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DR. JUSTIN GRISHAM D.O.
NPI 1427417062
Emergency Medicine in Cortez, CO

Active since February 10, 2016PECOS EnrolledAccepts Medicare Assignment
69.39/100
CMS Quality Rating
1311 N MILDRED RD, CORTEZ, CO 81321(970) 565-6666 Get Directions Write a Review

NPPES record last updated: May 27, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 27, 2026, Jun 5, 2024, Nov 13, 2023 and 5 more (8 updates tracked since 2016).

About Dr. Justin Grisham D.o. NPPES

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

DR. JUSTIN GRISHAM D.O. (NPI 1427417062) is an individual emergency medicine provider in Cortez, Colorado, licensed in Arizona (011215) and active in the NPI registry since February 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1427417062
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. JUSTIN GRISHAMCredential: D.O.
Location Address1311 N MILDRED RDCortez, CO 81321-2231
Mailing Address9878 W Belleview Ave # 5114Littleton, CO 80123-2101
Phone(970) 565-6666
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateFebruary 10, 2016
Last NPPES UpdateMay 27, 20268 updates tracked since enumeration
NPPES CertifiedMay 27, 2026
✔ NPI 1427417062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in AZ · 011215✔ Licensed in KS · 05-49286✔ Licensed in CO · DR.0065361
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1311 N MILDRED RD, Cortez, CO 81321
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc., Blue Cross Blue Shield of Arizona, Medica.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

Dr. Justin Grisham D.o. 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 ID1052709912
PECOS Enrollment IDI20240613000560, I20241014000834
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 2

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
26 services25 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81321 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

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.

69.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality57.34
Promoting Interoperability81
Improvement Activities40
Cost49.03

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.

DR. TODD R FOWLER M.D.
Emergency Medicine
1311 N MILDRED RD
CORTEZ, CO 81321
Montezuma County (970) 565-6666
JENNIFER ANN GERO M.D.
Emergency Medicine
1311 N MILDRED RD
CORTEZ, CO 81321
Montezuma County (970) 565-6666
JAMIE JOANN HIGHTOWER RN,BSN
Registered Nurse
1311 N MILDRED RD
CORTEZ, CO 81321
Montezuma County (970) 565-6666
MEGAN PEREZ VIQUEZ M.D.
Family Medicine
1311 N MILDRED RD
CORTEZ, CO 81321
Montezuma County (970) 565-8556
NOVUS ANESTHESIA OF COLORADO LLC
Anesthesiology
1311 N MILDRED RD
CORTEZ, CO 81321
Montezuma County (404) 419-0230
SOUTHWEST HEALTH SYSTEM, INC.
Medicare Defined Swing Bed Unit
1311 N MILDRED RD
CORTEZ, CO 81321
Montezuma County (970) 565-6666
WENDY JEAN STEVENS CRNP
Nurse Practitioner (Acute Care)
1311 N MILDRED RD
CORTEZ, CO 81321
Montezuma County (970) 565-6666
BRENNA NICHOLE GODDARD COTA
Occupational Therapy Assistant
1311 N MILDRED RD
CORTEZ, CO 81321
Montezuma County (970) 564-1122

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 Justin Grisham's NPI number?

The NPI number for Justin Grisham is 1427417062. It was assigned to this individual provider in the NPPES registry on February 10, 2016.

Where is Justin Grisham located?

Justin Grisham practices at 1311 N Mildred Rd, Cortez, CO 81321. The listed phone number is (970) 565-6666.

What is Justin Grisham's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Justin Grisham enrolled in Medicare?

Yes. Justin Grisham 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 Justin Grisham accept?

Health plans from Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of Kansas, Inc. and Medica list Justin Grisham 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.

When was this NPI record last updated?

The NPPES record for Justin Grisham was last updated on May 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.