NPIMap

Individual provider Active NPI

Jerry Speight Grimes Jr., M.D.

  • Orthopaedic Foot and Ankle Surgery Physician
  • Lubbock, TX
National Provider Identifier
1528020336
Registry record updated Nov 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Foot and Ankle Surgery PhysicianTaxonomy code 207XX0004X
License
M1725 Issued in TX
Practice address
3601 4TH Street Stop 9436
Lubbock, TX 79430-9436
Phone
(806) 743-4263
Fax
(806) 743-4294
NPI assigned
Apr 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X M1725 TX
Orthopaedic Foot and Ankle Surgery Physician 207XX0004X M1725 TX Primary

Addresses

Primary practice location

3601 4TH Street Stop 9436
Lubbock, TX 79430-9436

Mailing address

3601 4TH Street Stop 9436
Lubbock, TX 79430-9436
Phone (806) 743-4263

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jerry.grimesjr@direct.myteamcare.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050912000493 TX Practitioner - Orthopedic Surgery 0042209694 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Texas Medical Branch at Galveston, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dora Roberts Rehabilitation CenterGroup PAC ID 0941285498, 114 clinicians
Texas Tech University Health Sciences Center LubbockGroup PAC ID 4385549674, 363 clinicians

Practice addresses (Care Compare)

306 W 3Rd St
Big Spring, TX 79720-2429
Phone (432) 267-3806

3601 4TH St
Lubbock, TX 79430-9436
Phone (806) 743-2475

Hospital & facility affiliations

  • University Medical Center Hospital, Lubbock, TX, CCN 450686

Merit-based Incentive Payment System (MIPS)

Final score
99.52 of 100Reported as apm
Quality
87.98
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M1725TXMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Tech University Health Sciences Center Lubbock Current Accepting new patients
Texas Tech University Health Sciences Center Lubbock Orthopaedic Surgery CurrentSince Mar 27, 2012 Accepting new patients
Texas Tech University Health Sciences Center Lubbock CurrentSince Mar 27, 2012 Accepting new patients
Jason a Ramsey Mdpa Sportszone Orthopedics Orthopaedic Surgery PastSince Jan 4, 2026 Accepting new patients
Texas Tech University Health Sciences Center Lubbock PastSince Nov 16, 2021 Accepting new patients

Locations

3601 4th St
Stop 9436
Lubbock, TX 79430
Phone (806) 743-2465

3601 4th St
Lubbock, TX 79430
Phone (806) 743-1000

Interoperability endpoints

  • Direct secure messaging: jgrimes@yourcarecommunity.org
  • Direct secure messaging: jerry.grimesjr@direct.myteamcare.com

Organizations & group practices 9

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.

Hospital & facility affiliations 5

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": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1528020336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 4TH STREET STOP 9436",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794309436",
            "telephone_number": "806-743-4263",
            "fax_number": "806-743-4294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 4TH STREET STOP 9436",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794309436",
            "telephone_number": "806-743-4263",
            "fax_number": "806-743-4294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMES",
        "first_name": "JERRY",
        "middle_name": "SPEIGHT",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2021-11-09",
        "certification_date": "2021-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "M1725",
            "primary": false
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "TX",
            "license": "M1725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jerry.grimesjr@direct.myteamcare.com",
            "affiliation": "N",
            "address_1": "3601 4th Street STOP 9436",
            "city": "Lubbock",
            "state": "TX",
            "country_code": "US",
            "postal_code": "794309436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.