
TAHLEQUAH, OK 74464
Cherokee County (539) 302-4172
ANN NGUYEN D.P.M
Podiatrist
19600 E ROSS ST
TAHLEQUAH, OK 74464
Cherokee County (539) 234-1000
MIKAYLA JAMESON
Occupational Therapy Assistant
19600 E ROSS ST
TAHLEQUAH, OK 74464
Cherokee County (539) 234-1900
THOMAS CRAIG BEEN DDS
Dentist (General Practice)
19600 E ROSS ST
TAHLEQUAH, OK 74464
Cherokee County (539) 234-1000
KIMBERLY ANN WATSON NP-C
Nurse Practitioner
19600 E ROSS ST
TAHLEQUAH, OK 74464
Cherokee County (539) 234-1000
DESTINY SPRING DANIEL PHARM.D.
Pharmacist
19600 E ROSS ST
TAHLEQUAH, OK 74464
Cherokee County (539) 234-1000
BRITTANY N HUGGINS
Peer Specialist
19600 E ROSS ST
TAHLEQUAH, OK 74464
Cherokee County (539) 234-1000

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 Daxton Grigsby's NPI number?

The NPI number for Daxton Grigsby is 1407584717. It was assigned to this individual provider in the NPPES registry on August 13, 2022.

Where is Daxton Grigsby located?

Daxton Grigsby practices at 19600 E Ross St, Tahlequah, OK 74464. The listed phone number is (539) 234-1000.

What is Daxton Grigsby's specialty?

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

Is Daxton Grigsby enrolled in Medicare?

Yes. Daxton Grigsby 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 Daxton Grigsby accept?

Health plans from UnitedHealthcare list Daxton Grigsby 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 Daxton Grigsby affiliated with any hospitals?

According to CMS data, Daxton Grigsby is affiliated with Cherokee Nation W W Hastings Indian Hospital.

When was this NPI record last updated?

The NPPES record for Daxton Grigsby was last updated on July 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.