DR. KRISTOFFER ROBYN GRYBOW MD
NPI 1619600244
Emergency Medicine in Jackson, TN
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 Marion General Hospital, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses 2
Accepted 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
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.
Medicare Billing Reassignments
3Medicare enrollment records show Kristoffer Grybow reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Jackson, TN 38301
- Reassigned Medicare billing, Tennessee enrollment
- 146 clinicians in this Medicare group
Jackson, TN 38301
- Reassigned Medicare billing, Tennessee enrollment
- 50 clinicians in this Medicare group
Fairmount, IN 46928
- Reassigned Medicare billing, Indiana enrollment
- 139 clinicians in this Medicare group
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 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Marion General Hospital
Acute Care Hospitals · Marion, INJackson-Madison County General Hospital
Acute Care Hospitals · Jackson, TNWest Tennessee Healthcare Milan Hospital
Acute Care Hospitals · Milan, TNVolunteer Community Hospital
Acute Care Hospitals · Martin, TNWest Tennessee Healthcare Bolivar Hospital
Critical Access Hospitals · Bolivar, TNPhysician 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.
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.
JACKSON, TN 38301
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 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.
Where is Kristoffer Grybow located?
Kristoffer Grybow practices at 620 Skyline Dr, Jackson, TN 38301. The listed phone number is (219) 242-3431.
What is Kristoffer Grybow's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Kristoffer Grybow enrolled in Medicare?
Yes. Kristoffer Grybow 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 Kristoffer Grybow's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kristoffer Grybow reassigns Medicare benefits to 3 organizations: Emergency Medical Care Facilities PC (Jackson, TN), Wt University Medical Associates Inc (Jackson, TN) and Marion General Hospital (Fairmount, IN). 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 Kristoffer Grybow's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kristoffer Grybow accept?
Health plans from CareSource list Kristoffer Grybow 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 Kristoffer Grybow affiliated with any hospitals?
According to CMS data, Kristoffer Grybow is affiliated with Marion General Hospital, Jackson-Madison County General Hospital, West Tennessee Healthcare Milan Hospital, Volunteer Community Hospital and West Tennessee Healthcare Bolivar Hospital.
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 15 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.
# Dr. Kristoffer Robyn Grybow, MD · NPI 1619600244
Emergency Medicine physician in Jackson, Tennessee. Individual provider, active in the CMS NPPES registry since July 1, 2022.
## Identity
- **NPI:** 1619600244 (Entity type: Individual)
- **Enumerated:** July 1, 2022
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 74073 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 620 SKYLINE DR, Jackson, TN 38301-3923
- **Phone:** (219) 242-3431
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Emergency Medical Care Facilities PC (NPI 1538345855, Jackson, TN); Wt University Medical Associates Inc (NPI 1023572344, Jackson, TN); Marion General Hospital (NPI 1154474542, Fairmount, IN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** July 17, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1619600244) · Data from the CMS NPPES public registry.