RICHARD R. GRIMSLEY MD
NPI 1699779462
Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery in Jacksonville, FL

Q: What is Richard Grimsley's NPI number?

The NPI number for Richard Grimsley is 1699779462. It was assigned to this individual provider in the NPPES registry on June 9, 2005.

Q: What is Richard Grimsley's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Adult Reconstructive Orthopaedic Surgery, with taxonomy code 207XS0114X.

Q: When was this NPI record last updated?

The NPPES record for Richard Grimsley was last updated on April 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 June 09, 2005PECOS EnrolledAccepts Medicare Assignment

85.47/100

CMS Quality Rating

2 SHIRCLIFF WAY STE 300, JACKSONVILLE, FL 32204(904) 204-5000(904) 204-4000 Get Directions Write a Review

NPPES record last updated: April 28, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 24, 2024, Aug 1, 2019, Nov 16, 2015 and 1 more (4 updates tracked since 2015).

On this page

About Richard R. Grimsley Md NPPES

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

RICHARD R. GRIMSLEY MD (NPI 1699779462) is an individual adult reconstructive orthopaedic surgery provider in Jacksonville, Florida, licensed in Florida (ME67016) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Ascension St Vincent's Riverside, and maintains a secondary practice location in Saint Augustine.

NPPES Registry Identity

NPI1699779462

Entity TypeIndividualMale

Primary Taxonomy207XS0114X

Provider Legal NameRICHARD R. GRIMSLEYCredential: MD

Location Address2 SHIRCLIFF WAY STE 300Jacksonville, FL 32204-4753

Mailing Address11945 San Jose Blvd Ste 300Jacksonville, FL 32223-1627 · (904) 396-1725 · Fax (904) 396-4893

Phone(904) 204-5000

Fax(904) 204-4000

Sole ProprietorNo

Medical School CMSOtherGraduated 1988

Enumeration DateJune 9, 2005

Last NPPES UpdateApril 28, 20254 updates tracked since enumeration

NPPES CertifiedApril 28, 2025

✔ NPI 1699779462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207XS0114X

License✔ Licensed in FL · ME67016

Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License ME67016 (FL)

2 SHIRCLIFF WAY STE 300, Jacksonville, FL 32204

Open in Google Maps ↗

Secondary Practice Location 1

Location 1120 Health Park Blvd Ste 1Saint Augustine, FL 32086-5798 · Phone (386) 627-7318 · Fax (638) 627-7319

Other Identifiers 1

Medicaid264048100FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.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

Richard R. Grimsley 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 ID4789697798

PECOS Enrollment IDI20060717000066

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.

Medicare Billing Reassignments

Medicare enrollment records show Richard Grimsley reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southeast Orthopedic Specialists, LLC

1.2 mi

Orthopaedic Surgery

2627 RIVERSIDE AVE STE 300
Jacksonville, FL 32204

Reassigned Medicare billing, Florida enrollment
134 clinicians in this Medicare group

NPI 1629025820 (904) 634-0640

North Florida Surgeons, PA

12 mi

Surgery

11945 SAN JOSE BLVD STE 300
Jacksonville, FL 32223

Reassigned Medicare billing, Florida enrollment
321 clinicians in this Medicare group

NPI 1912953290 (904) 396-1725

Villages Regional Hospital Physician Services LLC

27 mi

Urgent Care

70 TURIN TER STE 110
St Augustine, FL 32092

Reassigned Medicare billing, Florida enrollment
354 clinicians in this Medicare group

NPI 1992639777 (904) 819-7200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 14

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

718 services111 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

181 services159 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

175 services119 patients

X-ray of knee, 1-2 views 73560

An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.

150 services86 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

118 services84 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

95 services82 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

78 services74 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

46 services39 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

40 services40 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

34 services34 patients

Hyaluronan or derivative, monovisc, for intra-articular injection, per dose J7327

Monovisc is a treatment involving an injection of hyaluronan or its derivative into a joint, often the knee. This substance, found naturally in joint fluid, helps lubricate and cushion the joint. The injection can help ease pain, improve mobility, and reduce inflammation caused by arthritis.

23 services18 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

20 services20 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

17 services16 patients

Replacement of thigh bone and hip joint with prosthesis 27130

This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.

16 services15 patients

Hospital Affiliations CMS Care Compare 4

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

Ascension St Vincent's Riverside

Acute Care Hospitals · Jacksonville, FL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100040

Location1 Shircliff WayJacksonville, FL 32204 · Duval County

Emergency services

Flagler Hospital

Acute Care Hospitals · Saint Augustine, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100090

Location400 Health Park BlvdSaint Augustine, FL 32086 · St. Johns County

Emergency services Birthing friendly

Florida Hospital Flagler

Acute Care Hospitals · Palm Coast, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number100118

Location60 Memorial Medical PkwyPalm Coast, FL 32164 · Flagler County

Emergency services

Ascension St Vincent's Clay County

Acute Care Hospitals · Middleburg, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100321

Location1670 St Vincents WayMiddleburg, FL 32068 · Clay County

Emergency services Birthing friendly

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.

85.47/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

77.41

Promoting Interoperability

Improvement Activities

Reported Quality Measures

Advance Care Plan

93%597 patients4/55-star benchmark: 100%

Breast Cancer Screening

0%335 patients1/55-star benchmark: 93%

Cervical Cancer Screening

0%125 patients1/55-star benchmark: 98%

Closing the Referral Loop: Receipt of Specialist Report

60%244 patients3/55-star benchmark: 87%

Colorectal Cancer Screening

4%605 patients1/55-star benchmark: 88%

Controlling High Blood Pressure

18%82 patients1/55-star benchmark: 91%

Diabetes: Eye Exam

24%34 patients1/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

100%34 patients1/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

98%1,266 patients4/55-star benchmark: 100%

e-Prescribing

98%327 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

96%572 patients4/55-star benchmark: 100%

Functional Status Assessment for Total Hip Replacement

0%43 patients

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

96%893 patients4/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

0%851 patients1/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

0%1,035 patients1/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 91% · 564 patients

Patients screened: 96% · 564 patients

48%63 patients2/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

76%587 patients3/55-star benchmark: 100%

Risk-standardized complication rate (RSCR) following elective primary total hip arthroplasty (THA) and/or total knee arthroplasty (TKA) for Merit-based Incentive Payment System (MIPS)

Lower rates are better for this measure.

0.02%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

86%92 patients4/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 599 patients

Patients totalRate: 1% · 599 patients

1%599 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walker, folding, wheeled, adjustable or fixed height E0143

DME-Other DME · category DE000N

4 suppliers30 claims30 services$43.83 avg. paid by Medicare

Commode chair, mobile or stationary, with fixed arms E0163

DME-Other DME · category DE000N

2 suppliers15 claims15 services$47.37 avg. paid by Medicare

Elevating leg rests, pair (for use with capped rental wheelchair base) K0195

DME-Wheelchairs · category DD021N

2 suppliers15 claims15 services$7.64 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WILBERT B PINO JR. MD

Orthopaedic Surgery

2 SHIRCLIFF WAY STE 300
JACKSONVILLE, FL 32204

Duval County (904) 204-5000

DR. ASHIK SHRESTHA D.O.

Psychiatry & Neurology (Vascular Neurology)

2 SHIRCLIFF WAY STE 300
JACKSONVILLE, FL 32204

Duval County (904) 308-7959

LYNNE H CONDERMAN APRN

Nurse Practitioner (Adult Health)

2 SHIRCLIFF WAY STE 300
JACKSONVILLE, FL 32204

Duval County (904) 308-2006

MS. KATHERINE LANIER SHIBANI APRN

Nurse Practitioner (Acute Care)

2 SHIRCLIFF WAY STE 300
JACKSONVILLE, FL 32204

Duval County (904) 308-7959

H. LYNN NORMAN M.D.

Orthopaedic Surgery

2 SHIRCLIFF WAY STE 300, CREDENTIALING DEPARTMENT
JACKSONVILLE, FL 32204

Duval County (904) 388-1400

HANNAH M BOSGRAAF APRN

Nurse Practitioner (Family)

2 SHIRCLIFF WAY STE 300
JACKSONVILLE, FL 32204

Duval County (904) 388-1820

STANTON L LONGENECKER MD

Orthopaedic Surgery (Sports Medicine)

2 SHIRCLIFF WAY STE 300, CREDENTIALING DEPARTMENT
JACKSONVILLE, FL 32204

Duval County (904) 204-5000

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 Richard Grimsley's NPI number?

The NPI number for Richard Grimsley is 1699779462. It was assigned to this individual provider in the NPPES registry on June 9, 2005.

Where is Richard Grimsley located?

Richard Grimsley practices at 2 Shircliff Way Ste 300, Jacksonville, FL 32204. The listed phone number is (904) 204-5000.

What is Richard Grimsley's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Adult Reconstructive Orthopaedic Surgery, with taxonomy code 207XS0114X.

Is Richard Grimsley enrolled in Medicare?

Yes. Richard Grimsley 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 Richard Grimsley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Richard Grimsley reassigns Medicare benefits to 3 organizations: Southeast Orthopedic Specialists, LLC (Jacksonville, FL), North Florida Surgeons, PA (Jacksonville, FL) and Villages Regional Hospital Physician Services LLC (St Augustine, FL). 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 Richard Grimsley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Richard Grimsley accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 4 other insurers list Richard Grimsley 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 Richard Grimsley affiliated with any hospitals?

According to CMS data, Richard Grimsley is affiliated with Ascension St Vincent's Riverside, Flagler Hospital, Florida Hospital Flagler and Ascension St Vincent's Clay County.

When was this NPI record last updated?

The NPPES record for Richard Grimsley was last updated on April 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.