Kenny M. Grider, D.O.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

DO3262 Issued in OK

Practice address

1805 W University Blvd
Durant, OK 74701-3011

Phone

(580) 920-0300

Fax

(580) 920-0581

NPI assigned

Dec 21, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OK

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

Specialty

Orthopedic Surgery

Education

Oklahoma State University College of Osteopathic Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Durant Hma Physician Management LLCGroup PAC ID 3375638976, 23 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Alliancehealth Durant Hospital, Durant, OK, CCN 370014
• Alliancehealth Madill Hospital, Madill, OK, CCN 371326

Merit-based Incentive Payment System (MIPS)

Final score

88.18 of 100Reported as apm

Quality

71.02

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kenny.grider.1@4696.direct.athenahealth.com

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

• Durant Hma Physician Management, LLC

  • Internal Medicine Physician
  • Durant, OK
  • NPI 1043361116

  Orthopaedic Surgery

  Medicare reassignment Care Compare group NPD
• Marshall County Hma LLC

  • Family Medicine Physician
  • Durant, OK
  • NPI 1356874374
  Medicare reassignment
• Durant Hma LLC

  dba AllianceHealth Durant

  • General Acute Care Hospital
  • Durant, OK
  • NPI 1770522906
  NPD (past)
• OB/GYN Associates of Durant

  dba Hma

  • Obstetrics & Gynecology Physician
  • Durant, OK
  • NPI 1225085632
  NPD (past)

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

• Durant Hma LLC

  dba AllianceHealth Durant

  • General Acute Care Hospital
  • Durant, OK
  • NPI 1770522906
  Care Compare affiliation
• Marshall County Hma, LLC

  dba AllianceHealth Madill

  • Critical Access Hospital
  • Madill, OK
  • NPI 1467476556
  Care Compare affiliation

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

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600128000000",
    "number": "1245216191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 W UNIVERSITY BLVD",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747013011",
            "telephone_number": "580-920-0300",
            "fax_number": "580-920-0581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 W UNIVERSITY BLVD",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747013011",
            "telephone_number": "580-920-0300",
            "fax_number": "580-920-0581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIDER",
        "first_name": "KENNY",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-21",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OK",
            "license": "DO3262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100136800A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "200022524",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kenny.grider.1@4696.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "ARM Direct Address",
            "address_1": "1400 Bryan Dr Ste 300",
            "city": "Durant",
            "state": "OK",
            "country_code": "US",
            "postal_code": "747012158",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Carol Anne Gray
• Grayson Home Health
• Grayson Home Health, Inc.
• Morgan Nicole Green
• Hannah Renea Gregory, OD, MS
• Dayna Grissett
• Jackie Dawn Guilbeau
• Shannon Guilbeau, BA, BHRS
• Payton Glen Guthrie
• Tekle Ferede Habtea

• Orthopaedic Surgery Physician in Durant, OK
• Providers in Durant, OK by specialty
• Orthopaedic Surgery Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.