Individual provider Active NPI

Charles Gary Grigsby Jr., M.D.

  • Interventional Cardiology Physician
  • Panville, KY
National Provider Identifier
1184636003
Registry record updated Apr 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
24735 Issued in KY
Practice address
216 West Walnut Street
Panville, KY 40422
Phone
(859) 239-5870
Fax
(859) 239-5879
NPI assigned
Aug 12, 2006
Last updated
Apr 10, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 24735 KY
Interventional Cardiology Physician 207RI0011X 24735 KY Primary

Addresses

Primary practice location

216 West Walnut Street
Panville, KY 40422

Mailing address

216 West Walnut Street
Panville, KY 40422
Phone (859) 239-5870

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031117000179 KY Practitioner - Cardiovascular Disease (Cardiology) 3173437936 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Kentucky College of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

109 Daniel Dr
Danville, KY 40422-2527
Phone (859) 236-3361

120 Daniel Dr
Danville, KY 40422-2527
Phone (859) 239-5570

124 Daniel Dr
Danville, KY 40422-2527
Phone (859) 239-5570

130 Daniel Dr
Danville, KY 40422-2527
Phone (859) 236-2222

216 W Walnut St
Danville, KY 40422-1832

217 S 3Rd St
Danville, KY 40422-1823
Phone (859) 239-2318

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
69.66 of 100Reported as group
Quality
39.23
Promoting interoperability
99
Improvement activities
40
Cost
43.79

Merit-based Incentive Payment System (MIPS)

Final score
81.36 of 100Reported as group
Quality
64.78
Promoting interoperability
100
Improvement activities
40
Cost
67.25

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting33
Pacemaker insertion or repair24

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
24735KYMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ephraim McDowell Health Resource, Inc CurrentSince Jun 14, 2010 Accepting new patients
Ephraim McDowell Health Resource, Inc CurrentSince Jun 14, 2010 Accepting new patients
Ephraim McDowell Regional Medical Center Incorporated Physician Assistant CurrentSince Aug 1, 2022 Accepting new patients
Cardiology Associates of Lexington Cardiovascular Disease CurrentSince Jan 1, 1999 Accepting new patients
Ephraim McDowell Health Resource, Inc. Physician Assistant Current Accepting new patients
Ephraim McDowell Regional Medical Center, Incorporated CurrentSince Aug 1, 2022 Accepting new patients
Ephraim McDowell Regional Medical Center Incorporated Past Accepting new patients
Pam Combs MD Consulting Services, P.S.C. Cardiovascular Disease PastSince Aug 1, 2009 Accepting new patients

Locations

109 Daniel Dr
Danville, KY 40422
Phone (859) 236-3361

1250 Ben Ali Dr
Danville, KY 40422
Phone (859) 236-0903

216 W Walnut St
Ste A
Danville, KY 40422
Phone (859) 239-5870

217 S 3rd St
Danville, KY 40422
Phone (859) 239-1000

321 S 3rd St
Ste A
Danville, KY 40422
Phone (859) 936-0094

1140 Lexington Rd
Georgetown, KY 40324
Phone (502) 868-1100

1 Saint Joseph Dr
Lexington, KY 40504
Phone (502) 350-5000

1401 Harrodsburg Rd
Ste A300
Lexington, KY 40504
Phone (859) 313-4744

310 S Limestone
Lexington, KY 40508
Phone (606) 252-6612

800 Rose St
Lexington, KY 40536
Phone (859) 257-8562

140 Newcomb Ave
Mount Vernon, KY 40456
Phone (606) 256-3232

24 Clinic Dr
Ste A
Paris, KY 40361
Phone (859) 987-0302

1107 W Lexington Ave
Winchester, KY 40391
Phone (859) 745-3500

170 Pedro Way
Winchester, KY 40391
Phone (859) 901-1122

5130 Parkway Plaza Blvd
Charlotte, NC 28217

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334016000000",
    "number": "1184636003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 WEST WALNUT STREET",
            "city": "PANVILLE",
            "state": "KY",
            "postal_code": "40422",
            "telephone_number": "859-239-5870",
            "fax_number": "859-239-5879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 WEST WALNUT STREET",
            "city": "PANVILLE",
            "state": "KY",
            "postal_code": "40422",
            "telephone_number": "859-239-5870",
            "fax_number": "859-239-5879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIGSBY",
        "first_name": "CHARLES",
        "middle_name": "GARY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2012-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KY",
            "license": "24735",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "KY",
            "license": "24735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.