WILLIAM JEFFREY GRANTHAM M.D.
NPI 1922441484
Orthopaedic Surgery in Lexington, KY

Q: What is William Grantham's NPI number?

The NPI number for William Grantham is 1922441484. It was assigned to this individual provider in the NPPES registry on April 14, 2013.

Q: What is William Grantham's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for William Grantham was last updated on April 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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 April 14, 2013PECOS EnrolledAccepts Medicare Assignment

80.89/100

CMS Quality Rating

1207 S BROADWAY, LEXINGTON, KY 40504(859) 258-8575 Get Directions Write a Review

NPPES record last updated: April 8, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 8, 2025, Apr 3, 2025, Sep 23, 2019 and 2 more (5 updates tracked since 2018).

On this page

About William Jeffrey Grantham M.d. NPPES

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

WILLIAM JEFFREY GRANTHAM M.D. (NPI 1922441484) is an individual orthopaedic surgery provider in Lexington, Kentucky, licensed in Kentucky (53007) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, is affiliated with Saint Joseph Hospital, and is a graduate of Columbia University College Of Physicians And Surgeons (2013).

NPPES Registry Identity

NPI1922441484

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameWILLIAM JEFFREY GRANTHAMCredential: M.D.

Location Address1207 S BROADWAYLexington, KY 40504-2701

Mailing Address1221 S BroadwayLexington, KY 40504-2701 · (859) 258-6200 · Fax (859) 258-6203

Phone(859) 258-8575

Sole ProprietorNo

Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 2013

Enumeration DateApril 14, 2013

Last NPPES UpdateApril 8, 20255 updates tracked since enumeration

NPPES CertifiedApril 8, 2025

✔ NPI 1922441484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in KY · 53007

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

1207 S BROADWAY, Lexington, KY 40504

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Other Identifiers 1

Medicaid7100617210KY

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

William Jeffrey Grantham M.d. 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 ID4385946920

PECOS Enrollment IDI20190903002181

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.

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.

604 services96 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.

145 services118 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.

143 services101 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.

114 services105 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.

63 services63 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.

41 services41 patients

Hospital Affiliations CMS Care Compare 2

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

Saint Joseph Hospital

Acute Care Hospitals · Lexington, KY

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number180010

LocationOne Saint Joseph DriveLexington, KY 40504 · Fayette County

Emergency services

Harrison Memorial Hospital

Acute Care Hospitals · Cynthiana, KY

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number180079

Location1210 Ky Hwy 36 ECynthiana, KY 41031 · Harrison County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40504 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$66.24 typical visit price

range $16.53 – $131.99

Typical copayment $16.56 (range $4.13 – $32.99)

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.

80.89/100

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

Scored as part of a group practice

Quality

62.29

Promoting Interoperability

100

Improvement Activities

Cost

Reported Quality Measures

Breast Cancer Screening

46%451 patients2/55-star benchmark: 93%

Cervical Cancer Screening

23%468 patients1/55-star benchmark: 98%

Closing the Referral Loop: Receipt of Specialist Report

49%278 patients3/55-star benchmark: 87%

Colorectal Cancer Screening

46%965 patients3/55-star benchmark: 88%

Controlling High Blood Pressure

75%329 patients4/55-star benchmark: 91%

Diabetes: Eye Exam

39%146 patients2/55-star benchmark: 100%

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

Lower rates are better for this measure.

29%146 patients4/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

97%2,572 patients4/55-star benchmark: 100%

e-Prescribing

99%372 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

45%549 patients2/55-star benchmark: 100%

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

42%1,663 patients2/55-star benchmark: 98%

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

20%1,500 patients1/55-star benchmark: 97%

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

Patients combinedPopulations: 54% · 1,576 patients

Patients screened: 57% · 1,576 patients

40%86 patients2/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

76%1,163 patients3/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

72%278 patients3/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 2% · 559 patients

Patients totalRate: 19% · 580 patients

19%580 patients3/55-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 20

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

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