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ANDRE D GRISHAM MD
NPI 1629042122
Surgery in Tigard, OR

Active since February 14, 2006PECOS EnrolledAccepts Medicare Assignment
9250 SW HALL BLVD, TIGARD, OR 97223(503) 221-0161 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Nov 6, 2020, Jul 11, 2017 (3 updates tracked since 2017).

About Andre D Grisham Md NPPES

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

ANDRE D GRISHAM MD (NPI 1629042122) is an individual surgery provider in Tigard, Oregon, licensed in Oregon (MD151172) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Providence St Vincent Medical Center, and is a graduate of University Of Kentucky College Of Medicine (1999).

NPPES Registry Identity

NPI1629042122
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameANDRE D GRISHAMCredential: MD
Location Address9250 SW HALL BLVDTigard, OR 97223-6721
Mailing Address800 Sw 13th AvePortland, OR 97205-1902 · (503) 221-0161
Phone(503) 221-0161
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 1999
Enumeration DateFebruary 14, 2006
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPPES CertifiedNovember 6, 2020
✔ NPI 1629042122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in OR · MD151172✔ Licensed in SC · 29462✔ Licensed in TN · 38146
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
9250 SW HALL BLVD, Tigard, OR 97223
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Other Identifiers 3

Medicaid04951725MS
Other4214668TN · Bcbs Tn
Medicaid3895467TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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

Andre D Grisham 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 ID1355325184
PECOS Enrollment IDI20130801000794
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

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
44 services43 patients

Hospital Affiliations CMS Care Compare 2

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

Providence St Vincent Medical Center

Acute Care Hospitals · Portland, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380004
Location9205 SW Barnes RoadPortland, OR 97225 · Washington County
Emergency services Birthing friendly

Providence Newberg Medical Center

Acute Care Hospitals · Newberg, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number380037
Location1001 Providence DriveNewberg, OR 97132 · Yamhill County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97223 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
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
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.

DR. MICHAEL SHIHJAY CHEN M.D.
Family Medicine
9250 SW HALL BLVD
TIGARD, OR 97223
Washington County (503) 221-0161
CHRISTINE A. BUGAS DO
Family Medicine
9250 SW HALL BLVD
TIGARD, OR 97223
Washington County (503) 293-0161
DR. SHEETEN B DOSHI M.D.
Internal Medicine (Gastroenterology)
9250 SW HALL BLVD
TIGARD, OR 97223
Washington County (503) 293-0161
THOMAS LESTER STARBARD DO
Neuromusculoskeletal Medicine & OMM
9250 SW HALL BLVD
TIGARD, OR 97223
Washington County (503) 293-0161
MICHAEL PATRIC CUNNINGHAM PA-C
Physician Assistant
9250 SW HALL BLVD
TIGARD, OR 97223
Washington County (503) 293-0161
MISS HEIDI LYNN TYSON OTR/L
Occupational Therapist
9250 SW HALL BLVD
TIGARD, OR 97223
Washington County (503) 293-0161
LEIGH HOAGLAND REECE DPT
Physical Therapist
9250 SW HALL BLVD
TIGARD, OR 97223
Washington County (503) 293-0161
DAVID G. WAGNER MD
Family Medicine
9250 SW HALL BLVD
TIGARD, OR 97223
Washington County (503) 293-0161

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 Andre Grisham's NPI number?

The NPI number for Andre Grisham is 1629042122. It was assigned to this individual provider in the NPPES registry on February 14, 2006.

Where is Andre Grisham located?

Andre Grisham practices at 9250 SW Hall Blvd, Tigard, OR 97223. The listed phone number is (503) 221-0161.

What is Andre Grisham's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Andre Grisham enrolled in Medicare?

Yes. Andre 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 Andre Grisham accept?

Health plans from Providence Health Plan list Andre 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.

Is Andre Grisham affiliated with any hospitals?

According to CMS data, Andre Grisham is affiliated with Providence St Vincent Medical Center and Providence Newberg Medical Center.

When was this NPI record last updated?

The NPPES record for Andre Grisham was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.