JEFFREY WILLIAM GRISHAM MD
NPI 1871598011
Ophthalmology in Bartlesville, OK

Q: What is Jeffrey Grisham's NPI number?

The NPI number for Jeffrey Grisham is 1871598011. It was assigned to this individual provider in the NPPES registry on June 15, 2005.

Q: What is Jeffrey Grisham's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Jeffrey Grisham was last updated on August 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since June 15, 2005PECOS EnrolledAccepts Medicare Assignment

95.63/100

CMS Quality Rating

3615 SE KENTUCKY ST, BARTLESVILLE, OK 74006(918) 333-2020(918) 335-3253 Get Directions Write a Review

NPPES record last updated: August 22, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jeffrey William Grisham Md NPPES

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

JEFFREY WILLIAM GRISHAM MD (NPI 1871598011) is an individual ophthalmology provider in Bartlesville, Oklahoma, licensed in Oklahoma (15291) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Oklahoma College Of Medicine (1984).

NPPES Registry Identity

NPI1871598011

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameJEFFREY WILLIAM GRISHAMCredential: MD

Location Address3615 SE KENTUCKY STBartlesville, OK 74006-2324

Mailing Address3615 Se Kentucky StBartlesville, OK 74006-2324 · (918) 333-2020 · Fax (918) 335-3253

Phone(918) 333-2020

Fax(918) 335-3253

Sole ProprietorYes

Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 1984

Enumeration DateJune 15, 2005

Last NPPES UpdateAugust 22, 2016

✔ NPI 1871598011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in OK · 15291

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

3615 SE KENTUCKY ST, Bartlesville, OK 74006

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Other Identifiers 2

Medicare UPIND76643OK

Medicaid100102110AOK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, CommunityCare, UnitedHealthcare.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

Jeffrey William 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 ID9830136530

PECOS Enrollment IDI20120220000325

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 8

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.

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

258 services247 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.

212 services125 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

143 services105 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.

97 services91 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

54 services52 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

32 services32 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74006 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

$123.06 typical visit price

range $53.00 – $162.61

Typical copayment $30.76 (range $13.25 – $40.65)

Most-billed visit code 99204

Established Patient

$66.48 typical visit price

range $16.68 – $132.40

Typical copayment $16.62 (range $4.17 – $33.10)

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.

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.

95.63/100

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

Individually scored

Quality

92.06

Promoting Interoperability

100

Improvement Activities

Reported Quality Measures

Diabetes: Eye Exam

100%57 patients5/55-star benchmark: 100%

Documentation of Current Medications in the Medical Record

100%981 patients5/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

100%573 patients5/55-star benchmark: 100%

Glaucoma Intraocular Pressure Reduction

92%263 patients

Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care

100%214 patients

Provide Patients Electronic Access to Their Health Information

100%612 patients5/55-star benchmark: 100%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 583 patients

Patients totalRate: 0% · 583 patients

0%583 patients5/55-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.

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.

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