DR. KRISTOFFER ROBYN GRYBOW MD
NPI 1619600244
Emergency Medicine in Jackson, TN

Q: What is Kristoffer Grybow's NPI number?

The NPI number for Kristoffer Grybow is 1619600244. It was assigned to this individual provider in the NPPES registry on July 1, 2022.

Q: What is Kristoffer Grybow's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kristoffer Grybow was last updated on July 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since July 01, 2022PECOS EnrolledAccepts Medicare Assignment

620 SKYLINE DR, JACKSON, TN 38301(219) 242-3431 Get Directions Write a Review

NPPES record last updated: July 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Kristoffer Robyn Grybow Md NPPES

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

DR. KRISTOFFER ROBYN GRYBOW MD (NPI 1619600244) is an individual emergency medicine provider in Jackson, Tennessee, licensed in Tennessee (74073) and active in the NPI registry since July 2022. He is enrolled in Medicare PECOS, is affiliated with Jackson-madison County General Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1619600244

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameDR. KRISTOFFER ROBYN GRYBOWCredential: MD

Location Address620 SKYLINE DRJackson, TN 38301-3923

Mailing Address750 Broadway Ste 350Fort Wayne, IN 46802-1412 · (260) 423-2675 · Fax (260) 423-6621

Phone(219) 242-3431

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateJuly 1, 2022

Last NPPES UpdateJuly 17, 2025

NPPES CertifiedJuly 17, 2025

✔ NPI 1619600244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in TN · 74073

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.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 11022599A (IN)

620 SKYLINE DR, Jackson, TN 38301

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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. Kristoffer Robyn Grybow 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 ID7416338652

PECOS Enrollment IDI20260127000949

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 4

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

Jackson-Madison County General Hospital

Acute Care Hospitals · Jackson, TN

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number440002

Location620 Skyline DriveJackson, TN 38301 · Madison County

Emergency services Birthing friendly

West Tennessee Healthcare Milan Hospital

Acute Care Hospitals · Milan, TN

OwnershipGovernment - Local

CMS Certification Number440060

Location4039 Highland StMilan, TN 38358 · Gibson County

Emergency services

Volunteer Community Hospital

Acute Care Hospitals · Martin, TN

4/5 CMS rating

OwnershipProprietary

CMS Certification Number440061

Location161 Mount Pelia RdMartin, TN 38237 · Weakley County

Emergency services Birthing friendly

West Tennessee Healthcare Bolivar Hospital

Critical Access Hospitals · Bolivar, TN

OwnershipGovernment - Hospital District or Authority

CMS Certification Number441320

Location650 Nuckolls RoadBolivar, TN 38008 · Hardeman County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38301 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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.

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.

ASHLEY BROOKE OLDHAM PORTER M.D.

Pathology (Anatomic Pathology & Clinical Pathology)