DR. MATTHEW PAUL GRISHAM MD
NPI 1972707487
Pediatrics in Greenville, SC

Active since June 11, 2007PECOS Enrolled
20 MEDICAL RIDGE DRIVE, GREENVILLE, SC 29605(864) 220-7270(864) 241-9211 Get Directions Write a Review

NPPES record last updated: October 18, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 18, 2019, Mar 22, 2018 (2 updates tracked since 2018).

About Dr. Matthew Paul Grisham Md NPPES

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

DR. MATTHEW PAUL GRISHAM MD (NPI 1972707487) is an individual pediatrics provider in Greenville, South Carolina, licensed in South Carolina (29867) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972707487
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. MATTHEW PAUL GRISHAMCredential: MD
Location Address20 MEDICAL RIDGE DRIVEGreenville, SC 29605-4267
Mailing Address1 Independence Pt Ste 212Greenville, SC 29615-4536
Fax(864) 241-9211
Sole ProprietorNo
Enumeration DateJune 11, 2007
Last NPPES UpdateOctober 18, 20192 updates tracked since enumeration
✔ NPI 1972707487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in SC · 29867
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
20 MEDICAL RIDGE DRIVE, Greenville, SC 29605

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Matthew Paul Grisham Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

Medicare enrollment records show Matthew Grisham reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nurse Practitioner
712 GROVE RD
Greenville, SC 29605
  • Reassigned Medicare billing, South Carolina enrollment
  • 3,281 clinicians in this Medicare group
General Acute Care Hospital
175 PATEWOOD DR
Greenville, SC 29615
  • Reassigned Medicare billing, South Carolina enrollment
  • 735 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29605 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
Most-billed visit code 99214
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

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

Pediatrics
20 MEDICAL RIDGE DRIVE
GREENVILLE, SC 29605

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 Matthew Grisham's NPI number?

The NPI number for Matthew Grisham is 1972707487. It was assigned to this individual provider in the NPPES registry on June 11, 2007.

Where is Matthew Grisham located?

Matthew Grisham practices at 20 Medical Ridge Drive, Greenville, SC 29605. The listed phone number is (864) 220-7270.

What is Matthew Grisham's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Matthew Grisham enrolled in Medicare?

Yes. Matthew Grisham is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Matthew Grisham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Grisham reassigns Medicare benefits to 2 organizations: Prisma Health University Medical Group (Greenville, SC) and Greenville Health System (Greenville, SC). 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 Matthew Grisham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Matthew Grisham was last updated on October 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.