WILLIAM JEFFREY GRANTHAM M.D.
NPI 1922441484
Orthopaedic Surgery in Lexington, KY
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
Specialties & Licenses
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.
Other Identifiers 1
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.
Areas of Expertise CMS Part B claims 8
Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
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, KYHarrison Memorial Hospital
Acute Care Hospitals · Cynthiana, KYPhysician 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.
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.
MIPS Quality Measures
The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Breast Cancer Screening | 46% | 451 |
| Cervical Cancer Screening | 23% | 468 |
| Closing the Referral Loop: Receipt of Specialist Report | 49% | 278 |
| Colorectal Cancer Screening | 46% | 965 |
| Controlling High Blood Pressure | 75% | 329 |
| Diabetes: Eye Exam | 39% | 146 |
| Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) | 29% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 146 |
| Documentation of Current Medications in the Medical Record | 97% | 2572 |
| e-Prescribing | 99% | 372 |
| Falls: Screening for Future Fall Risk | 45% | 549 |
| Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 42% | 1663 |
| Preventive Care and Screening: Screening for Depression and Follow-Up Plan | 20% | 1500 |
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 54% | 1576 |
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 40% | 86 |
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 57% | 1576 |
| Provide Patients Electronic Access to Their Health Information | 76% | 1163 |
| Statin Therapy for the Prevention and Treatment of Cardiovascular Disease | 72% | 278 |
| Use of High-Risk Medications in Older Adults | 2% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 559 |
| Use of High-Risk Medications in Older Adults | 19% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 580 |
| Use of High-Risk Medications in Older Adults | 19% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 580 |
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.
LEXINGTON, KY 40504
LEXINGTON, KY 40504
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1922441484, enumerated as an "individual" on April 14, 2013.
The provider is located at 1207 S BROADWAY LEXINGTON, KY 40504 and the phone number is (859) 258-8575.
Orthopaedic Surgery with taxonomy code 207X00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
William Grantham is affiliated with: SAINT JOSEPH HOSPITAL and HARRISON MEMORIAL HOSPITAL.
